
Healthcare operations professional with experience supporting U.S. healthcare workflows through patient coordination, insurance verification, and medical documentation management. Skilled in reviewing records, aligning prescriptions with payer requirements, and ensuring HIPAA compliance. Strong focus on case follow-up, process accuracy, and continuity of care. Experienced collaborating with providers, nursing staff, and insurance representatives to resolve documentation gaps and support order completion.
• Managed high-volume patient communication (up to 60 calls/day) supporting medical supply reorders within the U.S. healthcare system.
• Ensured HIPAA compliance prior to handling protected health information.
• Verified insurance eligibility and aligned prescriptions with payer requirements.
• Reviewed medical documentation and patient records to support order approval and continuity of care.
• Coordinated with physicians, nurses, and insurance representatives to obtain required documentation.
• Documented patient interactions, case updates, and order status within Event Scheduler (EV) healthcare system.
• Provided follow-up on open cases to ensure completion of documentation and order processing.
• Identified discrepancies in prescriptions, insurance coverage, and patient data, escalating when needed.
• Consistently met performance metrics in quality, documentation accuracy, and case resolution.
• Recognized multiple times as Star of the Month for performance and reliability.
• Supported daily administrative and operational tasks.
• Coordinated schedules, documentation, and internal follow-ups.
• Assisted in organization of workflow and team support activities.
• Supported scheduling, client coordination, and daily administrative tasks.
HIPAA Compliance
Insurance Verification
Patient Documentation
Medical Records Review
Case Follow-up & Coordination
Healthcare Workflow Support
Provider & Insurance Communication
Order Processing Support
Discrepancy Identification & Escalation
Bilingual Patient Support (English/Spanish)