Nellie Carrillo Cruz
Soledad
Summary
Dedicated Patient Account Representative with expertise in HIPAA compliance, insurance verification, and medical billing. Proven ability to enhance patient satisfaction and streamline billing processes.
Results-driven professional with extensive experience in patient account management and billing operations. Known for strong empathy, effective communication, and data entry proficiency, contributing to enhanced accuracy and efficiency in revenue cycle management.
Overview
43
43
years of professional experience
Work History
Patient Account Representative
Clinica De Salud Del Valle De Salinas
55 Plaza Circle Salinas CA 93901
04.2014 - 01.2024
- Processed patient accounts, verifying insurance eligibility and benefits efficiently.
- Resolved billing discrepancies through effective communication with patients and insurance providers.
- Managed patient inquiries, providing accurate information on account status and payment options.
- Streamlined billing processes, improving accuracy in claims submission and reducing delays.
- Collaborated with healthcare providers to ensure accurate coding for services rendered.
- Trained new staff on billing procedures and patient account management tools, enhancing team performance.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Implemented process improvements that increased efficiency in the patient account resolution workflow.
- Led initiatives to enhance patient satisfaction by addressing concerns promptly and effectively.
Patient Account Supervisor
Community Hospital of the Monterey Peninsula
Monterey, CA
12.1992 - 09.2012
- Managed patient account inquiries, ensuring timely resolution and adherence to hospital policies.
- Implemented process improvements that increased operational efficiency within the billing department.
- Collaborated with insurance providers to verify coverage and facilitate claims processing.
- Streamlined billing processes, enhancing accuracy and reducing discrepancies in patient accounts.
- Led training sessions for staff on updated procedures and software systems related to patient accounts.
- Developed strategies to improve patient communication regarding billing and payment options.
- Analyzed account data to identify trends, driving improvements in revenue cycle management practices.
Patient Access Supervisor
Alisal Community Hospital
Salinas, CA
03.1981 - 08.1992
- Supervised patient access operations, ensuring compliance with hospital policies and regulations.
- Streamlined patient registration process by implementing efficient workflows and reducing wait times.
- Championed a culture of continuous improvement by encouraging staff members to share ideas and suggestions that could enhance overall departmental performance or patient satisfaction rates.
- Trained and mentored staff on best practices for patient registration processes.
- Streamlined workflow procedures to enhance efficiency in patient intake and information management.
- Implemented new scheduling systems, improving appointment accuracy and reducing wait times.
- Collaborated with clinical teams to address patient concerns and optimize service delivery.
- Developed training materials for ongoing staff education on software tools and patient engagement strategies.
- Analyzed performance metrics to identify areas for improvement in access services.
- Reduced employee turnover rate by fostering a positive work environment and providing ongoing support for professional development opportunities.
- Implemented performance metrics to track department productivity, identifying areas for improvement and driving overall efficiency gains.
- Established strong relationships with insurance providers through effective communication channels to expedite claim processing activities when necessary.
- Facilitated cross-functional collaboration between departments to streamline processes and provide seamless patient care services.
Education
High School Diploma -
North Salinas High
Salinas, CASkills
- HIPAA compliance
- Insurance verification
- Insurance billing
- Medical billing
- Medical Billing Understanding
- Follow-up skills
- Medical terminology knowledge
- Data entry proficiency
- Strong empathy
Languages
Spanish
Native or Bilingual
Timeline
Patient Account Representative
Clinica De Salud Del Valle De Salinas
04.2014 - 01.2024
Patient Account Supervisor
Community Hospital of the Monterey Peninsula
12.1992 - 09.2012
Patient Access Supervisor
Alisal Community Hospital
03.1981 - 08.1992
High School Diploma -
North Salinas High