Abigail Ortiz
Azusa,CA
Summary
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 client needs and concerns to improve engagement strategies and overall service.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Patient Relations Liaison
Optum
09.2017 - Current
- Assisted patients with Billing concerns
- Assisted providers in Coding corrections.
- Responsible for Health Plan grievances.
- Responsible for growth and Retention of senior membership
- Facilitated communication between patients and various departments and staff.
- Applied administrative knowledge and courtesy to explain procedures and services to patients and also staff.
- Offered simple, clear explanations to help clients and families understand office policies and procedures.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Developed and maintained courteous and effective working relationships.
Lead Front Desk Receptionist
HealthCare Partners Medical Group
01.2014 - 09.2017
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Scheduled appointments, collected copays
- Scanning Medical Records
- Transcribed phone messages and relayed to appropriate personnel.
- Collected room deposits, fees and payments.
- Kept accounts in balance and ran daily reports to verify totals.
- Monitored office supplies by checking inventory and placing orders.
Program Specialist
BHC Alhambra Hospital
08.2011 - 12.2013
- Monitor and Evaluate Patients in Acute Psychiatric Unit.
- Observe patient to detect behavior patterns and report to observation to medical staff.
- Intervene to restrain violent or potentially violent or suicidal patient by verbal or physical means as required.
- Charting progress notes in patients’ medical chart. Took and recorded vitals properly.
- Utilized sound judgement during assessment and observed and documented changes in patient’s appearance, behavior, or ability to work towards treatment plan goals.
- Communicated changes in patients’ conditions to Charge -Nurse. Individualized plan of care including goals and interventions. Completed initial admission and discharge procedure to facility
Education
CERTIFICATE - Medical Coding And Billing
Azusa Adult School
Glendora, CA06.2014
High School Diploma -
San Gabriel High School
San Gabriel, CA06.2005
Skills
- High Quality Customer Service
- Excellent Verbal and written communication
- Organizational
- Experience with Medical Coding
- Knowledge with ICD-10, CPT
- Computer Proficiency with Microsoft, Excel, power point
- Attentive to Detail
- Administrative experience
- Fast acting problem solving and decision making
- Bilingual in Spanish and English
- Leadership Experience
- Insurance Knowledge and verification
Certification
Certified in Medical Terminology
Certified in Medical Coding and Billing
Timeline
Patient Relations Liaison
Optum
09.2017 - Current
Lead Front Desk Receptionist
HealthCare Partners Medical Group
01.2014 - 09.2017
Program Specialist
BHC Alhambra Hospital
08.2011 - 12.2013
CERTIFICATE - Medical Coding And Billing
Azusa Adult School
High School Diploma -
San Gabriel High School
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