Addressed and resolved patient and physician inquiries and concerns promptly.
Facilitated resolution of complex payer and pharmacy issues to ensure positive outcomes.
Facilitated proactive follow-up with diverse contacts to enhance patient access to therapy.
Exhibited exceptional customer support skills to enhance client satisfaction.
Managed multiple concurrent assignments while maintaining a strong sense of urgency.
Articulated ideas clearly and effectively through written and verbal communication.
Demonstrated exceptional commitment to assisting both external and internal customers.
Assisted teammates in addressing patient needs effectively. Transferred calls to appropriate team members when necessary.
Ensured accurate and detailed documentation of every interaction within designated database systems.
Conducted self-audits of intake activities to enhance accuracy and efficiency.
Executed outbound calls to patients and providers to clarify and obtain missing information.
Evaluated patients' financial capabilities to determine therapy affordability.
Ensured clarity and accuracy of documentation while organizing it within designated database sections.
Monitored payer and plan issues, documenting changes, updates, and trends for management review.
Managed escalation processes and ensured timely communication of resolutions as per client agreements.
Facilitated resolution of disputes by mediating between conflicting parties to achieve constructive outcomes.
Managed resolution of multiple outstanding issues while ensuring timely outcomes for all stakeholders.
Managed call overflow and intake processes to ensure seamless team support.
Cultivated relationships with insurance payers, specialty pharmacies, support organizations, and patients/physicians to ensure timely product coverage and delivery.
Patient Health Advocate
Somatus
11.2022 - 04.2025
Collaborated with interdisciplinary teams to coordinate comprehensive services and resources for clients in need
Conducted home visits to assess living conditions and provide support to families in crisis situations, including taking vital signs
Coordinated referrals to external agencies or specialists when additional services were necessary
Delivered culturally sensitive care by tailoring interventions to align with each client's background
Assisted elderly individuals in accessing social services and resources, significantly enhancing their quality of life
Cultivated strong relationships with clients, earning their trust and loyalty through effective communication and problem-solving skills
Facilitated telehealth communication with patients in collaboration with RN and NP
Performed hospital visits where necessary and communicated closely with hospital staff regarding patient status
Insurance Producer
Humana
09.2019 - 12.2019
Engaged with new and existing clients, gathering information about their medication needs and coverage to promote insurance contracts and make recommendations for plan modifications
Billing Coordinator
Envision Healthcare
08.2017 - 08.2019
Scrutinized and scanned physician charts to ensure completion of documentation, including patient progress notes, physician orders, patient demographics, insurance information, and MD signatures
Performed daily data entry of all physician chart information for accurate billing purposes
Generated unbatched discharge reports to identify and submit unbatched charts to RTI for timely billing
Facilitated meetings with the ER site Medical Director and Client Services Manager to address compliance and quality assurance issues related to documentation
Assisted hospital and RTI personnel with billing inquiries, reconciliations, and resolving complaints regarding patient charges
Coordinated the distribution and communication of physician work schedules
Certified Clinical Medical Assistant
Mountainview Regional Medical Center
04.2015 - 08.2017
Operated office equipment, including fax machines, copiers, and phone systems
Completed forms in accordance with company procedures while practicing HIPAA regulations
Scheduled and confirmed appointments for clients efficiently
Located and attached appropriate files to incoming correspondence requiring replies
Maintained electronic mail systems and coordinated the flow of information internally and with other organizations
Recorded patients' medical histories, vital statistics, and test results in medical records
Prepared treatment rooms for patient examinations, ensuring cleanliness and organization
Authorized prescription refills and provided medication information to pharmacies
Cleaned and sterilized instruments while disposing of contaminated supplies
Prepared and administered medications as directed by physicians
Escorted patients to examination rooms and prepared them for physician evaluations
Explained treatment procedures, medications, diets, and physician instructions to patients
Changed dressings on wounds as needed
Performed general office duties, including answering telephones, taking dictation, and completing insurance forms
Scheduled patient appointments effectively
Greeted and logged in patients upon arrival at the clinic
Transcribed dictation for an internal medicine office, including patient histories, physical examinations, ROS, and HPI
Performed EKGs with accuracy
Medical Assistant
Action OCC Med
06.2014 - 04.2015
Cleaned and organized work areas, disinfecting equipment after treatments
Conducted patient interviews to obtain medical information and measured vital signs, weight, and height
Escorted patients to examination rooms and prepared them for physicians
Performed general office duties, including answering telephones, taking dictation, and completing insurance forms
Prepared injections for physicians to administer to patients
Scheduled appointments for patients efficiently
Conducted pill counts for medication monitoring in the presence of patients
Physical Therapy Tech
Foothills Medical Center
01.2010 - 05.2014
Cleaned and organized work areas and disinfected equipment after treatments
Administered active and passive manual therapeutic exercises and various modality treatments, including ultrasound
Instructed, motivated, safeguarded, and assisted patients practicing exercises or functional activities under the direction of licensed physical therapists
Recorded treatments provided and equipment utilized
Communicated with physical therapy staff to discuss and evaluate patient information for treatment planning and modifications
Observed patients during treatments to compile data on responses and progress, reporting to physical therapists accordingly
Secured patients onto therapy equipment as needed
Scheduled patient appointments with physical therapists, coordinating their schedules effectively
Performed clerical duties such as taking inventory, ordering supplies, answering phones, and taking messages
Submitted prior authorizations with insurance companies and entered billing charges accurately
Education
CCMA - undefined
Computer Career Center a division of Vista College
Las Cruces, USA
12.2025
High School Diploma - undefined
Onate High School
Las Cruces, USA
05.1999
Skills
Monitored patient conditions and collaborated with healthcare teams to optimize care delivery
Conducted regular audits and training sessions to promote understanding and enforcement of HIPAA compliance across the organization
Reviewed and confirmed insurance details to support efficient claims processing and minimize billing discrepancies
Developed comprehensive presentations using Microsoft PowerPoint to effectively communicate key information and ideas
Created and maintained advanced Excel spreadsheets to support data-driven decision-making
Executed injection procedures, ensuring patient comfort and compliance with medical standards
Oversaw appointment scheduling processes, ensuring timely and accurate management of patient bookings
Implemented Microsoft solutions to optimize data analysis and reporting processes
Collaborated with medical staff to streamline processes and improve overall hospital efficiency
Developed and maintained relationships with clients to enhance customer satisfaction and retention in insurance services
Coordinated scheduling, patient records management, and communication to support efficient office functionality
Transcribed various audio materials, ensuring clarity and fidelity to original dialogue
Coordinated meeting agendas and ensured effective communication among participants
Executed professional phone etiquette practices to ensure clarity and respect during all conversations
Utilized extensive anatomy expertise to facilitate accurate assessments and improve patient care strategies
Implemented systematic processes for updating and retrieving medical records, enhancing accessibility for healthcare professionals
Organized and maintained records, facilitating easy access to information
Evaluated and analyzed vital signs to identify potential health issues and inform treatment plans
Monitored project timelines and adjusted schedules to ensure timely completion of deliverables
Configured and maintained EMR systems, ensuring compliance with healthcare regulations and enhancing user experience
Conducted engaging employee orientation activities to familiarize new hires with organizational policies and procedures
Balanced diverse assignments effectively, prioritizing tasks to meet deadlines and support team objectives
Engaged with diverse individuals to promote a welcoming and inclusive environment
Engaged in continuous learning to improve competencies and contribute effectively
Delivered results without direct oversight, showcasing strong problem-solving and decision-making skills
Implemented strategic time management techniques to enhance productivity and streamline workflows
Cultivated effective communication and interpersonal strategies to facilitate productive interactions and resolve conflicts
Excelled in managing multiple priorities within a hectic work environment to achieve operational goals
Leveraged expertise in Microsoft Office tools and MedHost, ClinView to streamline documentation and improve workflow processes
Microsoft
LANGUAGES
Spanish (Bilingual)
Certification
Current BLS/CPR
Timeline
Sr. Coordinator Individualized Care
Cardinal Health
08.2025 - Current
Patient Health Advocate
Somatus
11.2022 - 04.2025
Insurance Producer
Humana
09.2019 - 12.2019
Billing Coordinator
Envision Healthcare
08.2017 - 08.2019
Certified Clinical Medical Assistant
Mountainview Regional Medical Center
04.2015 - 08.2017
Medical Assistant
Action OCC Med
06.2014 - 04.2015
Physical Therapy Tech
Foothills Medical Center
01.2010 - 05.2014
CCMA - undefined
Computer Career Center a division of Vista College