Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic

Valerie Vasquez

Lubbock,TX

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

8
8
years of professional experience

Work History

Transition Coordinator

Centene
02.2017 - 08.2023
  • Assisted families/members in planning from STAR kids Medicaid to adulthood.
  • Provided education on future self-management such as health care, housing, employment, and decision making for the members.
  • Helped locate community resources.
  • Identified unmet needs and found resolutions.
  • Acted as an advocate for the Member and a liaison between the Health Plan and Provider(s).
  • Skilled at working independently and collaboratively in a team environment.
  • Self-motivated, with a strong sense of personal responsibility.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked effectively in fast-paced environments.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Excellent communication skills, both verbal and written.
  • Passionate about learning and committed to continual improvement.
  • Organized and detail-oriented with a strong work ethic.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.

Member Advocate

Centene, Superior Health Services
12.2015 - 02.2017
  • Acted as an advocate for the Member and a liaison between the Health Plan and Provider(s).
  • Maintained confidentiality per HIPPA guidelines.
  • Responded to patient concerns and questions with compassionate and knowledgeable service.
  • Received and responded to Member complaints and formal grievances.
  • Entered details into computer systems and managed database of information.
  • Educated patients and families on healthcare options and financial support resources.
  • Assisted patients in understanding individual rights and responsibilities in regards to care, and coverage.
  • Maintained patient records and updated electronic health systems to safeguard data.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

Education

Bachelor of Science - Human Services

Wayland Baptist University
Lubbock, TX
05.2017

No Degree - Medical Assisting

Corinthian College
San Antonio, TX
09.1998

Skills

  • Medical terminology
  • Community engagement
  • Advocate
  • Case Planning
  • Customer Inquiries
  • Train Employees
  • HIPAA Guidelines
  • End of Month Reports
  • Coordinating Referrals
  • Proficient in Microsoft Office Software
  • Proficient in TruCare Software
  • Proficient in SharePoint Software

Accomplishments

  • Highest Audit Scores of the year
  • Success Story of the Year
  • Compassionate Customer Service of the Year

Languages

Spanish
Native or Bilingual

Timeline

Transition Coordinator

Centene
02.2017 - 08.2023

Member Advocate

Centene, Superior Health Services
12.2015 - 02.2017

Bachelor of Science - Human Services

Wayland Baptist University

No Degree - Medical Assisting

Corinthian College

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Valerie Vasquez