Alyssa Arellano
Yuma,AZ
Summary
Highly motivated with a passion for leading successful teams. With over 18 years of hospital- based healthcare experience and EHR software knowledge. Possesses excellent communication and critical thinking skills. I look forward to utilizing my experience, knowledge and abilities to complete assigned task and duties to provide a positive contribution to both the organization and the patient experience.
Overview
20
20
years of professional experience
Work History
Patient Access Supervisor
Yuma Regional Medical Center
Yuma
01.2018 - Current
- Provides direct supervision to employees engaged in scheduling, registration, insurance verification, verifying practitioners’ orders
- Resolve patient, Management and physician concerns regarding area of responsibility
- Provides director with regular updates of performance data monthly
- Monitors registration accuracy to ensure accuracy goals are met
- Monitors monthly point of service collections to ensure goals are obtained
- Assist director with the monitoring of productivity, to optimize utilization of staff resources
- Sustains departmental budget for supplies
- Coordinates evaluates, develops and revises developmental standard operating procedures and tip sheets
- Ensure appropriate staff are available to meet the business needs
- Set clear work expectations and coach employees as needed for success
- Develops and presents training needs and solutions for performance problems
- Conducts team meetings and huddles
- Provide team with organization updates
- Collaborates with Graduate Medical Education team to properly enter providers scheduling templates into EPIC
- Mentor patient access supervisors
- Onboarding new hires, complete 30, 60 and, 90 day, evaluations
- Oversee team members attendance and punctuality
- Actively collaborate with Practice mangers to complete assigned MIDAS
- Completion of annual performance appraisals.
Patient Access Representative III
Rady Children’s Hospital
01.2012 - 01.2017
- Initiate authorization requests to insurance companies and programs for Occupational Therapy by securing all required information and medical justification to comply with established policies and procedures
- (Physical, Occupational and Speech therapy)
- Manage therapist’s treatment schedules based on the therapist’s specialty and allotted times per treatments
- Assist therapists with clerical support as needed
- Contact physicians for required support documentation/justifications as needed
- Knowledge of third-party payers including federal, state and private health plans
- International authorization submission and obtaining approvals for services via communication with the embassy of the appropriate country
- Verification of patient’s benefits and eligibility
- Provide appropriate medical business information and or instructions to/from patient families, legal guardians and funding sources as needed
- Department deposits
- Collecting of co-payments by following insurance and our company’s process and guidelines
- Apply self-pay processes
- Process of billing workflows initiated for payment processing
- Answer multi-purpose lines
- Other duties as assigned.
Outpatient Representative I
El Centro Regional Medical Center
El Centro
01.2004 - 01.2012
- Manage patients waiting time
- Check in patients as they arrive for scheduled visits, obtain insurance information and physicians’ orders for required exams and procedures
- Contact physician’s offices to obtain additional data as needed
- Assist customers with registration and pre-registration for various medical procedures
- Assist customers with the hospital admitting process
- Obtain authorization from insurance companies for medical procedures by obtaining required documentation and information from the physician by following established procedures and requirements from both our medical facility and the insurance companies
- Assist with outpatient ambulatory surgery processing for various treatments and procedures such as endoscopies, colonoscopies, epidurals, same day surgery
- Processed electronic Treatment Authorization Requests (TAR’s) for various medical procedures
- The process/steps are followed through from initiation of the TAR up until authorization is obtained
- Once authorization was obtained the corresponding testing department was notified
- Verify insurance benefits and eligibility
- Collect co-payments and or deposits as needed
- Answer multi-line phone system and transferred calls as required
- Communicate with various departments for internal patient transfers and or new patient admits
- Other duties as assigned.
Skills
- Bilingual – English/Spanish
- Interpersonal communication
- Problem solving
- Active listening
- Communication
- Customer service
- Effective problem solving
- Team Management
- work quality evaluation
- Financial procedure adherence
- Regulatory Compliance
- Relationship Building
Education And Certifications
- Central Union High School – Graduated 2004
- Some college courses
- ETAR training (processing of TAR’s)
- HIPPA training
- Customer Service – First Impressions Academy
- A3 problem solving
- Link: Hiring Well
- Link: Generations
- Link: Coping with stress
- Link: Corrective and Preventative Action
Professional Highlights
- Developed basic training packet for patient access Primary Care
- Patient Access Supervisor mentor
- Professional and energetic work attitude
- Created SOP’s for Patient Access Primary workflow processes
- Revenue Cycle Workque super user- Patient Access
- Ability to work as a team member
- Accept and delegate responsibilities as needed to efficiently complete assigned tasks
- Bilingual – English/Spanish
Timeline
Patient Access Supervisor
Yuma Regional Medical Center
01.2018 - Current
Patient Access Representative III
Rady Children’s Hospital
01.2012 - 01.2017
Outpatient Representative I
El Centro Regional Medical Center
01.2004 - 01.2012