Patient Services Representative at Presbyterian medical group (2024-07 – 2026-03)
Pcsc patient customer service
- Provide patient triage, scheduling, referrals, and benefit interpretation in a high-volume healthcare environment.
- Research complex inquiries using internal systems, provider manuals, and policy documentation.
- Interpret benefits and ensure accurate communication of coverage guidelines.
- Maintain detailed documentation in compliance with healthcare regulations.
- Support quality improvement initiatives and identify inquiry trends for process enhancement.
- Serve as patient advocate
FAA1 at Income Support Division (2022-09 – 2024-07)
Performs the full range of duties in determining eligibility for and authorizing public assistance Services. Independently manages a caseload. Interacts with clients to facilitate their transition to self-sufficiency.
- Authorizes distribution of program benefits and coordinates referrals to appropriate medical, Social, educational, and vocational resources.
- Performs periodic reviews of benefit authorization and recertifications, in accordance with federal and state regulations.
- Provides guidance to clients of available income support and job training Programs.
- Composes narratives and analyzes case records to support and document eligibility Decisions.
- Documents clients' employment plans, work participation agreements, referrals, Disbursements, and compliance with program policies and regulations.
- Maintains case records by verifying and analyzing Changes in clients circumstances to determine how information will affect eligibility, benefit levels, and disbursement.
- Operates multiple computer systems, which are based on analysis and organization of client Information.
- Makes presentations about the job-training program to business and government agencies, To promote training and work placement opportunities.
- Testifies on behalf of agency in hearings and administrative Processes.
- Performs related duties and provides timely and appropriate customer service.
Motor Vehicle Agent at Court Municipal/ Lic MVD (2017-07 – 2022-09)
A motor vehicle agent administer and enforce, with fairness, process transaction with courtesy, ethically, efficiently, Interacting with the public, fast pace, high pressure daily operations/process vehicle and Driver transactions, issue titles, Registrations, credentials and plackers, reinstating suspended registrations or driver's license, performing Vin inspections.
- Ensuring 100% accuracy and entering and required information into motor vehicle / driver system.
- Review required Documents assisted with answering phones.
- Kiosk transactions, cash handling / reconcile money drawer with Revenue Reports.
- Capture 100% of documents / signatures are scanned into DMs.
- Collect accurate fees, print and deliver required Documents to internal and external customers.
Field Technician at Ginco Corp (2014-06 – 2017-02)
- Supervised, trained, coached and motivated a team of 5 field workers.
- Operated forklifts Prepare and complete orders for delivery or pickup according to schedule (load, pack, wrap, label, ship).
- Receive and process warehouse stock products (pick, unload, label, store).
- Perform inventory controls and keep quality standards high for audits on and off field.
- Supporting Engineering projects by collecting data through field activities, preparing reports, and summarizing data, and assisting in the development of project plans and specifications.
- Keep a clean and safe working environment and optimize space utilization.
- Complete diary logs into inventory.
- Report any discrepancies.
- Communicate and cooperate with supervisors and coworkers.
- Operate and maintain preventively warehouse vehicles and equipment.
- Follow quality service standards and comply with procedures, rules and regulations.
Front Desk Registration at Institute of Pain Management (2014-04 – 2014-06)
- Front office registering, checking in/out, verified insurance and demographics.
- Collecting co pays for time of services or payment arrangement's.
- Pulled or filing medical records.
- Monitors the daily patients schedule.
- Place reminder calls and identifies "no shows" for rescheduling.
- Answer incoming calls promptly.
- Get pre auth's.
- Schedule all appointment's needed for care.
Wait Staff/Manager at Cecilia's Cafe (2000-04 – 2013-12)
Customer Service such as Greet and seat individuals. Assist with food orders.
- Answer phone line.
- Cash out customers.
- General office duties.
- Balancing and prepare daily deposits.
- Run all reports for next day.
- Monitoring and order supplies needed for restaurants budget.
- Interview and hire.
- Ability to provide training material.
- Prepare weekly staffing work schedules.
A/R Clerk at Isleta Health Care (2009-12 – 2011-06)
Customer Service. Charge entry posting and balancing including: accounting of daily patients encounters forms; completing applicable coding and data entry on a timely basis: submitting accurate electronic or paper claims to third party payers and responsible parties on a timely basis.
- Reasonable for Collections.
- Familiarizing self with reimbursement rates, filing limits and other contract specific guidelines that pertain to determining accuracy of third party payments.
- Appealing denied claims.
- Researching and resolving rejected/suspended claims.
- Maintain aging reports.
CSR Specialist at Pres GI Clinic (2008-09 – 2009-03)
- Schedule patient's appointments according to guidelines by providing documentation of scheduled appointments, procedural instructions and location directions.
- Monitors the daily patients schedule.
- Places reminder calls and identifies "no shows" for rescheduling.
- Checking patients in for appointments.
- Verifies patient's demographics and insurance information.
Claims Billing Specialist at Living Cross Ambulance (2005-03 – 2008-09)
Processing and billing of Medicaid, Medicare and commercial claims evaluation of clerical procedures, resolve difficult tasks and adjustment as needed, cross communication with attorneys for medical records request. Ability to meet goals in a 24 hour turn around.
- Explanation of Benefits interpretation as well as knowledge of coordination of benefits.
- General office duties which are typing, filing, interring and posting daily charges/deposits.
- Collection recovery.
- Customer service.
- Answer questions for patient and providers to understand how and why claims were paid.
Customer Service Representative at New Mexico Spine (2001-11 – 2004-10)
General office duties which included typing, filing registering and scheduling patients, as well as answering multiple phone lines, collecting co- pays.This position requires knowledge of physical therapy and Doctor's follow-ups, interring/ posting daily charges and deposits.
