New Patient Coordinator and Insurance Specialist
Resume:
VANESSA MOLANO
SUMMARY
Dedicated New Patient Coordinator skilled in patient education and
insurance compliance. Proven ability to manage complex inquiries while maintaining high standards of empathetic support and HIPAA compliance.
Compassionate New Patient Coordinator known for high productivity and efficient task completion. Possess specialized skills in patient scheduling, medical records management, and communication with healthcare teams. Excel in empathy, adaptability, and problem-solving to enhance patient experience and streamline office operations.
EXPERIENCE
New Patient Coordinator /Customer Service Specialist, 02/2023 - Current Quest Health Solutions - Coral Springs, Florida
Member Experience Advisor (MEA), 07/2022 - 02/2023 NationsBenefits - Plantation, Florida
11/2019 - 06/2022
Fronter USA CHEMM LLC - Coconut Creek, Florida
CONTACT
Address: Tamarac, USA 33321
Phone: 954-***-****
Email: ***************@*****.***
SKILLS
Bilingual communication (Spanish)
Answered member and provider calls regarding benefits, eligibility, claims, and payments.
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Explained hearing benefits and supplemental services to enhance member understanding.
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Directed inquiries and messages while providing exceptional customer service.
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Performed data entry, updated spreadsheets, and maintained accurate records.
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Assisted prospective members with Medicare Advantage inquiries and documented interactions in CRM.
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Researched and resolved complex inquiries, prioritizing member satisfaction.
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Adhered to NationsBenefits, HIPAA, and Medicare/MCO guidelines at all times.
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Sorted and organized documents, managed mail, scheduled appointments, and ordered supplies.
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Educated prospective patients on CGM products through inbound and outbound calls.
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Converted leads into enrolled patients by verifying insurance and explaining benefits.
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• Benefit verification
• Insurance compliance
• Patient education
• Data entry management
• CRM utilization
• Customer relationship management
• Empathetic support
• Effective communication
• Patient scheduling
• HIPAA compliance
• Healthcare operations
• Patient flow management
• Patient care
• HIPAA protocol adherence
• Healthcare documentation
• Patient care coordination
• Appointment scheduling
• Insurance verification
• Team collaboration
• Healthcare
• Verbal and written communication
• Quality assurance
10/2017 - 11/2019
Fronter & Closer Biochem LLC - Coconut Creek, Florida EDUCATION AND TRAINING
High School Diploma, 06/2017
JP Taravella Highschool - Coral Springs, FL
CERTIFICATIONS
HIPAA
LANGUAGES
Spanish, Professional
Ensured compliance with HIPAA and Medicare guidelines during benefit verifications and authorizations.
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Collaborated across departments to address complex patient inquiries and complaints.
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Managed over 400 daily calls as an Outbound Sales Specialist, effectively converting warm leads.
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Guided patients through enrollment processes while emphasizing Medicare compliance.
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Provided empathetic support to prospective patients throughout interactions.
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Resolved issues efficiently, maintaining high standards of customer service.
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Documented test results in lab notebooks while analyzing data and preparing research papers.
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Executed quality control checks and ensured compliance with regulatory requirements through approved SOPs.
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Facilitated distribution of free cancer test kits to qualified Medicare patients.
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• Closed an average of 33 sales daily, exceeding monthly targets.
• Payment collection
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