Leticia Cisneros
Bakersfield
Summary
I am an experience bilingual healthcare customer service rep. Seeking a position in which my experience would enable me to enhance my skills.
Overview
17
17
years of professional experience
Work History
Medical Necessity Specialist
Supercare Health
La Puente
06.2019 - 01.2025
- Answer incoming calls from an auto dialer to reach patient and assist with obtaining doctors name and phone number to obtain proper documentation to summit claims for durable medical equipment.
- Review DME orders and verify valid documentation; obtain if needed.
- Any additional documentation will reach out to doctors office and attempt to obtain.
- Will summit request through fax or through online Parachute System.
- Will reach out to patient to verify usage of medical equipment and verify demographic and doctors information.
- Provide great customer service and will assist patient with any questions and issues.
- Verify eligibility for Medicare patients and summit claims to Medicare.
Patient Financial Service Representative
Pacific Pulmonary Svc
Bakersfield
03.2015 - 07.2018
- Answered high-volume inbound calls from patients, providers and pharmacies regarding billing, medication, and durable medical equipment(DME) inquiries, with focus on sleep orders.
- Process and completed sleep therapy equipment orders by reviewing patients record, confirming eligibility, and coordinating with clinical staff and supply vendors.
- Contracted physicians offices to request additional documentation such as prescriptions, clinical notes, and prior authorization to ensure order compliance and timely patient care.
- Verified patient insurance coverage, including commercial and government plans, to determine eligibility and benefits for equipment and services, documenting findings in EMR systems.
- Educated patients on their insurance benefits, co-payments and potential out-of-pocket cost related to sleep therapy and medication needs.
- Maintained accurate records and tracked all communications and follow up in patient accounts to ensure compliance with HIPAA and internal policies.
- Collaborated with internal departments, including billing and authorization teams, to resolve issues and streamline the order fulfillment process.
- Demonstrated excellent communication and problem-solving skills while providing compassionate service to patients navigating complex healthcare and insurance systems.
Customer Service Representative
Xerox Corp
Bakersfield
10.2007 - 10.2014
- Answer phone calls in a call center environment and provide customer service for students loans.
- Obtain credit card information to summit payments for student loans.
Education
CalJOBS Education -
Kern High School District
CASkills
- Independent self-starter
- Multi tasking
- Bi-lingual English/spanish
- People skills
- Answer phones and auto dealers campaigns
- Adapt easily to various software programs
- Data entry
Additional Comments
None Specified
Personal Information
Willing To Relocate: Anywhere
Timeline
Medical Necessity Specialist
Supercare Health
06.2019 - 01.2025
Patient Financial Service Representative
Pacific Pulmonary Svc
03.2015 - 07.2018
Customer Service Representative
Xerox Corp
10.2007 - 10.2014
CalJOBS Education -
Kern High School District