Recruiter Notes

Stephanie has worked in the medical industry for the past three years and gained medical benefit knowledge throughout this time and has excellent relationship-building abilities to work easily with patients and colleagues of all backgrounds.

As a Clinical Administrative Coordinator with United Health Group, Stephanie became familiar with the software used, policies, and procedures, managed insurance claims, handled recordkeeping and correspondence, and performed data entry tasks.

As a Patient Access Specialist, Stephanie reached out to suppliers to ensure insurance was accepted and informed patients on approvals and denials and educated them on their medical benefits.

Education and Training

Southwest High School Graduated May 2005

High School Diploma

Skills

Policy implementation

Claims management

Sales

Data Entry

Banking

Salesforce

Loan Origination

Cold Calling

Outside Sales

Customer service

Financial Services

Microsoft Office (Word, Outlook, Excel, PowerPoint, Access)

Research

Time management

Clinical data collection

Patient records administration

Compliance with regulatory guidelines

Medical Benefits

Cash handling

Negotiation

Filing

Clerical experience

Loan processing

Phone etiquette

Inventory control

Documentation review

Medical office experience

Medical terminology

Communication skills

Computer literacy

Windows

Experience

Little Spurs Pediatric Urgent Care

Front Office Specialist

San Antonio, TX

November 2022 to Current

Provide excellent customer service to patients.

Verify patient demographics and update or create patient charts.

Verify patients’ insurance and eligibility benefits.

Collect copay or any unpaid balance that may be due.

Schedule patients for urgent care.

Scan documents into patient chart.

Fax documents needed to administration.

Verify petty cash daily.

Verify and make sure all daily recons are balanced and scanned in system.

United Health Group (Contract) October 2021 to July 2022

Clinical Administrative Coordinator

San Antonio, TX

Initiated prior authorizations and checked the status of member authorizations.

Conducted provider searches for out-of-network providers.

Verified provider information as well as member eligibility.

Checked claims and adjusted incorrect authorizations and inpatient stays for proper billing.

Processed patient data documents, reports, and case management files to assist clinical staff operations.

Provided patient outreach and education services related to health system resource availability.

Managed administration of patient benefits and services according to state and federal guidelines.

University Health System (Contract) June 2021 to September 2021

Registration Access Specialist

San Antonio, TX

Input patient data and verified patient insurance.

Found a proper agency and submitted referrals for processing.

Faxed documents to proper agency.

Called patients to verify information and follow up to make sure they had received their equipment.

Reviewed ID's and building credentials for workers and visitors.

Facilitated communication between patients, medical and administrative staff, and regulatory agencies.

Received patient inquiries or complaints and directed them to appropriate medical staff members.

Addressed patients' complaints, investigated concerns and worked with medical staff to devise solutions.

Worked with insurance claims and member benefits.

Contacted suppliers to see if they would accept the patient's insurance and sent clinicals to them.

Informed members when they were eligible for services or if they were denied.

Juggled multiple projects and tasks to ensure high quality and timely delivery.

University Health System (Contract) April 2021 to June 2021

Registration Access Specialist

San Antonio, TX

Checked patients in and out for the Covid-19 vaccine.

Input patient data and verify if all information is accurate and provided their vaccination card.

GAP: Personal time

Carenet Healthcare Services October 2019 to May 2020

Engagement Specialist

San Antonio, TX

Provided excellent customer service to members.

Input member data into the computer.

Developed successful engagement plans and activities to build customer relationships and draw attention to the corporate brand.

Participated in meetings with executives to brainstorm, develop and roll out employee retention strategies.

Gave members services offered and made changes to accounts.

Maintained a nice clean environment.

Worked in a call center environment handling member eligibility and providing member customer service for Medicaid and Caremark.

Contact this candidate