Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Valerie Hernandez

El Paso,Tx

Summary

Dynamic Claims Benefit Specialist with extensive experience at Sagility, excelling in insurance claims processing and patient data management. Proven ability to ensure compliance and accuracy while training staff to uphold high service standards. Bilingual in English and Spanish, demonstrating exceptional communication and problem-solving skills in fast-paced environments. Customer-focused professional with a background in customer service roles. Known for providing top-notch client support while maintaining high levels of customer satisfaction and loyalty. Strengths include exceptional communication, problem-solving skills, and ability to handle multiple tasks simultaneously. Proven track record of consistently improving operational processes to enhance the overall customer experience.

Overview

5
5
years of professional experience

Work History

Claims Benefit Specialist

Sagility
11.2023 - Current
  • Reviewed and processed insurance claims, ensuring accuracy and compliance with policy guidelines and regulatory standards.
  • Maintained accurate claim records to support audits and quality assurance.
  • Participated in training sessions to enhance skills and stay updated on industry best practices

Call Center Manager/Scheduler

Apex Practice Management Group
Northridge, USA
02.2023 - 08.2023
  • Oversaw call center operations, managing patient inquiries and scheduling appointments.
  • Verified insurance eligibility and obtained authorizations, ensuring accurate CPT coding for HMO policies.
  • Trained new hires in practice protocols and patient scheduling for high service standards.
  • Led recruitment and hiring for ENT practice and hiring positions.

Neuro Rehab Specialist

Centre For Neuro Skills
Tarzana, USA
09.2022 - 02.2023
  • Monitored individuals with traumatic brain injuries, documenting daily activities, dietary intake, and behavioral observations.
  • Assisted with medication administration and patient transfers, ensuring safety and care standards.
  • Facilitated patient engagement in therapeutic activities to promote rehabilitation.

Medical Scribe

Salud Y Vida
El Paso , Texas
02.2020 - 10.2020
  • Utilized various EMR systems with proficiency, adapting to new technologies as required.
  • Monitored duration of basic lab results and screening procedures.
  • Followed clinicians throughout shift in high-volume, busy environments.
  • Ensured proper coding of diagnoses and procedures on billing forms before submitting them for payment.
  • Compiled referrals for specialist appointments with appropriate documentation attached.
  • Entered laboratory and radiology results into electronic medical records (EMR) systems.

Education

Bachelor's - Biological Sciences

The University of Texas at El Paso
El Paso, TX

Associate's -

El Paso Community College
El Paso, TX

Skills

  • EHR systems
  • Insurance claims processing
  • Patient data management
  • CMS
  • Medical terminology
  • Customer service
  • Scheduling
  • Insurance verification
  • Medical documentation
  • Independent critical thinking
  • Problem-solving
  • Bilingual in English and Spanish
  • Professional communication
  • Team management
  • Staff training
  • Policy adherence
  • Integrity in healthcare documentation
  • Adaptability
  • Efficiency
  • Attention to detail

Languages

Spanish
Professional

Timeline

Claims Benefit Specialist

Sagility
11.2023 - Current

Call Center Manager/Scheduler

Apex Practice Management Group
02.2023 - 08.2023

Neuro Rehab Specialist

Centre For Neuro Skills
09.2022 - 02.2023

Medical Scribe

Salud Y Vida
02.2020 - 10.2020

Bachelor's - Biological Sciences

The University of Texas at El Paso

Associate's -

El Paso Community College
Valerie Hernandez