Service Representative Care

LUCY AMESQUITA

San Antonio, TX ***** 210-***-****

****.*******@*****.*** www.linkedin.com/in/lucy-ozuna

PROFILE

Detail-oriented professional with experience in administrative support and clerical roles within healthcare settings. Draw on strong organizational and time management skills to manage schedules, process payments, and verify insurance benefits. Known for effectively building relationships with patients, doctors, other medical staff, and insurance companies. Excel in fast-paced environments requiring ability to adapt to ever- changing priorities. Fluent in Spanish.

Core competencies

Patient Relations Billing Appointment Scheduling Insurance Verification Medical Coding Data Entry Database Management Spreadsheets Documentation Reporting MS Office (Word, Excel, Outlook)

PROFESSIONAL EXPERIENCE

MOLINA HEALTHCARE, SAN ANTONIO, TX

Care Review Processor I 2021- 2023

•Provided telephone, clerical, and data entry support for the care review team

•Contacted hospitals/physician offices according to Department guidelines to request missing information from authorization request or for additional information as requested by the Medical Director

•Provided computer entries of authorization request/provider inquiries, such as eligibility and benefit verification, hospital census information regarding admissions and discharges.

HEART AND VASCULAR INSTITUTE OF TEXAS, SAN ANTONIO, TX

Provider Service Representative l 2020-2021

•Answered incoming calls

•Verified patient insurance

•Scheduled appointments and tests

LUMERIS, San Antonio, TX

Administrative Assistant 2018 – 2020

•Delivered administrative and clerical support, answering telephones,coordinating meeting and

appointment schedule.

•Reviewed, revised, and submitted Medicare applications, ensuring accuracy.

•Maintained inventory and verified supplies were prepared for seminars led by sales representatives.

•Helped customers in completing Medicare applications during seminars.

•Assisted sales representatives by translating information for Spanish-speaking customers.

MCCI GROUP, San Antonio, TX

Member Outreach Specialist 2018 – 2018

•Communicated with hospitalized patients via telephone to schedule appointments with primary care physician following discharge.

•Followed up with patients after discharge to encourage healthy habits and prevent hospital returns.

•Ensured patients kept appointments and were up-to-date on medications.

PARTNERS IN PRIMARY CARE/HUMANA INC., San Antonio, TX

Patient Care Representative 2017 – 2017

•Greeted patients upon arrival, answered questions, and scheduled appointments.

•Maintained updated records and account details.

•Notified providers of patient arrivals, reviewed service delivery compared to schedule, and reminded providers of service delays to adhere with appointment schedule and promote quality service.

CARDIAC CENTER OF SAN ANTONIO, San Antonio, TX

Patient Care Representative 2016 – 2017

•Responded to patient telephone calls, verified insurance coverage, submitted authorizations/referrals, coordinated testing and appointment schedule, and triaged patients.

•Protected patients’ rights by maintaining confidentiality of medical, personal, and financial information.

ELITE PLASTIC AND RECONSTRUCTIVE SURGERY, San Antonio, TX

Medical Office Specialist 2015 – 2016

•Answered multi-line telephone to schedule surgeries and follow-up appointments; verified insurance.

LEADING EDGE PERSONNEL STAFFING, San Antonio, TX

Customer Service Representative 2015 – 2015

•Interacted with customers to communicate available construction services and greeted guests upon arrival to location. Scanned and printed documents.

HOME CARE ASSISTANCE, San Antonio, TX

Home Provider 2013 – 2014

•Cared for patients within their residence; supplied housekeeping and laundry services, including shopping for and preparing meals/snacks.

•Assisted with personal services, such as bathing, dressing, and grooming.

HOME HEALTH, San Antonio, TX

Home Provider 2011 – 2013

•Helped patients in their homes with mobility, meals and nutrition, and prescription management.

SOUTH TEXAS STAFFING, San Antonio, TX

Administrative Assistant 2011 – 2011

•Provided excellent service to parents and children when answering questions and scheduling appointments

for student registration.

•Answered phones, arranged meetings, and managed printing/scanning of documents.

EDUCATION

SOUTHERN CAREER INSTITUTE, San Antonio, TX

Certificate for Medical Office Specialist

EVEREST COLLEGE, Colorado Springs, CO

Medical Billing and Coding Certificate

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