Cedrina Boone
Fontana
Summary
I possess a wealth of experience and expertise in customer service, back by exceptional communication skills. With a strong background in front office work, I excel in collaborating with customers to deliver high-quality service. My ability to multitask effectively and pay close attention to detail allows me to consistently provide exceptional results while fostering a collaborative and supportive team environment.
Overview
10
10
years of professional experience
2001
2001
years of post-secondary education
1
1
Certification
Work History
Patient Access Representative II
Foothill Regional Medical Center
Tustin
08.2025 - Current
- PBX Operator / Emergency Room Admitting Rep
- Pre-reg Direct Admissions, register patients verify insurance obtain authorization for admission, discharge patients update, face sheets, patients to calm links
- Run all daily reports Census, DRG, Nursing Station, Doctors and CEO reports
- Great visitors, answer, phones, faxing, mailing, emailing and scanning
- Obtained signatures for hospital, consent, and explain patient rights
- Make annoucements, Call Codes, And Dispatch Engineering, and EVS and Security to designated areas
Customer Service Rep III
Insight Global/ Optum Financial Healthcare
Cypress
10.2024 - 05.2025
- Handle escalated issues, resolving complex inquiries
- Educate customers on (HSA) Health Saving Accounts, (FSA) Flexible Spending Accounts, (HRA) Health Reimbursement Accounts, (RMSA) Retirement Medical Saving Accounts
- Claims- research and adjustments
- Account balances
- Assist Customers with setting up online accounts.
- Answer high volume of calls
Medical Case Specialist
QTC Management A Liedo's Company
San Dimas
09.2023 - 05.2024
- Schedule Veterans for medical evaluation on behalf of the V.A. Administration
- Create diagnostic forms
- Prep cases
Patient Services Representative
Cedars Sinai Medical Foundation
Beverly Hills
06.2022 - 10.2023
- Patient Check In/Check Out
- Scheduling
- Referrals Authorizations
- Insurance Verification
- Sort / process incoming mail, Fax and Scan Documents
- Money management/ Cash handling
- Process Incoming Mail
- Prep for upcoming appointments
- Create Medical Records
- Multiple Electronic Medical Record Systems
- Internal Medicine/ Urgent Care
Customer Service Rep
Anthem Blue Cross
Newbury Park
08.2016 - 05.2019
- Responds to customer questions via telephone and written correspondence regarding insurance benefits
- Eligibility and Claims
- Prior Authorizations for out of network geographical areas
- File Grievance and Appeals on behalf of members
- Analyzes problems and provides information/solutions
- Operates image station to obtain and extract information; documents information, activities and changes in the database
- Explain to members what their deductible coinsurance and maximum out of pocket expenses are.
- Quote benefits, order member ID card, explain how claim was process, send claims for adjustment
- Separate the correct CPT codes
- Make and receive calls
- Search for providers
- Search medical records
- Update addresses, send emails correspondences, faxes
- Outlook, excel, word.
Education
High School General Studies - Diploma
Cornerstone Christian School
Business Computer Operations - Certificate
Pacific Travel Trade School College
Some College (No Degree) - Certified Nursing Assistant / Home Health Aide
Home Health Aide
Compton, CASkills
- Medical Office, Hospital Experience
- EMR Systems
- Microsoft Excel
- Microsoft Word
- Microsoft Outlook
- Spread Sheet
- Microsoft PowerPoint
- Insurance Verification
- Scheduling
- Clerical experience
- Customer Service
- Patient registration
- Data entry accuracy
- Crisis management
- Admitting coordination
- Phone and email etiquette
- Health insurance knowledge
- Registration and admissions
- Multitasking and organization
- HIPAA compliance
- Call screening
- Healthcare systems navigation
- Payment processing
- Medical terminology
- Privacy regulations knowledge
- Appointment scheduling
- Referral coordination
Certification
- BLS Certification, Certification
- Driver's Licenses, License, Non- CDL Class C
Timeline
Patient Access Representative II
Foothill Regional Medical Center
08.2025 - Current
Customer Service Rep III
Insight Global/ Optum Financial Healthcare
10.2024 - 05.2025
Medical Case Specialist
QTC Management A Liedo's Company
09.2023 - 05.2024
Patient Services Representative
Cedars Sinai Medical Foundation
06.2022 - 10.2023
Customer Service Rep
Anthem Blue Cross
08.2016 - 05.2019
Business Computer Operations - Certificate
Pacific Travel Trade School College
High School General Studies - Diploma
Cornerstone Christian School
Some College (No Degree) - Certified Nursing Assistant / Home Health Aide
Home Health Aide