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, NJ04-2014
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