elizabeth hernandez

Responsible for insurance verification, customer service registration, and appointment scheduling. Efficiently schedule diagnostic tests including MRIs, CT scans, ultrasounds, and mammograms.

Transcribed provider orders, entered appropriate insurance, and initiated authorizations and referrals. Mentored and trained staff on departmental procedures and upgrades within EPIC as a Super User.

Managed the patient check-in and check-out process, updating or confirming demographics and insurance information. Collected patient payments and prepared end-of-day reporting payment reconciliation.

Handled inbound and outbound calls with clinical trial patients, patient advocates, and providers. Assisted patients with understanding their pharmacy benefits by contacting their insurance.

Initiated prior authorizations for members and handled inbound and outbound calls with providers, members, and pharmacies. Placed outbound calls to members and providers to obtain additional diagnosis information.

Responsible for data entry of patients and prescription information, processing claims and applying copayments for prescription orders. Obtained additional information for members with CII medications according to state regulations.

Completed General Education Development (GED) at National City Adult School, demonstrating foundational academic knowledge and readiness for further education or career opportunities.

Obtained certificates in Medical Billing, Coding, and Terminology from San Ysidro Adult School. This specialized training equipped me with essential skills for administrative roles in healthcare.