Alejandra Serrato
San Antonio,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
5
5
years of professional experience
Work History
Patient Access Representative
University of Texas Health - Spine Center
San Antonio, TX
10.2023 - 02.2024
- Managed a high volume of calls, up to 60 per day, in a remote call center, ensuring excellent patient care
- Consistently maintained call quality assessment scores of 95% - 100% for productivity
- Interviewed patients which included obtaining complete and accurate patient demographics, including entering and verifying insurance information
- Maintained a safe and secure remote work environment while adhering to HIPAA guidelines
- Coordinated and maintained communication in a professional manner with clinical staff to provide patient care.
- Verified insurance coverage for services provided by the facility.
- Ensured accuracy of all data entered into computer system.
Insurance Specialist
Texas Nerve & Paralysis Institute - Dr. Rahul K. Nath
Houston, TX
08.2021 - 08.2023
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
Medical Records Clerk/ Receptionist
Texas Nerve & Paralysis Institute - Dr. Rahul K. Nath
Houston, TX
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Managed release of information requests and identified requestors as patient, relation or provider.
- Updated patient files with new medical information as needed.
- Entered data into electronic health record systems.
- Reviewed patient charts for accuracy and completeness.
Front Desk Representative
Rodeo Dental & Orthodontics
Houston, TX
04.2020 - 05.2021
- Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within high-volume environment.
- Answered incoming calls, scheduled appointments, and confirmed patient visits.
- Maintained accurate records of patient treatment plans, medical histories, and financial transactions.
- Verified patient's eligibility for benefits under various insurance plans.
- Served as a liaison between patients and treating doctors.
- Collected payments from patients in accordance with established policies and procedures.
- Greeted patients in a friendly and courteous manner.
- Earned employee of the month twice for embodying “patient first” service, honesty and integrity
Receptionist
Cole Health
Houston, TX
10.2018 - 03.2020
- Managed therapist and interpreter schedules
- Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
- Maintained a neat reception area by organizing materials and tidying up furniture.
- Verified Medicaid and CHIP insurances
- Maintained medical records to protect patient confidentiality
- Collaborated with the clinic director to improve patient experience
- Collected appropriate documentation and signatures from parents during the registration process
- Promptly answered incoming telephone calls and provided customer service to resolve issues accordingly.
Education
Highschool Diploma -
YES Prep Public Schools
06.2017
Accrued 30 credit hours -
San Jacinto Community College
Skills
- Proficient in computer navigation systems with expertise in Microsoft Office software programs including Word, Excel and Teams
- Knowledgeable in CPT and ICD-10 medical coding
- Problem-Solving
- Customer Service
- EMR
- Data Analysis
- Time Management
- Decision-Making
- Team Collaboration
- Conflict Resolution
Languages
Spanish
Native/ Bilingual
Timeline
Patient Access Representative
University of Texas Health - Spine Center
10.2023 - 02.2024
Insurance Specialist
Texas Nerve & Paralysis Institute - Dr. Rahul K. Nath
08.2021 - 08.2023
Front Desk Representative
Rodeo Dental & Orthodontics
04.2020 - 05.2021
Receptionist
Cole Health
10.2018 - 03.2020
Medical Records Clerk/ Receptionist
Texas Nerve & Paralysis Institute - Dr. Rahul K. Nath
Highschool Diploma -
YES Prep Public Schools
Accrued 30 credit hours -
San Jacinto Community College
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