Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
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Cynthia Mora

Lake Elsinore

Summary

Motivated to support patient medical needs by efficiently verifying insurance, scheduling appointments and organizing documents. Forward-thinking and resourceful with good interpersonal skills, a strong attention to detail and a positive and upbeat mentality.

Overview

20
20
years of professional experience

Work History

ED Admitting Representative Lead

CHOC Children's Main Campus Orange
01.2022 - Current
  • Processed patient admissions efficiently, ensuring accurate data entry and compliance with hospital protocols.
  • Managed insurance verification and authorization processes, enhancing patient experience and reducing delays.
  • Coordinated communication between departments and patients, facilitating seamless transfer of information.
  • Trained new staff on admission procedures and system navigation, improving team performance and efficiency.
  • Resolved patient inquiries promptly, maintaining high standards of customer service during admissions process.
  • Assisted in training new admitting representatives, sharing best practices for successful job performance.
  • Ensured compliance with HIPAA regulations, safeguarding the privacy of sensitive patient information.
  • Prioritized workload effectively while handling multiple tasks simultaneously within a fast-paced environment.
  • Contributed to a positive work environment by providing support to fellow admitting representatives as needed.
  • Participated in departmental meetings to stay informed on updates related to hospital procedures or policies affecting the admitting process.
  • Effectively used hospital software systems to enter patient demographic information, verify insurance coverage, and schedule appointments when necessary.
  • Provided excellent customer service to patients and their families during the registration process.
  • Managed challenging situations involving upset or anxious patients with empathy and professionalism, ensuring their concerns were addressed appropriately.
  • Developed positive relationships with physicians, nurses, and other hospital staff, fostering effective communication across departments.
  • Trained new staff on filing, phone etiquette and other office duties.

Patient Admitting Representative

CHOC Children's Main Campus Orange
11.2021 - Current
  • Facilitated patient registration processes, ensuring accurate data entry and compliance with healthcare regulations.
  • Coordinated insurance verification and eligibility checks to expedite patient admissions efficiently.
  • Managed scheduling of appointments, optimizing workflow to enhance patient experience and reduce wait times.
  • Trained new staff on admission protocols, fostering a collaborative environment for improved service delivery.
  • Maintained strict confidentiality of patient information in accordance with HIPAA regulations, safeguarding sensitive data at all times.
  • Provided exceptional customer service, addressing patient inquiries professionally and compassionately.

Patient Admitting Representative

Cheyene Regional Medical Center
04.2019 - Current
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Checked patient information and insurance coverage.
  • Coordinated patient paperwork and charts.

Medical Billing Specialist

Psychological Assessment Services
03.2011 - 03.2019
  • Schedule and confirm appointments.
  • Handle numerous phone calls from insurance adjusters, attorneys and patients.
  • Data entry and payment posting.
  • Verify insurance claims and authorization for treatment.
  • File and retrieve patient records and referrals.
  • Maintain patient accounts and update personal and financial information.
  • Negotiate outstanding liens with claim examiners and attorneys over the phone.
  • Prepare approximately 100 files per week for Lien Trial.

Dental Front Office Receptionist

Family Dentistry
06.2005 - 02.2011
  • Greeted patients immediately with kindness and compassion adhering to their needs.
  • Scheduled appointments for both patient and dentist.
  • Verified and processed dental insurance claims; including handling all dental billing.
  • Monitored and collected on patient’s past due accounts.
  • Implemented and supervised the day to day operations.
  • Supported efficient patient flows by setting up and breaking down rooms, including cleaning surfaces and restocking supplies.
  • Handled telephone and in-person requests for assistance from new and established dental practice patients.
  • Checked patients in and out, verified insurance and collected co-pays to keep business administrative and financial records current.
  • Prepared new patient files and updated existing records with new personal, insurance and medical information.
  • Educated patients about post-operative and at-home care for optimal outcomes.

Education

Some College (No Degree) -

Santa Ana College
Santa Ana, CA

Medical Billing/Coding -

Newbridge College
Santa Ana, CA
2011

Skills

  • Medical filing/billing
  • Patient interviewing skills
  • Planning and coordination
  • Technologically savvy
  • Meticulous and organized
  • Correspondence management
  • Fluent in English and Spanish
  • Information inputting
  • Submission of medical claims
  • Customer friendly
  • HIPAA compliance
  • Patient confidentiality
  • Patient registration
  • Insurance verification
  • Verifying insurance
  • Payment processing
  • Checking in patients

References

References Available Upon Request

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

ED Admitting Representative Lead

CHOC Children's Main Campus Orange
01.2022 - Current

Patient Admitting Representative

CHOC Children's Main Campus Orange
11.2021 - Current

Patient Admitting Representative

Cheyene Regional Medical Center
04.2019 - Current

Medical Billing Specialist

Psychological Assessment Services
03.2011 - 03.2019

Dental Front Office Receptionist

Family Dentistry
06.2005 - 02.2011

Some College (No Degree) -

Santa Ana College

Medical Billing/Coding -

Newbridge College

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Cynthia Mora