Detail-Oriented Insurance Verification Specialist experienced in verifying insurance and securing authorizations to enhance patient care. Achieved efficient coordination of patient services through expertise in EMR systems, CPT and ICD-10 coding, and HIPAA compliance. Focused on delivering accurate results while managing high appointment volumes, supporting exceptional service and communication in both English and Spanish.
Overview
10
10
years of professional experience
Work History
Medical Assistant
Michael D. Fili, M.D., P.A.
Miami, FL
06.2025 - Current
Assisted physicians with patient care by taking vital signs and histories, preparing patients for examinations.
Relayed patient messages to physicians regarding concerns, updates, and refill requests for effective treatment.
Managed phone inquiries, scheduled appointments, and facilitated patient flow while greeting visitors professionally.
Educated patients on medications, procedures, and physician instructions to enhance understanding.
Registered new patients into practice management software, accurately entering demographic information.
Educated patients on the blood draw process and addressed concerns.
Centrifuged blood specimens in test tubes to separate cells and sediment from blood serum/plasma.
Prepared and packaged specimens for courier transport.
Monitored inventory levels of phlebotomy supplies, ensuring availability for patient procedures.
Maintained patient comfort and safety throughout the phlebotomy process.
Medical Assistant
Orthopedic Specialists of SW Florida
Hialeah, US
06.2019 - 12.2021
Performed Medical Assistant duties in fast-paced orthopedic office, supporting six doctors and enhancing patient care.
Triaged patients, took vital signs, and assisted with walking, transfers, and exam preparation, ensuring comprehensive patient support.
Assisted physicians with patient examinations and medical procedures.
Prepared patients for procedures by explaining processes and ensuring comfort.
Prepared injections, medications and treatments as directed by the physician.
Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Obtained medical records and coordinated telephone conferences with healthcare providers and insurance companies to facilitate patient care.
Conducted proper and concise EHR documentation for every patient visit.
Maintained cleanliness and organization of medical equipment and examination rooms diligently.
Surgical Coordinator/Medical Assistant
Kendall Urology Associates-HCA
Miami, US
02.2018 - 06.2019
Coordinated with doctors and patients to schedule surgery date and location.
Verified insurance benefits to determine procedure costs and authorization requirements.
Obtained authorization for the procedure.
Obtained medical clearance from patients or primary care physicians to ensure readiness for procedures.
Coordinate and schedule with hospital or facility where the procedure will take place.
Documented patient's history and medication information on charts to maintain comprehensive health records.
Scheduled pre-operative appointments with patients, obtained consent forms and collected necessary insurance information.
Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
Coordinated with hospital personnel to ensure proper preparation of OR rooms prior to surgery.
Educated patients on pre-operative instructions such as fasting requirements prior to undergoing anesthesia.
Managed patient check-in and check-out procedures and processed payments.
Scheduled tests, lab work or x-rays for patients based on physician orders.
Managed front office customer service, appointment management, and administration tasks to streamline workflow.
Insurance Verification Specialist
Miki & Alfonso Hand & Upper Extremity Center
Miami, US
07.2016 - 02.2018
Verified insurance coverage and CPT codes to facilitate accurate billing and claims processing.
Ensured compliance with HIPAA regulations to protect patient confidentiality in all interactions.
Confirmed up to 85 appointments daily, ensuring timely patient access to care.
Patient intake and out-take process: Scan insurance cards, picture IDs and new patient forms, and collect co-pays.
Call PCP's offices to obtain referrals for those insurance plans that require them.
Verified that results were on file before appointment. Obtained missing results and placed them in the chart prior to appointment time.
Arranged superbills to streamline insurance verification, results, referral status, and appointment confirmation 2 days in advance.
Fax over requests for referrals to PCP, clear out the e-fax, sort out the faxes to designated department.
Education
Phlebotomy/EKG -
Genesis Vocational Institute
Miami, FL
09-2026
Some College (No Degree) - Nursing
Keiser University
Pembroke Pines, FL
Skills
Bilingual (English and Spanish) - fluent
EMR systems
Insurance verification
Patient care
ICD-10 proficiency
Medical terminology
Medical records management
Patient scheduling
Office administration
Adaptability
Customer service excellence
Initiative-taking
Adaptable
Problem solving
Initiative
Personal Information
Work Permit: Authorized to work in the US for any employer
Languages
Spanish, Fluent
English, Fluent
Notes
Time was taken off during pregnancy and after birth