Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Rahiza Mendez Afanador

Utuado,PR

Summary

Dynamic individual with hands-on experience in medical field through different positions, with talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.

Overview

8
8
years of professional experience

Work History

EoB Specialist

Diag Partners/ Paynela
01.2024 - 09.2025
  • Followed all company policies and procedures to deliver quality work.
  • Gathered, organized and input information into digital database.
  • Review medication to ensure correct information was sent to process accordingly.
  • Process reimbursements to Providers and patients following company guidelines for timely fund transferring.

Patient Care Coordinator

OptumRx
03.2023 - 09.2023
  • Delivered excellent patient experiences and direct care.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Scheduled medication delivery.
  • Verification of prior authorization for medications.
  • Ensured benefits in active status to process delivery and additional services.
  • VOiP
  • Translated for Spanish speaking callers

Referral Coordinator

Urgent Care of Texas
01.2022 - 12.2022
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
  • Responded to patient inquiries to offer timely updates regarding referral status.

Front Desk Receptionist

Urgent Care of Texas
01.2018 - 12.2021
  • Collected deposits, fees, and payments.
  • Greeted guests at front desk.
  • Resolved customer issues quickly and notified supervisor immediately when problems escalated.
  • Scheduled, coordinated and confirmed appointments for patients.
  • Completed data entry and filing to keep records updated for easy retrieval.
  • Maintained confidentiality of sensitive data to protect customer and business information.
  • Operated telephone system to answer and direct high volume of calls.
  • Handled assignments independently with good judgement and critical thinking skills.
  • Verified insurance eligibility for office visits and/or procedures.

Education

Associate of Applied Science - Cardiovascular Sonography

Eastwick College
Ramsey, NJ
04-2014

Skills

  • Customer relations
  • Analytical thinking
  • Telephone etiquette
  • Bilingual
  • Microsoft Office
  • Medical Background

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

EoB Specialist

Diag Partners/ Paynela
01.2024 - 09.2025

Patient Care Coordinator

OptumRx
03.2023 - 09.2023

Referral Coordinator

Urgent Care of Texas
01.2022 - 12.2022

Front Desk Receptionist

Urgent Care of Texas
01.2018 - 12.2021

Associate of Applied Science - Cardiovascular Sonography

Eastwick College

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Rahiza Mendez Afanador