Floribel Juarez
Fallbrook, CA 760-***-**** ********@*****.***
Skills & Abilities
●EMR, NextGen PM, Pinpoint, and Cerner Knowledge
●High volume call center experience
●Appropriate telephone communication skills
●Covered CA, Private insurance, Medicare, Medi-Cal, Every Woman Counts, Family PACT, Child Health and Disability Prevention applications knowledge
●Assisting patients with PCP changes, insurance renewals, and authorizations
●Patient care experience in medical, pediatrics, women’s, optometry, behavioral health, and acute inpatient rehabilitation
●Employee training
●Maintain confidential information to ensure patient rights are protected
●Collecting payments, applying adjustments, and reconciling daily cash reports
●Strong oral and written communication skills in both English and Spanish
●Successful working under pressure, independently, and with others
●Exceptional customer service and care
Experience
01/2022- Current
08/2017-09/2022
Admissions Associate, Marketing Department- Palomar Health Rehabilitation Institute
●Assist team in obtaining insurance information to successfully admit patients daily
●Submit paperwork accordingly to ensure insurance authorizations
●Continuously maintaining Referral Manager/ LINQ updated to reflect the most up-to-date status of every referral
●Collecting and securely managing information from patients such as insurance cards, social security numbers, emergency contacts, race, religion, marital status, primary care physicians, and other information required to adequately admit and provide care, all while respecting and protecting the rights of patients
●Updating admission audits accordingly
●Communicating and coordinating effectively with team members, patients, and their families to ensure patient satisfaction
●Serve as a resource for colleagues, patients, and their families
●Guide, assist, and train new team members
●Attend meetings and stay well informed about new policies and procedures
●Provide tours to potential patients
Patient Service Representative- Behavioral Health, Community Health Systems, Inc.
·Assisted patients with insurance concerns, including applying for Medi-Cal, Covered Ca, PCP changes, insurance renewals, informing patients of programs available for those who were uninsured or underinsured, and /or obtaining authorizations to be seen in other departments. Performed daily office routines, such as assisting the call center during high call volume periods, checking patients in and out, maintaining schedules, training new hires, covering when colleagues were out, patient registrations, and conducting interviews with patients who needed support while filling out behavioral health documents, all while being empathetic to their situations and maintaining privacy.
04/2016-07/2017
Private Caregiver, Maness Residence
·Assisted a senior citizen with daily activities such as maintaining personal hygiene, managing food consumption and meal preparation, tracking care supplies, and pet caring. Provided the patient with comfort and respect toward his personal desires and specific needs.
Education
10/2024-present
08/2010-05/2013
Western Governors University- working on obtaining my Bachelor of Science, Health and Human Services
Associate in arts with an emphasis in Social and Behavioral Sciences and Humanities, San Marcos, Palomar College
08/2005-07/2009
General Education, Fallbrook, Fallbrook High School