Customer Service Care Coordinator
Resume:
C I N D Y
A G U I L A R
Las Vegas, NV
*****************@*****.***
E D U C A T I O N
Diploma
Rancho High School
Graduated: 2004
A D D I T I O N A L S K I L L S
Bi-Lingual in Spanish (LEP-Interpreter)
Multi-tasking
Problem-solving
Time Management
Adaptability
Customer Service
Medical Billing and Coding
Team Building and Training
Microsoft Exel and Word,
IDX, Facets, Allscripts, Touchworks,
Fastrack,Nextgen, ICD-10
Typing : WPM 45
P R O F E S S I O N A L E X P E R I E N C E
Clinical Administrative Coordinator
UHC Las Vegas, NV February 2022 – February 2025 (laid off)
Responds to phone and fax authorization request for medical treatment
Reviews incoming referrals and distributes appropriately
Contacts providers for medical information to include medical reports, testing results, work status and follow-up appointment information
High volume customer service environment
Associate Patient Care Coordinator
Optum Las Vegas, NV July 2019 – February 2022
Work the front desk, Check in patients, making sure all ID’s, demographics and insurance up to date and eligible.
Checking Eligibility for all providers and working office Task box
Assist patients with making appointments and working the cancelations list.
Review and submit charges for providers.
Bank deposit
Patient Care Coordinator
Optum Las Vegas, NV May 2018 – July 2019
Work the front desk, Check in making sure all ID’s, demographics, and insurance up to date /Check out sending referrals out and rescheduling appointments.
Checking Eligibility for all providers and prior authorizations for upcoming appointments.
Assisted with incoming referrals and scheduling appointments. Sr. Accounts Receivable Clerk
Optum Las Vegas, NV July 2015 – May 2018
Prepared, edited, and submitted account billing in accordance with client contracts or payer guidelines.
Handles a large insurance network of over 3000 claims a month, along with the posting of the insurance payments, follow up and appeal of claims.
Performed effectively in a high volume and fast paced environment with a high degree of accuracy and productivity.
Assisted with various reports and audits to ensure accuracy and quality. Accounts Receivable Clerk
Optum Henderson, NV September 2010 – July 2015
Reviewed and resolved Accounts Receivable issues: payment status, process denials, and correspondence.
Communicated effectively to determine the reason for outstanding invoices, in order to determine the client ability/intent to pay.
Followed all written collection policies and work flows.
Effectively documented appropriate action, and status codes in the collection module.
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