Jeanene Montoya
Glendora
Summary
Detail-oriented professional seeking Prior Authorization Specialist role with 3 years of healthcare experience. Proven expertise in managing electronic health records, coordinating patient referrals, and ensuring compliance with HIPAA regulations. Strong communication and organizational skills, with a background in customer service and medical terminology, enhance ability to facilitate efficient patient care coordination.
Overview
3
3
years of professional experience
Work History
Customer Experience Associate Healthcare
Magellan Health
Ca
- 05.2025
- Managed member calls for mental health services, ensuring accurate information and support were provided.
- Verified insurance details and benefits, facilitating seamless care access for members.
- Processed authorizations for advanced care levels, enhancing service efficiency.
- Curated mental health provider lists, improving member service options.
- Ensured HIPAA compliance and proficient use of EHR systems.
- Facilitated communication with members regarding mental health services, enhancing client trust and satisfaction.
Intake Coordinator
Epic Home Health Care
Glendora, CA
01.2025 - 04.2025
- Maintain accurate electronic health records and ensure compliance with HIPAA regulations to safeguard patient privacy and confidentiality.
- Verify insurance coverage and obtain necessary authorizations for medical procedures, facilitating seamless patient care.
- Collaborate with healthcare professionals to coordinate patient referrals and address inquiries, enhancing the overall patient experience.
Customer Service Specialist
Adapt Health
Ca
04.2024 - 12.2024
- Facilitated inbound and outbound communication to ensure timely insurance eligibility verification and seamless processing of orders.
- Managed durable medical equipment (DME) inquiries and executed accurate data entry to support customer satisfaction and operational efficiency.
Patient Service Representative
Chaparral Medical Group
Montclair, CA
02.2024 - 04.2024
- Managed inbound calls and processed requests through the Electronic Health Record (EHR) system to ensure efficient patient service.
- Received and organized intake documents and medical records, facilitating accurate and timely patient information management.
Medical Assistant
Azusa Surgical Medical
Azusa, CA
01.2022 - 12.2023
- Conducted in-office procedures and administered injections and vaccines, ensuring patient safety and adherence to medical protocols.
- Managed patient care by efficiently obtaining vitals and coordinating appointment schedules, enhancing operational efficiency.
- Utilized Electronic Medical Records (EMR) systems for accurate documentation and processed authorizations and referrals to support patient care continuity.
Education
Diploma - Medical Assistant
UEI College
West Covina, CA03.2022
High school diploma - General Education
Azusa High School
Azusa, CA06.2019
Skills
- Communication Skills
- English
- Computer Skills (2 Years)
- Phone Etiquette
- Medical Scheduling
- Customer Service (5 Years)
- Leadership (2 Years)
- Icd-10
- Microsoft Word
- ICD Coding
- Data Entry (3 Years)
- CPT Coding
- EMR Systems
- Hipaa
- Patient Care
- Microsoft Excel
- EHR Systems
- Organizational Skills
- Triage
- Medical Office Experience
- Typing (3 Years)
- Medical Terminology
- Vital Signs
- Microsoft Office
Languages
English
Spanish
Timeline
Intake Coordinator
Epic Home Health Care
01.2025 - 04.2025
Customer Service Specialist
Adapt Health
04.2024 - 12.2024
Patient Service Representative
Chaparral Medical Group
02.2024 - 04.2024
Medical Assistant
Azusa Surgical Medical
01.2022 - 12.2023
Customer Experience Associate Healthcare
Magellan Health
- 05.2025
Diploma - Medical Assistant
UEI College
High school diploma - General Education
Azusa High School