Miriya Zamora

Patient Experience Specialist with 3+ years of experience in ophthalmology supporting patients, providers, and insurance companies through prior authorizations, insurance verification, patient triage, medical records management, and exceptional customer service. Known for accuracy, organization, compassion, and maintaining HIPAA compliance while thriving in fast-paced clinical environments.

Patient Experience Specialist - Family Eye Physicians - Oak Lawn, IL

(2023-06)

• Manage prior authorizations for ophthalmic medications, procedures, and specialty treatments.
• Coordinate insurance verification and resolve coverage and eligibility issues.
• Provide exceptional patient service as a primary liaison between patients, providers, pharmacies, and insurance companies.
• Perform patient triage and communicate urgent concerns to providers.
• Maintain accurate patient records and documentation within EMR/EHR systems.
• Ensure HIPAA compliance and confidentiality of patient information.
• Coordinate appointments and follow-up care to support continuity of treatment.
• Collaborate with physicians, technicians, and administrative staff to improve workflow and patient satisfaction.

Beauty Advisor - MAC Cosmetics

(2021-06 - 2023-06)

• Delivered exceptional customer service in a high-volume retail environment.
• Developed lasting client relationships through personalized product recommendations.
• Processed sales transactions accurately while meeting company standards.
• Maintained visual merchandising and brand presentation.

Moraine Valley Community College

Eisenhower High School