Open To Work
Hi, I’m
Amalia Ayala
Health care Representative
Hamden,CT
Work Preference
Work History
Yale New Haven Hospital
Patient Financial Access Specialist/Emergency Room Registrar
05.2005 - Current
Job overview
- Responsible for patient registration in the Emergency Department (EDR) for multiple campus locations including Pediatric ED
- Admitting Department and Labor and Birth Maternity Administration.
- Ensure all patient registration is accurately entered in the EPIC system including demographic, insurance, and financial information.
- In-depth knowledge of the hospital's operations, policies, procedures, and handling of highly confidential information
- Trained new staff.
- Facilitated communication between providers, patients, and insurance companies to resolve any issues related to coverage or authorization requests effectively.
- Provide exceptional customer service while managing high call volumes, addressing inquiries quickly, and maintaining professionalism at all times.
- Maintained strict confidentiality of sensitive patient data in compliance with HIPAA regulations, safeguarding personal information from unauthorized access or disclosure.
- Leveraged knowledge of various software platforms to optimize management of patient information. Assist with daily work tasks development workflow delegation.
- Organized and detail-oriented with strong work ethic. Adaptable and proficient in learning new concepts quickly and efficiently.
- Exercised leadership capabilities by successfully motivating and inspiring others. Demonstrate creativity and resourcefulness through development of innovative solutions.
- Answered phone calls and messages for the Admitting Department, Maternity, Direct Admit, scheduled appointments, and handled patient inquiries.
Connecticut Children's Medical Center
Administrative Assistant/ER Specialist
09.2003 - 05.2005
Job overview
- Responsible for coordinating the pre-registration process for patients including insurance verification and billing for patient accounts
- Managed communications concerning patients' financial matters including communicating costs to patients' family
- Identified problems of eligibility for outpatient services and ensured proper resolution on time.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
Anthem Blue Cross Blue Shield
Medical Claims Examiner
01.1989 - 09.2003
Job overview
- Responsible for reviewing claims to ensure proper guidelines and processes have been followed in submission
- Process claims including documenting and validating all information for accuracy and completeness
- Reviewed claims to determine if costs were reasonable for services provided
- Resolved medical claims by approving or denying documentation, calculating benefit due, initiating payment, or composing a denial letter
- Ensured files were kept current to reflect all appropriate forms, statements, and reports
- Assist medical billing and reimbursement teams with front-end processing to ensure payments were processed in a timely manner
- Knowledgeable of medical terminology and procedures and leveraged information to ensure claims contained proper naming convention.
Education
Albertus Magnus CollegeNew Haven, CT
MBA from Business Administration And Management
05.2024
University Overview
- Scholarship Recipient
Albertus Magnus CollegeNew Haven, CT
Bachelor of Science from Business Administration And Management
05.2023
University Overview
- The National Catholic Honor Society
- Awarded Kappa Gamma PI Certificate
- Cum Laude
- Dean's List
Albertus Magnus CollegeNew Haven, CT
Associate of Science from Business Administration
05.2021
University Overview
- Dean's List
Skills
- Spanish Fluency
- Claims Handling and Coverage Verification
- Caring and Empathetic
- Customer Service
- Communicating to Patients and Families
- Insurance verifying
- Punctual and Hardworking
- Building Rapport and Credibility
- Word Processing
- Reliability and Dedication
- Medical Services Administration
- Patient interviewing
- Benefits Explanation
- Data Collection
- Providing Information and Resources
- Professional Bedside Manner
Timeline
Patient Financial Access Specialist/Emergency Room Registrar
Yale New Haven Hospital
05.2005 - Current
Administrative Assistant/ER Specialist
Connecticut Children's Medical Center
09.2003 - 05.2005
Medical Claims Examiner
Anthem Blue Cross Blue Shield
01.1989 - 09.2003
Albertus Magnus College
MBA from Business Administration And Management
Albertus Magnus College
Bachelor of Science from Business Administration And Management
Albertus Magnus College
Associate of Science from Business Administration
Languages
Spanish
Native or Bilingual
Academic Awards
Academic Awards
Deans List, 09/01/19, 2020,2021,2022,2023,2024
Kappa Gamma Pi
The National Catholic College Graduate Honor Society
Cum Laude
References
References
Maria Melendez, New Haven, CT, Mayors Office, 203-946-8200
Michelle Mastrianni, New Haven, CT, Yale Health Plan, 203-688-4242
Danette Barnett, New Haven, CT, Yale Health Plan, 203-688-5135
John Leavitt, New Haven, CT, Yale Health Plan, 203-688-4246
Hobbies and Interests
Hobbies and Interests
- Reading
- Cooking