Dynamic Care Navigator at Evernorth/Cigna specializing in care coordination and patient advocacy. Proven expertise in resource identification and effective communication, facilitating access to essential services for vulnerable populations. Strong background in insurance verification and healthcare system navigation, enhancing collaboration among care teams to improve patient outcomes.
Overview
18
18
years of professional experience
Work History
Care Navigator
Evernorth / Cigna
Phoenix
11.2015 - 06.2025
Identified community resources that could assist with meeting basic needs such as food banks or housing services.
Attended meetings with patients, families, physicians, social workers, insurance companies. to discuss healthcare needs.
Provided education regarding insurance benefits such as copayments, deductibles, coinsurance amounts.
Performed follow-up calls or visits with patients post discharge from hospital or clinic settings to assess recovery status.
Served as an advocate for vulnerable populations ensuring access to necessary services is not denied due to lack of financial means or language barriers.
Facilitated communication between patients and care teams by acting as a liaison.
Provided guidance and support to individuals seeking assistance with navigating the healthcare system.
Coordinated appointments with primary care providers, specialists, and other medical personnel.
Conducted outreach activities to identify individuals who may need assistance or are at risk of developing health issues.
Reached out to doctors and healthcare providers to inquire about orders.
Coordinated appropriate educational material for patients, families and medical staff to accomplish best possible patient care outcomes.
Documented patient information in appropriate systems to guarantee care coordination throughout patient care continuum.
Maintained professional relationships with healthcare providers.
Identified patient needs and desires and communicated to healthcare professionals.
Collaborated with clinical and administrative staff to meet patient needs.
Verified patients' insurance and payment methods during admissions or check-in processes.
Stayed current on community-based resources and services useful to patients.
Compiled information from patients and caregivers or family members to identify care concerns.
Medical Administrative Assistant
Cigna
Phoenix
10.2007 - 11.2015
Performed data entry tasks including transcribing dictation of medical reports into electronic health records system.
Greeted patients, verified insurance coverage and collected copayments.
Handled customer complaints in a professional manner while resolving issues quickly and efficiently.
Entered patient demographic information into the Electronic Health Records system.
Assisted with coding medical records using ICD-10 coding standards.
Ordered office supplies and maintained inventory levels of medical supplies.
Maintained confidentiality of all patient information according to HIPAA regulations.
Processed referrals from primary care physicians and specialists as needed.
Assisted with scheduling diagnostic tests such as X-rays, MRIs, and CT scans when requested by physicians or nurse practitioners.
Answered phones, scheduled appointments, and provided general information to callers.
Confirmed patient information, collected copays and verified insurance.
Collected co-pays and insurance data, applying full and proper payment to patient accounts.
Customer Service Representative & Physician Support Unit Representative at eviCore by Evernorth(Cigna)Customer Service Representative & Physician Support Unit Representative at eviCore by Evernorth(Cigna)