Open to opportunities

Alejandra Resendiz barrientos

@alejandraresendizbar

Remote healthcare customer service specialist leveraging HIPAA-compliant scheduling, insurance verification, and high-volume support.

United States

Message

What I'm looking for

I’m looking for a healthcare operations role where I can own HIPAA-compliant scheduling, admissions, and insurance/authorization workflows while providing patient-first service, handling high-volume inquiries professionally, and growing with a supportive team.

I’m a healthcare administrative professional with 4+ years of experience specializing in scheduling coordination, ER admissions, and remote healthcare support. I manage high-volume workflows with a strong focus on verifying insurance, completing patient registration and intake, and maintaining HIPAA compliance while delivering excellent patient service.

In my current role as a Remote Healthcare Customer Service Specialist at Ambetter Health Insurance, I handle inbound calls for claims, prior authorizations, pharmacy benefits, and coverage inquiries, educating members to reduce repeat calls. Previously, at Texas Health Harris Methodist Hospital, I supported diagnostic test scheduling, completed fast-paced emergency department registration and intake, provided cost estimates, collected payments, and ensured documentation accuracy—plus I served as a Guest Services Representative (Lead) supervising front desk operations and ensuring compliance with hospital procedures.

Experience

Work history, roles, and key accomplishments

Current

Healthcare Customer Service Specialist

Current

Ambetter Health Insurance

Mar 2024 - Present (2 years 2 months)

Handled high-volume inbound calls for insurance-related needs, including claims, prior authorizations, pharmacy benefits, and coverage inquiries. Documented interactions accurately across multiple systems while maintaining HIPAA compliance and resolving escalated issues professionally.

Claims Support Prior Authorizations Pharmacy Benefits Insurance Verification HIPAA compliance Customer Service Escalation Handling Multi system Documentation

ER Admission Specialist

Texas Health Harris Methodist Hospital

Dec 2022 - Feb 2025 (2 years 2 months)

Completed patient registration and intake in a fast-paced emergency department. Verified insurance coverage, provided cost estimates, collected payments, and ensured documentation accuracy while handling sensitive information under HIPAA requirements.

ER Registration Patient Intake Cost Estimation HIPAA compliance Emergency Workflow

Scheduling Specialist

Texas Health Harris Methodist Hospital

Dec 2021 - Dec 2022 (1 year)

Scheduled diagnostic tests and procedures across departments with high accuracy. Verified insurance eligibility and medical necessity while coordinating with physicians and patients to improve workflow efficiency.

Diagnostic Scheduling Medical Necessity Review Patient Coordination HIPAA compliance

Guest Services Rep (Lead)

Texas Health Harris Methodist Hospital

Jun 2021 - Dec 2021 (6 months)

Supervised front desk operations and supported staff to maintain efficient guest services. Ensured compliance with hospital procedures and policies while delivering patient-focused customer service and assisting with conflict resolution.

Front Desk Operations Staff Supervision Customer Service Conflict Resolution Multitasking