Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Mayra S. Muñoz

Cicero,IL

Summary

Accomplished and dedicated Patient Care Coordinator with 10+ years of experience in clinic scheduling, pre certifications, credentialing, compliance, quality assurance, insurance, data entry, and patient healthcare. Proven healthcare leader with the ability to build positive relationships with patients, family members, and staff.

Overview

10
10
years of professional experience

Work History

Pre-Authorization Rep

University Of Chicago Medicine
10.2022 - Current

Secured Pre authorization for outpatient diagnostic

imaging.

Verify insurance

update pt. registration

cover and respond to emails in a timely manner

assist in training new team members

Patient Care Coordinator / Precertification Lead

Rush University Medical Center
03.2018 - 09.2021
  • Secured 90% of patient authorizations with low denials enhancing care and services available
  • Coordinate and schedule all levels of care for 100 patients seeking diagnostic treatment
  • Streamline the scheduling process by identifying XX duplicate processes to maximize productivity
  • Review 50 patients' accounts to ensure that proper certification is acquired and accurate

Registrar

Insurance Verifier
02.2017 - 02.2019
  • Provided effective customer service by completing registrations, insurance verification, and identifying need for authorizations and referrals over the phone, averaging 100% in customer satisfaction ratings
  • Obtained patient information over the phone to create and complete registration for 50 patients
  • Verified eligibility prior to the patient visit and identified need for insurance authorization or referral
  • Registered with 50 insurance companies’ websites allowing for detailed information updates

Scheduler

Access Community Health
12.2015 - 12.2016
  • Managed 150+ calls per day regarding scheduling/registration ensuring accuracy and timeliness
  • Scheduled 50 patient appointments with correct health center and provider information using EPIC
  • Conducted detailed registration and insurance verification for 50 patients on a daily basis
  • Maintained up to date demographic information and provided accurate information to customer inquiries

Customer Service Representative

The Chicago Lighthouse
12.2013 - 03.2015
  • Assisted in the training process for 25 new employees while maximizing productivity
  • Managed all project and planning for the entire Bilingual team consisting of 25-45 staff members
  • Executed and monitored standards for reps by listening to calls and reviewing customer accounts
  • Updated and corrected 50 customer accounts and followed up with reps with coaching and mentoring
  • Assisted with escalated phone calls and provided quick resolution to customer issues

Education

High School Diploma -

Marie Curie High School
Chicago, IL

Skills

  • Pre certifications, EPIC & EMR Systems, ICD-10, Healthcare Management, Insurance Verification, Scheduling, Patient Care, Quality Assurance, Leadership, Data Entry, Communication & Organization Skills, Customer Service, Clinical Documentation, Problem Solving, Medical Terminology, Medical Office Skills, Microsoft Office, Medical Coding & Terminology, Medical Records, Coaching & Training
  • Fluent in Spanish
  • Analytical and Critical Thinking
  • Dependable and Responsible
  • Excellent Communication
  • Organization and Time Management

Languages

Spanish
Native or Bilingual

Timeline

Pre-Authorization Rep

University Of Chicago Medicine
10.2022 - Current

Patient Care Coordinator / Precertification Lead

Rush University Medical Center
03.2018 - 09.2021

Registrar

Insurance Verifier
02.2017 - 02.2019

Scheduler

Access Community Health
12.2015 - 12.2016

Customer Service Representative

The Chicago Lighthouse
12.2013 - 03.2015

High School Diploma -

Marie Curie High School
Mayra S. Muñoz