Patient Care Medical Assistant
Resume:
EDGIEMARIE MALDONADO
**********@*****.***
Largo, FL 33771
Compassionate and detail-oriented healthcare professional with experience in both virtual and in-person clinical settings, specializing in patient care coordination, prior authorizations, and administrative support. Seeking a remote position where I can leverage my clinical knowledge, strong communication skills, and proficiency in EHR systems to contribute effectively to a patient-centered healthcare team. PROFESSIONAL EXPERIENCE
Medical Assistant
Advanced Urology Institute – Remote
October 2023 to March 2025
Provided live video check-in/check-out support and handled phone and messaging communications to schedule patient appointments and clarify provider instructions, before and after virtual appointments.
Assisted with medication-related support, including prior authorizations and refill requests, ensuring timely follow up and resolution
Handled administrative tasks such as sending requisition forms, coordinating referrals, and ensuring follow-up documentation was received and logged accurately.
Coordinating services with laboratories, imaging facilities, pharmacies, and vendors to support patient care and ensure services were delivered efficiently.
Maintained accurate patient records, including demographics and insurance information, within the electronic health record systems.
Prior Authorization Specialist
Walgreens – Remote
May 2021 to October 2023
Requesting and obtaining prior authorizations for specialty medications via fax and insurance portals
Accurately enter and update patient demographic and insurance information in pharmacy management system
Follow up on pending authorizations within 48 hours of submission, maintaining documentation of outreach efforts and next steps, if denied
Communicated with insurance companies, prescribers, and pharmacies to gather necessary documentation and resolve coverage issues or denials.
Educated patients and providers on prior authorization requirements, appeal processes, and alternative medication options when needed
Obtaining and uploading approval and denial letters to patient’s records
Initiating re-authorizations set to expire 30 days prior to the patients term date Medical Assistant
Hospital San Lucas - Ponce, PR
August 2018 to January 2021
Answered phones and managed front desk tasks, including patient inquiries, appointment coordination, and relaying messages to providers.
Took and recorded patient vital signs, prepared patients for exams, and supported physicians during clinical procedures.
Assisted with vaccine administration, including patient preparation, documentation, and post-vaccine monitoring.
Provided general clinical and administrative support, helping maintain patient flow and ensuring a smooth experience for both staff and patients.
Maintained clean and organized exam rooms, restocked medical supplies, and ensured equipment was sanitized and ready for use.
Medical Receptionist
Dr. Armando Munoz – Juana Diaz, PR
July 2017 to December 2018
Scheduled patient appointments, answered phone calls, and managed front-desk operations to ensure smooth daily workflow.
Verified insurance coverage, obtained prior authorizations when needed, and accurately entered patient information into the system
Collected co-pays and outstanding balances, maintained payment records, and explained billing questions to patients.
Assisted the doctor with administrative and basic clinical support, including patient intake and documentation.
EDUCATION
Registered Pharmacy Technician License
December 2024
Bachelor's degree in Nursing – July 2021
National University College - Ponce, PR
High School Diploma – June 2018
Escuela Superior Lysander Borrero Terry
SKILLS
Appointment Scheduling Virtual & In-Person Patient Check-In/Check-Out Data Entry & Documentation Prior Authorization & Referrals Pharmacy Benefit Management HIPAA Compliance & Patient Confidentiality Insurance Verification & Benefits Coordination EMR/EHR Systems Attention to Detail & Accuracy Remote Communication Tools - Teams, Slack Time Management & Multitasking Microsoft Office Proficiency Bilingual Fluent in English & Spanish
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