Xiomara Diaz
Kearny
Summary
Detail-oriented and organized professional with extensive experience in administrative support, customer service, and managing sensitive information. Proficient in handling legal documentation, conducting research, managing client communication, and ensuring compliance with regulations such as HIPAA. Bilingual (English/Spanish), with the ability to effectively communicate and collaborate with clients, attorneys, and team members. Seeking to apply my strong problem-solving skills, attention to detail, and administrative expertise to a Legal Assistant position.
Overview
15
15
years of professional experience
Work History
Patient Service Representative
New Jersey Imaging Network
Nutley
01.2025 - Current
- Provided directions and information to patients and families, enhancing their patient experience.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Ensured all necessary paperwork was completed prior to patient visits.
- Provided support with various tasks such as scheduling tests, ordering supplies.
- Processed patient responsibility, estimate determined by insurance at pre-registration.
- Assisted with the completion of medical forms and records.
- Maintained accurate records of services provided during each visit or procedure.
- Performed administrative duties such as filing, faxing, photocopying.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
- Referred patients to appropriate professionals and services.
- Provided customer service by answering patient questions and addressing concerns.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
Servicing Engagement Specialist
Independent Health Association Inc.
Williamsville
04.2023 - 12.2024
- Communicate with clients to address legal inquiries related to health insurance policies and benefits.
- Interpret and explain complex documentation, such as contracts, insurance plans, and claims, ensuring clients understand their rights and obligations.
- Process and manage client inquiries and appeals, ensuring compliance with legal standards and company protocols.
- Draft and review policy/plan documents, ensuring they meet compliance requirements and accurately reflect client information.
- Manage confidential client information in adherence to HIPAA and privacy laws.
- Resolve issues quickly and effectively, escalating when necessary.
Customer Service Representative
Independent Health Association Inc.
Williamsville
09.2021 - 04.2023
- Addressed client inquiries regarding insurance coverage, claims, and eligibility, ensuring all information provided was accurate and in compliance with applicable regulations.
- Processed and managed claims, reviewing and verifying documents for accuracy, and addressing any discrepancies or issues with legal and procedural correctness.
- Maintained detailed records of interactions, ensuring accurate documentation for future reference and legal compliance.
- Assisted clients with legal issues related to claims denials and appeal processes, providing guidance and support throughout.
- Collaborated with internal teams to ensure smooth resolution of client issues and adherence to policies and laws.
Healthcare Authorization Specialist
Fidelis
Getzville
03.2020 - 02.2021
- Managed healthcare documentation, including authorizations, referrals, and appeals, ensuring compliance with regulations and company policies.
- Collaborated with healthcare providers and clients to collect necessary documentation for approval processes.
- Utilized Facets and other software systems to input and track data related to claims and authorizations, ensuring accuracy and timely processing.
- Ensured that all documentation adhered to legal and compliance standards, handling sensitive information with confidentiality.
Medicaid Enrollment Processor
Univerahealthcare
Buffalo
10.2019 - 01.2020
- Processed and updated member information in a secure and confidential manner, ensuring compliance with federal and state regulations.
- Managed demographic and health insurance data, maintaining up-to-date records in the Facets system.
- Collaborated with team members to streamline enrollment processes and ensure that all legal and procedural guidelines were followed.
- Handled sensitive data and legal documentation with the utmost care and attention to detail.
Corps Administrator
The Salvation Army Thrift Store
Various Locations
06.2010 - 06.2018
- Team Leadership: Led a team of 15 employees and 10 volunteers, ensuring smooth operations and policy compliance.
- Program Oversight: Managed afterschool programs, soup kitchens, and food pantries, ensuring proper documentation and reporting.
- Served as the main point of contact for 500+ clients weekly, assessing needs and coordinating services.
- Streamlined communication across departments to improve teamwork and compliance.
- Created training programs to improve employee skills and team performance.
- Managed program budgets and resource allocation, ensuring financial compliance.
- Generated timely reports to support leadership decision-making.
- Ensured adherence to policies and legal regulations, maintaining client confidentiality.
- Provided guidance and feedback to administrative staff, improving efficiency and accuracy
Education
Diploma - Medical Billing And Coding
Penn Foster Career School
Scranton, PA04-2020
Associate of Arts - Occupational Studies
The Salvation Army College
Suffern, NY06-2009
Some College (No Degree) - Medical Office Assisting
Bergen College
Paramus, NJSkills
- Legal Terminology and Documentation
- Client Communication and Support
- Document Management and Filing
- Bilingual (English/Spanish)
- Research and Legal Compliance
- Legal Correspondence
- Case File Organization
- Microsoft Office Suite (Word, Excel, Outlook)
- Data Entry and Record-Keeping
- Confidentiality and Compliance (HIPAA)
- Problem-Solving and Critical Thinking
- Time Management and Multitasking
- Effective Written and Oral Communication
Timeline
Patient Service Representative
New Jersey Imaging Network
01.2025 - Current
Servicing Engagement Specialist
Independent Health Association Inc.
04.2023 - 12.2024
Customer Service Representative
Independent Health Association Inc.
09.2021 - 04.2023
Healthcare Authorization Specialist
Fidelis
03.2020 - 02.2021
Medicaid Enrollment Processor
Univerahealthcare
10.2019 - 01.2020
Corps Administrator
The Salvation Army Thrift Store
06.2010 - 06.2018
Diploma - Medical Billing And Coding
Penn Foster Career School
Associate of Arts - Occupational Studies
The Salvation Army College
Some College (No Degree) - Medical Office Assisting
Bergen College
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