Insurance Authorization Specialist
Resume:
Cindy Reyes-Rojas
San Angelo, TX *****
************@*****.***
Hello Madam or Sir,
Thank you for taking your time to read my resume. I bring a positive outlook on life and a go get it done attitude. I'm still fairly new to this area and am excited about putting down roots. Thank you,
Cindy Reyes-Rojas
Authorized to work in the US for any employer
Work Experience
PARS Insurance Authorization Specialist
Shannon medical hospital-San Angelo, TX
November 2023 to Present
I get authorization for upcoming procedures and estimates for patients. I also call and collect payments over phone.
Weekend Health Coach
Veritas Home Health-San Angelo, TX
October 2023 to September 2024
I work part time every other weekend returning sms messages and calling patients to remind them to take their blood pressure and blood sugar readings for the day. Registration Behavioral Health
LA ESPERANZA CLINIC-San Angelo, TX
April 2022 to November 2023
Schedule new patients and review their new patient packet with them, schedule appointments for existing patients. Also verify insurances, answer phone calls, send messages to providers or nurses as requested by patients. Call patients about referrals, request BH records and confirm appointments. Knowledge of Epic system and EMR/EHR.
Clinical Assistant
Angelo Back and Rehab-San Angelo, TX
September 2021 to April 2022
As a clinical assistant I am on the Physical Therapy side which includes physical therapy, Estem, traction, Droll ( to regain curve of neck) and/or cold laser treatments. Recently I began ordering all supplies for the office. When asked I assist with screening events. Also beinging bilingual I assist with patients who do not speak English.
Front Desk Receptionist
Advanced Imaging-San Marcos, TX
June 2020 to December 2020
I obtained all information needed to schedule appointments for MRIs, CT scans and Ultrasounds. Xray were done on a walk in bases. I greeted patients and helped with covid screening. Also answering phone calls, taking messages and faxing requested results to doctors. I helped verify insurances as well. Medical Assistant
CommuniCare Health Centers-San Marcos, TX
November 2014 to May 2020
Working in a Primary Care FQHC under the supervision and direction of Family Medicine, Women's Health, Pediatric and Behavioral Health Clinicians. Clinical Duties: Patient triage, gather history of present illness and data entry into the Nextgen EMR system. Chaperone and assist the clinician with minor surgical procedures, pelvic exams, wound care, medication and vaccine administration and patient education and discharge instructions and follow- up scheduling.
Preventative Family Medicine Duties: Wellness visits and Well-Med Screenings including ECG's, PFT's, Neuropathy screening, Vision and Hearing screens, O2 saturation monitoring, BP and TB screening, Fall Risk Assessments and FOBT screens. Vaccine administration. Diabetes, HTN, Obesity, Tobacco and Mental Health Screening. Acute Care Family Medicine Duties: Lab collection and testing for rapid flu and strep screens, urinalysis and culture collection. Administration of albuterol nebulizer treatments, decadron, toradol and rocephin injections. Accu checks, clonidine dosing and BP monitoring, guaic testing, suture removal, ear lavage, wound care and diabetic instruction. Assist the clinician with toenail removals and I and D wound care. Women's Health and Family Planning Duties: Pregnancy screening and confirmation testing and STI screening. Assist the Clinician with pelvic exams, PAP smear and microbiology specimen collection, removal of nexplanon implants, IUD placement and removal. Family Planning patient instruction. Depo Provera administration.
Preventative Pediatric Medicine Duties: Texas Health Step examinations including vital signs and O2 saturation collection. PHQ-PSC and PHQ-ASC and PHQ-2 and 9 screening, TB, lead and ASQ (Ages and Stages Developmental) screens, Immtrac and vaccine updating, BMI, vision and hearing screens, vaccine administration and newborn screens. TB placement and reading. Acute Care Pediatric Duties: Similar duties as adult acute care, including triaging infants, toddlers, pre- teen and adolescent patients. Rapid screening tests for flu and strep. Albuterol nebulizer treatments. Decadron and rocephin injection. ECG's. Administration and dosing of NSAID's under Nurse and Clinician instruction and supervision.
Behavioral Psychiatry Health Duties: Triage adult and pediatric patients, collect vital signs including BP and gather history of present illness. Dispense and collect Vanderbilt ADHD screening forms. Administrative Duties: Utilization of the NextGen EMR and EHR systems for scheduling patients, entering clinical data including submitting charges for procedures, labs, medications and vaccines administered. Medication reconciliation and problem list updating at each clinic visit. Collecting hospital, ED, lab, radiology and sub-specialty records for clinician review and update pertinent information to the EMR. Complete referrals and prior authorizations for Private Insurance Plans, Medicaid, Medicare, CHIP and ObamaCare Health Plans. Complete referrals for ST, OT, PT, dietary and sub-specialty clinicians. Phone triage including pharmacy and DME service plan calls. Patient call backs including notification of Clinician lab and radiographic reports and instructions. Schedule outpatient appointments for radiographic testing including mammograms, x-rays, bone density testing and imaging studies and colonoscopies with insurance verification and approval. Assist self funded and under insured patients with Prescription Assistance Programs including Community Action and Methodist Health Ministries.
Phlebotomist
Central Texas Medical Center-San Marcos, TX
July 2002 to November 2005
Collecting specimens from E.R., hospital floors and Out Patient lab draw area, drawing blood samples, faxing lab results, answering phone calls, responding to codes 3rd Key Holder/Sales Associate
Friedman's Jewelry Store-San Marcos, TX
June 2000 to July 2002
3rd Key Holder/ sales associate- opening/ closing store, registers, safes, deposits, running credit scores for store card, receiving/ shipping jewelry, greeting customers, making sales goal for the month, helping keep store/ jewelry cases clean
3rd Key Holder/Sales Associate
Zales "The Diamond Outlet" Store-San Marcos, TX
September 1998 to May 2000
3rd key holder/Sales Associate- I was promoted to 3rd Key Holder 6mths into working for Zales. I opened/ closed store, safes, registers, deposits and received/shipped jewelry. I greeted customers as soon as they came into store. Helped keep jewelry cases clean and stocked. I also tried to always meet my sales goal for the month and ran credit check for store card. Direct Care Aide
Schieb Mental Health-San Marcos, TX
1997 to 1999
I worked in the less then 24hrs homes for patients with mental illness. I helped them with medication, cooking, socializing, grocery shopping, and everyday activities. Daycare Teacher
San Marcos, TX
1996 to 1997
I worked with the 1 year olds. Provided story time, potty training, snacks / lunch (provided by daycare center), playtime indoor and outdoor, naptime and activities provided by daycare center. Education
1yr in Medical Assistant
Southern Careers Institute - Austin, TX
March 2000 to December 2000
High school diploma
San Marcos High School - San Marcos, TX
August 1992 to June 1996
Skills
• Patient Care
• EMR Systems
• Experience Administering Injections
• Infant Care
• Family Planning
• Primary Care Experience
• Laboratory Experience
• Triage
• Phlebotomy
• Vital Signs
• Medical Office Experience
• Critical Care Experience
• Teaching
• Front desk
• Customer service
• Insurance Verification
• Venipuncture
• Spanish
• Computer literacy
• Sales
• English
• Patient monitoring
• Medical terminology
• Epic (1 year)
• Typing
• Phone Etiquette
• Behavioral Health
Languages
• Spanish - Intermediate
• English - Expert
Awards
2019 Service Recognition Award
March 2019
This award recognizes employees for all the services they have done. I am a medical assistant and was transferred to front desk/scheduling and insurance verification. Certifications and Licenses
CPR Certification
June 2022 to June 2024
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