Janet Montoya
Forney,TX
Summary
Dedicated healthcare service professional with a proven track record in enhancing patient communication and resolving complex issues. Expertise in managing patient inquiries, coordinating with medical teams, and ensuring efficient service delivery. Recognized for a strong commitment to teamwork and adaptability, consistently achieving outstanding results in high-pressure environments. Exceptional empathy, active listening, and effective conflict resolution skills foster positive patient experiences.
Overview
10
10
years of professional experience
Work History
Patient Experience Representative
Blue Cloud Pediatric Surgery Centers
Remote
08.2024 - Current
- Coordinated appointment scheduling and follow-up processes to optimize surgery centers efficiency.
- Developed educational materials for families, improving understanding of surgical procedures.
- Mentored new staff on patient engagement strategies and operational best practices.
- Provided accurate information about center services when answering patient inquiries via phone or email.
- Managed approximately 30 incoming calls, emails and faxes per day from customers.
- Verified patient insurance eligibility and entered patient information into system.
Insurance Verification Specialist
Urology Clinics of North Texas
Mesquite, Texas
06.2023 - 04.2024
- Responsible for obtaining insurance authorizations for medical procedures and treatments and insurance verifications at Urology Clinics of North Texas.
- Worked closely with healthcare providers and insurance companies to ensure timely approval of services.
- Utilized strong organizational and detail-oriented skills to accurately submit and track authorization requests.
- Collaborated with the healthcare team to resolve any issues or denials regarding insurance coverage.
- Administrative tasks.
- Answered phone calls and messages for 6-physicians, and handling patient financial inquiries for upcoming urology procedures.
Senior Administrative Assistant
Methodist Health System
Dallas, Texas
06.2020 - 01.2022
- Provided high-level administrative support to clinical staff at Methodist Health System Golden Cross OBGYN Clinic.
- Managed calendars, scheduled meetings, and coordinated prenatal education groups.
- Prepared and edited documents for clinical staff presentations, and data analysis reports.
- Assisted with project management and coordination of departmental activities.
- Maintained confidential and sensitive information with utmost professionalism.
- Increased accuracy of financial records with diligent tracking of expenses, budget management, and invoice processing.
UM Administrative Coordinator II
Humana
Remote
04.2019 - 02.2020
- Managed a high-volume call center, efficiently processing inbound communications, including authorizations, referrals, and service inquiries, ensuring adherence to standardized operating procedures and regulatory compliance.
- Coordinated and executed the authorization and referral process for a diverse client base, synthesizing clinical data with policy guidelines to facilitate optimal healthcare solutions.
- Provided critical non-clinical support, contributing to the development and enforcement of policies and procedures aimed at delivering the highest standard of care and service for clients.
- Managed approximately 40 incoming calls, emails and faxes per day from customers.
Insurance Billing Specialist
Texas Scottish Rite for Children
Dallas, Texas
12.2015 - 02.2018
- Coordinate with insurance companies to verify patient coverage, ensuring accurate billing and timely payments.
- Assisted with medical billing and coding, including entering patient information into the billing system.
- Implemented automated billing processes that reduced billing errors by 100%, performed administrative duties such as scheduling appointments, billing, and insurance claims processing.
- Verified patient insurance coverage and explained insurance billing procedures.
Education
High School Diploma -
South Hills High School
Ft. Worth, TX05.2002
Skills
- Proficient in Spanish
- Prioritization and scheduling
- Knowledgeable in medical coding standards including ICD-10, HCPCS, and CPT
- Proficient in Microsoft applications
- Healthcare reimbursement expertise
- Proficient in clinical terminology
- Effective telephone communication
- Insurance eligibility verification
Timeline
Patient Experience Representative
Blue Cloud Pediatric Surgery Centers
08.2024 - Current
Insurance Verification Specialist
Urology Clinics of North Texas
06.2023 - 04.2024
Senior Administrative Assistant
Methodist Health System
06.2020 - 01.2022
UM Administrative Coordinator II
Humana
04.2019 - 02.2020
Insurance Billing Specialist
Texas Scottish Rite for Children
12.2015 - 02.2018
High School Diploma -
South Hills High School