Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying patients needs and concerns to improve engagement strategies and overall service.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Patient Access Representative III
University Of California San Diego| UCSD Medical Center
12.2022 - Current
Providing excellent customer service by promptly answering patient inquiries.
Collected and entered patient demographic and insurance data into EPIC to establish patient's medical record.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Collected co pay and pre-payment fees using credit card terminals
Inputs all requests for services received via fax or phone into system accurately for electronically generated authorization and tracking
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Responsible for the patient admission, registration and verification of insurances
Faxed and transmitted pre authorizations for services.
Requested and processed letters of agreements from non-contracted payors
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Requests submission of appropriate medical records according to established criteria for requested service(s) in accordance with the corresponding Policy and Procedure
Trained new staff on hospital processes and procedures.
Responsible for scheduling various types of patient appointments from simple office visits to very complex surgical and medical procedures
Resolved patient billing issues in line with established guidelines.
Obtain pertinent clinical data, such as reason for exam, previous related studies, patient preps, and safety questions along with scripts from physician’s office
Cross trained in Emergency Department, Admissions, and Radiology.
Patient Services Representative / Billing Support
UCSD PEDIATRICS| Radys Physician’s Management
07.2021 - 12.2022
Responsible for greeting/checking in patients with accuracy and efficiency
Utilizes the Epic system to verify insurance
Used effective listening and communication skills to provide an easy and efficient customer experience
Handled heavy inbound calls in very fast paced environment
Schedule appointments as needed per doctors’ notes
Assist patients with referral requests and faxes
Scan required documents into epic media manager
Demonstrate the ability to learn and implement process flows as trained
Demonstrate outstanding customer service in every situation
Process copayments and past due balances
Assist patients with MYCHART sign up and navigation
Used Microsoft office application to communicate and create reports
Assist patients with creating various letters like school excuse, identity, and immunization summaries
Scan and file income faxes for physicians.
Customer Service Representative
GEICO
07.2019 - 04.2021
Provided excellent customer service by showcasing expertise, fostering trust, and growing customer satisfaction
Used effective listening and communication skills to provide an easy and efficient customer experience
Handled heavy inbound calls in very fast paced environment
Advised customers on insurance needs to ensure they are properly protected
Processed endorsements
Implemented coaching plans provided by supervisors
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Maintained required metric ratings
Processed payments and resolved billing inquiries
Counseled customers on additional services offered and explained the benefits of bundling services
Used Microsoft office application to communicate and create reports
Used systems Edge, Insite, and Oasis to process changes and endorsements on customer policies.
Updated account information to maintain customer records.
Administrative Assistant
R.F. Macdonald
03.2018 - 06.2019
Maintain calendars including outlook calendars, meeting calendars and others as assigned
Screened calls, take messages, respond to inquiries and request for information as directed
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Handle heavy inbound calls for service requests and emergencies
Set up work orders for technicians
Dispatch technicians to different job sites
Maintain office filing system including paper files/file cabinets, shared electronic files
Implement and maintain file naming convention for shared electronic files
Type correspondence reports, forms, and a variety of other documents from rough drafts or oral instructions
University Of California San Diego| UCSD Medical Center
12.2022 - Current
Patient Services Representative / Billing Support
UCSD PEDIATRICS| Radys Physician’s Management
07.2021 - 12.2022
Customer Service Representative
GEICO
07.2019 - 04.2021
Administrative Assistant
R.F. Macdonald
03.2018 - 06.2019
High School Diploma -
Mission Bay High School
Medical Terminology Training - 2022
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