insurance verification rep

Posted on: 2006-03-24

SANDRA ALONZO 15615 BLUE ASH DRIVE #8105 HOUSTON, TX 77090 281-872-4938 OBJECTIVE: To secure a challenging position utilizing abilities developed through experience, Knowledge, education, and interpersonal communication skills in the medical field. OBJECTIVE: Laboratory-Microscopic, Blood chemistry workups, Autoclave, Hematocrit and Hemoglobin determination, Urinalysis. Clinical-Administered injections, Venipunctures, CPR, EKG tracing and mounting, Vital signs. Clerical-Patient charting, Scheduling appointments, Bookkeeping, Telephone communications, Typing, Filing, Computer literate(Word perfect,Data entry, Windows office, Excel, Outlook Express, SAP,experienced in CPT AND ICD-9 coding, and other data based systems), Medical Terminology, Verify insurance coverage/benefits, Verify authorizations/referrals, collect copays, faxing, Health insurance forms(EOB’S and HCFA forms). EDUCATION: Graduated-National Education Center/Bryman College New Orleans, La. Medical Assisting Southern University New Orleans, La. Biology Dillard University New Orleans, La. Biology Graduated- Joseph S. Clark Sr. High New Orleans, La. May 26,1979 WORK HISTORY: Dr. Eric Holt, M.D. (Nephrology) Internal Medicine New Orleans, La. 5/11/92-6/8/92 Externship Medical Assistant-Administered venipuncture and injections, and handled vital signs procedure, handled customers service telephone calls, scheduled patient appointments, type insurance forms using CPT/ICD9 coding procedure, assist doctors with patients, monitor EKG tracing and mounting and communicated with all levels of medical staff and patients. X-TECH Temporary Agency New Orleans, La. 3/11/92-9/11/92 Medical Assistant-(Cardiology) QA charts, handled vital signs procedures, monitored EKG tracing and mounting, distribute oral medications to patients. Orleans Parish Criminal Sheriff’s Office New Orleans, La. 4/6/93-5/5/94 Medical Assistant-QA charts, Administer venipunctures and injections, handled vital signs procedures , handled on call emergencies, assist on call doctors with history and physicals and daily sick calls, daily dressing changes and treatments, administered injections also distributed oral medications-Psych Dept: Assist psychiatrist with patients, administered injections and distributed oral medications, experience with manual restraints, knowledge of steril technique, and very experienced in documentation. Hibernia Medical Clinic New Orleans, La. 5/16/94-8/12/94 Medical Assistant-Handled vital sign procedure and assist doctor with minor surgeries, pap smears, eye examinations, physicals, optical examinations, administer venipunctures, and various types of injections, daily drug screenings, administered laboratory urinalysis, pregnancy testing, strep testing, also cleaning and autoclaving surgical and examination instrument, knowledge of steril techniques. Hope Haven Center (Residential Treatment Facility) Marrero, La. 11/13/95-12/13/96 Mental Health Specialist-Monitor, document, and impliment behavioral treatment plan for adolescent and children, experience in passive physical restraint, distribute oral medications, good oral and written communication skills, excellent interpersonal skills. Vouray Community Home Kenner, La. 12/14/96-2/25/97 Direct Care Staff-Monitor,document, impliment behavioral management plan for adults, experienced in passive physical restraint, distribute oral medications, handled vital signs, good oral and written communication skills, excellent interpersonal skills. Jackson Group Home/Carrollton Community Home The Harmony Center, Inc. New Orleans, La. 2/26/97-11/15/99 Direct Care Staff-Monitor, document, impliment behavioral management plan for adolescent/adults with developmental disabilities and/or challenging behaviors. Experience in passive physical restraint, distribute oral medications, administer vital signs, good oral and written communication skills, excellent interpersonal skills, staff to resident theraputic sessions, assist/monitor residents with daily chores, and meal preparations, train new direct care staff employees, etc. VitaRx/Mckesson Specialty Pharmaceuticals Harahan, La. 11/15/99-10/5/2005 Insurance Verification Representive-Verify patient eligibility and benefits, verify authorizations/referrals, telephone support to physicians office and insurance carriers that encounter difficulties, utilize RNA, Flashscript, SAP and other software applications and various other data base systems, frequent communications with patients, health plans and physicans regarding primary insurance issues and other customer service concerns as part of research process. Information gathering and communication of all phone and research information. Excellent problem solving skills. Outstanding customer skills, detail oriented and able to trouble shoot effectively, ability to handle multiple task, ability to handle difficult callers, excellent telephone skills computer literate (windows office, outlook express, sap system, etc.),experienced in EOB’S and HCFA’S, also experienced in collection/calculate copays ,experience in verifying deductibles.