Yocelin Meza-Figueroa
Greenville,SC
Summary
Dependable and hardworking individual with a proven track record in delivering exceptional customer service, expertise in medical/insurance payments, and adept telephone etiquette. Fluent in both Spanish and English, possesses strong communication skills. Known for quickly adapting to new environments, always striving to hit the ground running and ensure a clear understanding of expectations from the start.
Overview
5
5
years of professional experience
Work History
Insurance Case Manager
PalmeLo Infusion Service LLC
Columbia, SC
11.2024 - Current
- Confirmed patients' health insurance status prior to their appointments.
- Enhanced process efficiency through timely acquisition of infusion authorizations.
- Ensured completion of necessary tasks through periodic check-ins guided by each ICM.
- Maintained a strict policy of addressing voicemails within 48 hours.
- Performed audits regularly to verify compliance of ICM with policy guidelines.
- Ensured availability of call recordings to meet quality standards.
- Managed other duties as directed by leadership.
- Managed upwards of 100 prior authorization submissions every day.
- Supported resolution of claim discrepancies.
Referral Coordinator/Insurance Specialist
Pain and Neurology Specialist of Charleston
North Charleston, SC
03.2023 - 11.2023
- Ensured continuous referral flow for both new and current patients.
- Supported procedure referrals with comprehensive documentation.
- Handled telephone communication efficiently.
- Coordinate authorization requests and ensure receipt for various patient services within the office setting.
- Updated familiarity with the latest equipment.
- Facilitated clear understanding during exchanges between provider and patient.
- Clarified medical information for patient comprehension.
- Effectively communicates critical instructions from the provider using relevant terms.
Patient Service Coordinator
American Health Imaging
Summerville, SC
01.2022 - 03.2023
- Ensured a friendly welcome for 20-30 patients each shift.
- Facilitated patient admissions, assessing time for service payments.
- Efficiently managed a high volume of over 50 calls a day with various parties including patients, staff, and vendors.
- Utilized appropriate channels to address and resolve customer issues.
- Managed administrative functions with proficiency in Microsoft Excel and EMR platforms.
- Manage front desk activities seamlessly for an active MRI/CT imaging location.
- Attained and maintained superior productivity standards, leading to exceptional satisfaction ratings.
- Assist MRI/CT technicians in bringing back paJents, walking them through the procedure, ensuring the paJent is comfortable and wearing suitable amre before entering the MRI/CT room
- Guarantee the front office looks respectable and welcoming, as well as stocking supplies and unpacked inventory
- Oversaw management of patient queries and appointment bookings in a bustling healthcare environment.
- Delivered outstanding customer support via telephone communication, resolving patient issues efficiently.
- Completed patient registrations and validated insurance information accurately.
PaJent service coordinator/Optometric Technician
MyEyeDr.
Mount Pleasant, SC
08.2021 - 01.2022
- Guided patients to the appropriate department.
- Enforced compliance with HIPAA protocols to protect sensitive patient data.
- Arranged necessary documentation for future consultations.
- Applied self-reliant analysis strategies to resolve problems promptly in a positive manner.
- Ensured coordination of services and patient care through effective communication with providers and clinics.
- Documented findings and noted observations during eye examinations.
- Managed patient interactions and appointments efficiently over a period of three years.
- 1 years' experience as an Optometric Technician in a fast-paced eye care center
- Oversaw patient intake processes, arranged appointments, and confirmed insurance eligibility.
Patient Services Representatives
Family Health Center of San Diego
San Diego, CA
07.2020 - 07.2021
- Secured and updated patient demographic and insurance data accurately.
- Confirmed appointments and managed scheduling for Primary Care team.
- Promoted clear and accurate exchange of patient information via multi-lined telephony.
- Coordinated appointment schedules and maintained accurate medical records.
- Maintained high standards of customer support for patients through various communication channels.
- Executed verification of patient details during insurance claim handling.
- Facilitated insurance and billing processes for patients.
- Worked alongside providers to deliver top-quality care.
Package Fulfillment RepresentaJve
Target
San Diego, CA
11.2019 - 09.2020
- Enhanced company targets by accurately fulfilling customer requirements in a timely manner.
- Managed efficient restocking activities, ensuring correct location placements.
- Maintained operational standards through careful adherence to safety procedures.
- Ensuring services align with the specific needs of every guest.
- Executed tasks of processing and dispatching orders efficiently.
- Collaborated with team members to ensure smooth workflow and meet deadlines
- Carried out meticulous evaluations of outgoing shipments to guarantee client contentment.
- Managed cleanliness and organization of the workplace.
Education
San Diego City College -
San Diego City College
08.2019
High school diploma -
Mission Bay High school
06.2017
Skills
- Bilingual Proficiency in Speaking and Writing
- Effective Client Communication
- Expertise in Insurance Claims Processing
- Effective Call Management
- Expertise in Prior Authorization Processes
Timeline
Insurance Case Manager
PalmeLo Infusion Service LLC
11.2024 - Current
Referral Coordinator/Insurance Specialist
Pain and Neurology Specialist of Charleston
03.2023 - 11.2023
Patient Service Coordinator
American Health Imaging
01.2022 - 03.2023
PaJent service coordinator/Optometric Technician
MyEyeDr.
08.2021 - 01.2022
Patient Services Representatives
Family Health Center of San Diego
07.2020 - 07.2021
Package Fulfillment RepresentaJve
Target
11.2019 - 09.2020
San Diego City College -
San Diego City College
High school diploma -
Mission Bay High school