Experience

Prominence Health

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Prior Authorization Specialist

  • Aug 2023 - Present

• Lead Patient Scheduler

  • Aug 2022 - Aug 2023

  • Gathered current medical information and reviewed histories to gather details for surgeons. • Checked patient insurance and collected pre-authorizations from providers. • Coordinated appointments with customers and staff members according to availability. • Updated patient information in databases and adhered to confidentiality requirements. • Informed patients regarding needed medical tests and procedures. • Evaluated medical insurance details and informed patients of… Show more • Gathered current medical information and reviewed histories to gather details for surgeons. • Checked patient insurance and collected pre-authorizations from providers. • Coordinated appointments with customers and staff members according to availability. • Updated patient information in databases and adhered to confidentiality requirements. • Informed patients regarding needed medical tests and procedures. • Evaluated medical insurance details and informed patients of uncovered fees. • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits. • Accessed third-party insurance databases to identify coverage of benefits. • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles. • Contacted patients to confirm demographic information and communicate financial responsibilities. • Entered data in EMR database to record payer, authorization requirements and coverage limitations. • Examined claims, records and procedures to grant approval of coverage. • Checked documentation for appropriate coding, catching errors and making revisions. • Liaised between physician, site of service and billing department to obtain appropriate documentation. • Adhered to HIPAA requirements to safeguard patient confidentiality. • Answered telephones and directed calls to appropriate medical or administrative staff. • Transmitted medical records and other correspondence by mail, e-mail, or fax. • Scheduled and confirmed patient appointments and consultations.



South Texas Health System

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Registrar/Admissions Representative

  • Mar 2022 - Aug 2022

  • Protected medical information against unauthorized access, loss or corruption by consistently following security protocols. • Met needs of physicians and other treating team members with timely retrievals of patient medical records. • Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes. • Demonstrated leadership by making improvements to work processes and helping to train others. • Collaborated… Show more • Protected medical information against unauthorized access, loss or corruption by consistently following security protocols. • Met needs of physicians and other treating team members with timely retrievals of patient medical records. • Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes. • Demonstrated leadership by making improvements to work processes and helping to train others. • Collaborated with cross-functional team to define features and build powerful and easy-to-use products and customer-facing workflow tools. • Adhered to HIPAA requirements to safeguard patient confidentiality. • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow. • Collaborated with multi-disciplinary staff to improve overall patient care and response times. • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients. • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits. • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles. • Entered data in EMR database to record payer, authorization requirements and coverage limitations. • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology. Show less • Protected medical information against unauthorized access, loss or corruption by consistently following security protocols. • Met needs of physicians and other treating team members with timely retrievals of patient medical records. • Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes. • Demonstrated leadership by making improvements to work processes and helping to train others. • Collaborated… Show more • Protected medical information against unauthorized access, loss or corruption by consistently following security protocols. • Met needs of physicians and other treating team members with timely retrievals of patient medical records. • Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes. • Demonstrated leadership by making improvements to work processes and helping to train others. • Collaborated with cross-functional team to define features and build powerful and easy-to-use products and customer-facing workflow tools. • Adhered to HIPAA requirements to safeguard patient confidentiality. • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow. • Collaborated with multi-disciplinary staff to improve overall patient care and response times. • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients. • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits. • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles. • Entered data in EMR database to record payer, authorization requirements and coverage limitations. • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology. Show less



Lucio Marketing Inc.

• United States
• Advertising Services
• 1 - 100 Employee

• Human Resources Assistant

  • Dec 2021 - Mar 2022

  • Created, organized, and maintained employee personnel files to keep sensitive data secure. • Guided new hires through orientation and onboarding and explained documentation requirements to facilitate HR process. • Assisted candidates with application processes by answering questions about application, performing background checks, providing I-9 forms and handling drug screening paperwork. • Worked with HR department to devise and update policies as needed for corporate accountability… Show more • Created, organized, and maintained employee personnel files to keep sensitive data secure. • Guided new hires through orientation and onboarding and explained documentation requirements to facilitate HR process. • Assisted candidates with application processes by answering questions about application, performing background checks, providing I-9 forms and handling drug screening paperwork. • Worked with HR department to devise and update policies as needed for corporate accountability and workplace health. • Scheduled appointments, meetings, and conferences with employees to discuss and mitigate personnel issues. • Posted job announcements and pre-screened applicants to candidates for available positions. • Developed and maintained training materials and benefits packets for new hires. • Guided employees through automated self-service platform for real-time attendance tracking and queries. • Consulted with internal clients to evaluate labor trends and competitor talent insights for pointed candidate selection. • Filed documents, delivered mail, and performed bookkeeping to facilitate office operations of HR department. Show less • Created, organized, and maintained employee personnel files to keep sensitive data secure. • Guided new hires through orientation and onboarding and explained documentation requirements to facilitate HR process. • Assisted candidates with application processes by answering questions about application, performing background checks, providing I-9 forms and handling drug screening paperwork. • Worked with HR department to devise and update policies as needed for corporate accountability… Show more • Created, organized, and maintained employee personnel files to keep sensitive data secure. • Guided new hires through orientation and onboarding and explained documentation requirements to facilitate HR process. • Assisted candidates with application processes by answering questions about application, performing background checks, providing I-9 forms and handling drug screening paperwork. • Worked with HR department to devise and update policies as needed for corporate accountability and workplace health. • Scheduled appointments, meetings, and conferences with employees to discuss and mitigate personnel issues. • Posted job announcements and pre-screened applicants to candidates for available positions. • Developed and maintained training materials and benefits packets for new hires. • Guided employees through automated self-service platform for real-time attendance tracking and queries. • Consulted with internal clients to evaluate labor trends and competitor talent insights for pointed candidate selection. • Filed documents, delivered mail, and performed bookkeeping to facilitate office operations of HR department. Show less



King Ranch Saddle Shop

• United States
• Retail
• 1 - 100 Employee

• Retail Sales Associate

  • Aug 2021 - Nov 2021

  • Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention. • Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items. • Monitored sales floor to identify customers in need of assistance and merchandise requiring replenishment. • Arranged merchandise for display to highlight new styles, attract customers and enhance sales. • Calculated pricing, applied discounts, and… Show more • Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention. • Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items. • Monitored sales floor to identify customers in need of assistance and merchandise requiring replenishment. • Arranged merchandise for display to highlight new styles, attract customers and enhance sales. • Calculated pricing, applied discounts, and collected payments to process transactions. • Cross-sold products to boost overall sales purchases. • Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items. • Watched for and recognized security risks and thefts to prevent or handle situations. • Described merchandise and explained use, operation, and care. Show less • Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention. • Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items. • Monitored sales floor to identify customers in need of assistance and merchandise requiring replenishment. • Arranged merchandise for display to highlight new styles, attract customers and enhance sales. • Calculated pricing, applied discounts, and… Show more • Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention. • Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items. • Monitored sales floor to identify customers in need of assistance and merchandise requiring replenishment. • Arranged merchandise for display to highlight new styles, attract customers and enhance sales. • Calculated pricing, applied discounts, and collected payments to process transactions. • Cross-sold products to boost overall sales purchases. • Unboxed new merchandise and restocked shelves in appealing and organized arrangements to promote items. • Watched for and recognized security risks and thefts to prevent or handle situations. • Described merchandise and explained use, operation, and care. Show less



Texas A&M University-Kingsville

• United States
• Higher Education
• 700 & Above Employee

• Lead Office Assistant

  • Jan 2019 - Aug 2021

  • Collected payments, issued receipts and updated accounts to reflect new balances. • Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation. • Dispersed incoming mail to correct recipients throughout office. • Monitored calendars and scheduled appointments based on availability and established load limits. • Evaluated individual student needs and assessed academic and social situations to address… Show more • Collected payments, issued receipts and updated accounts to reflect new balances. • Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation. • Dispersed incoming mail to correct recipients throughout office. • Monitored calendars and scheduled appointments based on availability and established load limits. • Evaluated individual student needs and assessed academic and social situations to address challenges and goals. • Collaborated with classroom teacher on grading and feedback for students' assignments, tests and projects. • Handled incoming calls and directed callers to appropriate department or employee. • Set up workshops, conferences and meetings by scheduling and reserving rooms and preparing supplies. • Oversaw staff correspondence, record tracking and data communications, resulting in improved automation of office operations. • Conducted research, compiled, and typed statistical reports, synthesized information, and provided excellent communication to disseminate information throughout organization. Show less • Collected payments, issued receipts and updated accounts to reflect new balances. • Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation. • Dispersed incoming mail to correct recipients throughout office. • Monitored calendars and scheduled appointments based on availability and established load limits. • Evaluated individual student needs and assessed academic and social situations to address… Show more • Collected payments, issued receipts and updated accounts to reflect new balances. • Offered diverse clerical support to office team members, managed correspondence, answered telephone calls and tracked documentation. • Dispersed incoming mail to correct recipients throughout office. • Monitored calendars and scheduled appointments based on availability and established load limits. • Evaluated individual student needs and assessed academic and social situations to address challenges and goals. • Collaborated with classroom teacher on grading and feedback for students' assignments, tests and projects. • Handled incoming calls and directed callers to appropriate department or employee. • Set up workshops, conferences and meetings by scheduling and reserving rooms and preparing supplies. • Oversaw staff correspondence, record tracking and data communications, resulting in improved automation of office operations. • Conducted research, compiled, and typed statistical reports, synthesized information, and provided excellent communication to disseminate information throughout organization. Show less



King Ranch, Inc.

• United States
• Ranching
• 1 - 100 Employee

• Butler

  • 2015 - Mar 2019

  • Promoted personable but professional working relationship with employer by complying with privacy and confidentiality standard, as well as social boundaries. • Aided communicating, typing correspondence, and obtaining information. • Handled household chores to assist patients and families with cooking, cleaning, and laundry. • Explained rules established by management, maintenance requirements or parking regulations. • Accompanied clients to appointments and arranged… Show more • Promoted personable but professional working relationship with employer by complying with privacy and confidentiality standard, as well as social boundaries. • Aided communicating, typing correspondence, and obtaining information. • Handled household chores to assist patients and families with cooking, cleaning, and laundry. • Explained rules established by management, maintenance requirements or parking regulations. • Accompanied clients to appointments and arranged transportation. • Submitted reports to and reviewed reports with supervisor. • Documented key information from each service visit into detailed reports. • Assisted families in planning and preparing nutritious meals. Show less • Promoted personable but professional working relationship with employer by complying with privacy and confidentiality standard, as well as social boundaries. • Aided communicating, typing correspondence, and obtaining information. • Handled household chores to assist patients and families with cooking, cleaning, and laundry. • Explained rules established by management, maintenance requirements or parking regulations. • Accompanied clients to appointments and arranged… Show more • Promoted personable but professional working relationship with employer by complying with privacy and confidentiality standard, as well as social boundaries. • Aided communicating, typing correspondence, and obtaining information. • Handled household chores to assist patients and families with cooking, cleaning, and laundry. • Explained rules established by management, maintenance requirements or parking regulations. • Accompanied clients to appointments and arranged transportation. • Submitted reports to and reviewed reports with supervisor. • Documented key information from each service visit into detailed reports. • Assisted families in planning and preparing nutritious meals. Show less