Alana Ramirez
Lubbock
Summary
Dynamic Patient Service Specialist with extensive experience at University Medical Center, excelling in insurance verification and patient registration. Proven ability to enhance patient satisfaction through effective communication and problem-solving skills. Committed to maintaining HIPAA compliance while streamlining appointment scheduling and ensuring accurate data management.
Overview
6
6
years of professional experience
Work History
Patient Service Specialist
University Medical Center, UMC
Lubbock
06.2024 - Current
- Verified patient coverage prior to appointment scheduling.
- Maintained knowledge of current insurance requirements for billing purposes.
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
- Processed insurance verifications and authorizations to ensure coverage of services.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
- Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
- Scheduled appointments and managed patient records using electronic health record software.
- Collaborated with insurance companies to resolve billing discrepancies and pre-certification issues.
- Guided patients through the completion of consent and other required medical forms.
- Applied HIPAA privacy and security regulations while handling patient information.
- Identified trends in denials or rejections of claims and worked to resolve them quickly.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
- Answered incoming calls and responded to inquiries in a timely manner.
- Worked with cross-functional teams to achieve goals.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Patient Access Representative
Covenant Children's Hospital
Lubbock
08.2022 - 10.2023
- Verified demographics and insurance information to register patients in computer system.
- Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
- Obtained informed consent and payment documentation from patients and filed in system.
- Ensured accuracy of all data entered into computer system.
- Assembled registration paperwork and placed identification bands on patient.
- Answered phones promptly in a professional manner.
- Scanned documents into electronic medical records system.
- Obtained necessary signatures for privacy laws and consent for treatment.
Patient Access Representative
Covenant Emergency Center
Lubbock
04.2019 - 10.2021
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
- Applied HIPAA privacy and security regulations while handling patient information.
- Guided patients through the completion of consent and other required medical forms.
- Facilitated patient registration, verifying all required documentation is collected and filed properly.
Education
High School Diploma -
Lubbock High
Lubbock, TX05-2016
Skills
- Appointment scheduling
- Insurance verification
- Patient registration
- Customer service
- Patient check-in
- Attention to detail
- Multitasking Abilities
- Time management
- Problem solving
- HIPAA compliance
- Effective communication
- Insurance authorizations
Timeline
Patient Service Specialist
University Medical Center, UMC
06.2024 - Current
Patient Access Representative
Covenant Children's Hospital
08.2022 - 10.2023
Patient Access Representative
Covenant Emergency Center
04.2019 - 10.2021
High School Diploma -
Lubbock High
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