Grady Lizeth Romero Madrid
Summary
Dynamic Insurance Verification Specialist with a proven track record at Nj Spine And Orthopedic, excelling in insurance coverage verification and HIPAA compliance. Recognized for meticulous attention to detail and effective communication, ensuring timely patient access to healthcare services while maintaining data integrity and enhancing operational efficiency.
Overview
9
9
years of professional experience
Work History
Insurance Verification Specialist
Nj Spine And Orthopedic
10.2024 - 09.2025
- Assisted in verifying patient insurance eligibility and coverage details.
- Coordinated with healthcare providers to obtain necessary documentation for claims processing.
- Updated insurance information in databases, ensuring accuracy for billing departments.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Care Coordinator / Appointment Scheduler
Care Solace
02.2023 - 10.2024
- Coordinated patient care plans and services to ensure timely access to healthcare resources.
- Assisted in managing patient referrals and follow-up appointments to enhance continuity of care.
- Communicated effectively with healthcare providers and patients to facilitate information exchange.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes.
Data Cleaning
Myron HCE Honduras
07.2022 - 01.2023
- Enhanced data accuracy by implementing advanced SAS techniques for data cleaning and validation.
- Conducted thorough data cleaning and preprocessing procedures, maintaining high-quality datasets for analysis purposes.
- Streamlined patient records by efficiently managing EMR system updates and data entry.
Customer Service Representative
Collective Solution
08.2019 - 06.2022
- Resolved customer inquiries through effective communication and problem-solving strategies.
- Managed high-volume calls while maintaining professionalism and empathy in all interactions.
- Utilized CRM software to track customer interactions and ensure accurate record-keeping.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Collaborated with team members to enhance workflow efficiency and customer satisfaction rates.
- Improved resolution time with effective problem-solving for customer complaints through phone calls, emails, and chat support.
Customer Service Representative
Allied Global
08.2016 - 09.2019
- Addressed customer inquiries to ensure satisfaction and foster positive service experience.
- Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
- Participated in training programs to enhance product knowledge and customer service skills.
- Resolved technical issues for customers using troubleshooting protocols and diagnostic tools.
Education
Primary Education
New Generation Christian Academy
San Pedro Sula, HondurasHigh School
Escuela Bilingüe Kiddy Kat E Instituto Morazzani
High School Diploma -
Instituto Tecnológico En Administración De Empresas - INTAE
San Pedro Sula, Honduras11-2015
Bachelor of Science - Industrial Chemistry
Universidad Nacional Autónoma De Honduras
San Pedro Sula, HondurasSkills
- Attention to detail
- Communication and interpersonal skills
- HIPAA compliance
- Insurance coverage verification
- Data verification
- Healthcare industry
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Insurance Verification Specialist
Nj Spine And Orthopedic
10.2024 - 09.2025
Care Coordinator / Appointment Scheduler
Care Solace
02.2023 - 10.2024
Data Cleaning
Myron HCE Honduras
07.2022 - 01.2023
Customer Service Representative
Collective Solution
08.2019 - 06.2022
Customer Service Representative
Allied Global
08.2016 - 09.2019
Primary Education
New Generation Christian Academy
High School
Escuela Bilingüe Kiddy Kat E Instituto Morazzani
High School Diploma -
Instituto Tecnológico En Administración De Empresas - INTAE
Bachelor of Science - Industrial Chemistry
Universidad Nacional Autónoma De Honduras
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