Summary
Overview
Work History
Education
Skills
Systems And Programs
Timeline
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FABIOLA GONZALEZ CHAVEZ

Santa Rosa

Summary

Customer service professional with over 16 years of experience in retail, personal care, and in the Healthcare field. Proven ability to work collaboratively with cross functional teams in order to deliver top quality customer service while meeting organizational goals. Bilingual and Bicultural fluent in English and Spanish. Key strengths include...

Overview

15
15
years of professional experience

Work History

Patient Access Representative and Insurance specialist

SONOMA VALLEY HOSPITAL
03.2020 - Current
  • Schedule Department Team Leader
  • Work closely with Radiologists and Technicians to insure the best quality of care for the patients.
  • Responsible for ensuring that insurance authorization is accurate with the CPT and ICD 10 code listed in Dr referral
  • Run Medicare ABN for diagnostic coverage and request a different ICD10 from Dr office if is required for coverage
  • Submit TAR request from PHP insurance for approval
  • Review authorizations status by web and over the phone with the insurance companies
  • Provide patients with estimates prior to their appointments
  • Maintain a close work relationship with Drs offices and Financial Services
  • Assure all patients are pre-register with complete demographics and proper authorization if is required
  • Check in patients in the ER, collecting signatures and complete demographics as well as receiving ambulances

CAREGIVER
06.2019 - Current
  • Responsible for providing care and assisting with all activities of daily living for adult male with quadriplegia
  • Navigate medical insurance, home care, and post-acute care systems to ensure medical care recommendations are provided and all medical devices are procured and used

Patient Access Representative and Scheduler

ADVENTIST HEALTH, NORTHERN CALIFORNIA REGION
07.2017 - 07.2018
  • Responsible for ensuring that benefits, authorizations, and/or pre-certifications are accurate according to the actual test, procedure or registration ordered by physician
  • Ensured all benefits, authorizations, pre-certifications, and financial obligations of patients, are documented on account memos, clearly, accurately, precise, and detailed to ensure expeditious processing of patient accounts
  • Maintained close working relationship with clinical partners and ancillary departments to ensure continual open communication between clinical, ancillary and Patient Access & Patient Financial services Departments
  • Accountable for meeting or exceeding Pre-Access department audit accuracy standard and payment collection goals
  • Provided personalized service to patients while guiding them through the established processes and procedures of the revenue cycle department

Order Processor - Sistema

NELSON STAFFING
08.2016 - 07.2017
  • Responsible for processing and ensuring accuracy of all orders from receiving department
  • Worked closely with team of 40 to ensure all orders deadlines were met and appropriate reporting of order processing and any damage was completed after every shift

Beauty Salon Attendant

BEAUTY SALON CECY
01.2009 - 01.2015
  • Responsible for managing all aspects of managing salon schedule and client relationship management
  • Processed payments, reconciled daily payments, and prepared and processed bank deposits

Education

COMMUNITY HEALTH WORKER -

Cinematic Health Education

ESL CERTIFICATE INTERPERSONAL COMMUNICATION -

Santa Rosa Junior College

ESL ACADEMIC PREPERDNESS DEGREE DEVELOPMENT -

Santa Rosa Junior College

HIGH SCHOOL DIPLOMA -

Guadalajara University Preparatory School
Jalisco, Mexico

Diploma - Qualified Medical Interpreter-Spanish

Alta Language Service Inc,

Skills

  • Customer Service
  • Benefit Verification
  • Scheduling & Registration
  • Insurance Pre-authorizations
  • HIPAA regulations
  • Payment Collecting
  • Community Health Worker
  • Medical Terminology

Systems And Programs

  • Microsoft Office: Word, Excel, Power Point
  • Cerner Power Chart
  • Cerner Revenue Cycle Module
  • Citrix
  • EPIC

Timeline

Patient Access Representative and Insurance specialist

SONOMA VALLEY HOSPITAL
03.2020 - Current

CAREGIVER
06.2019 - Current

Patient Access Representative and Scheduler

ADVENTIST HEALTH, NORTHERN CALIFORNIA REGION
07.2017 - 07.2018

Order Processor - Sistema

NELSON STAFFING
08.2016 - 07.2017

Beauty Salon Attendant

BEAUTY SALON CECY
01.2009 - 01.2015

COMMUNITY HEALTH WORKER -

Cinematic Health Education

ESL CERTIFICATE INTERPERSONAL COMMUNICATION -

Santa Rosa Junior College

ESL ACADEMIC PREPERDNESS DEGREE DEVELOPMENT -

Santa Rosa Junior College

HIGH SCHOOL DIPLOMA -

Guadalajara University Preparatory School

Diploma - Qualified Medical Interpreter-Spanish

Alta Language Service Inc,

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FABIOLA GONZALEZ CHAVEZ