ANGELICA ROMERO

• Answering phones, scheduling, canceling, re-scheduling patients appointments and / or consults , overbooking providers availability.
• Monitoring appointments, creating Add New Requests, processing RTC’s
• Entering No Shows
• EMR records
• Setting priorities and deadlines
• Adjusting the flow sequencing of the work to meet team and patients needs
• Monitoring pre-appointments requirements to assure readiness for patient visit / procedure (Xray , surgery procedure, dialysis,labs)
• Performing administrative FollowUps
• Ability to communicate electronically and by phone
• Ability to collaborate and communicate with wide range of medical clinicians across multiple disciplines ( medical Registered Nurses, Social Workers , Dietitians)
• Assist with communications during inpatient to outpatient discharge
• Enters appropriate information into electronic records
• Scheduling for CBOC,NUTRITION,HTK GRP,CAREGIVER SUPPORT/FUNCTIONAL ASSESSMENT SOCIAL WORKERS, ADVANCED DIRECTIVE,TUC RENAL INTERD PHARMACY/NUTRITION,MOVE PROGRAM,PROSTHETICS,CHAPLAIN,TELE-DERM/TELE-EYE,NUTRITION DIAB,WOMENS HEALTH,HEALTH BEHAVIOR COORDINATOR,WOMEN VETERANS PROGRAM
• Evaluate patient information and clinic schedule list to determine whether the patient requires an immediate appointment
• Updating patient demographics
• Verification of providers orders
• Maintain appointments of scheduling for one or more outpatient clinics
• Schedule patient’s future appointments
• Contacts patients to remind them of their scheduled appointments, calls patients who have not responded to recall reminders and, if necessary, enters notes into CPRS ,CTM, ISS,GUI
• Reports and reminds them of appointments and reschedules if requested
• Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics, and make adjustments as necessary
• Ability to organize work, set priorities, and delegate tasks/ responsibilities in order to meet deadlines
• Ability to provide staff development and training
• Identifies incomplete encounters and communicates findings to providers

• Answering phones
• Processing paperwork
• Faxes
• ICD CODES
• Filing Cases
• Check in/Check out
• Processing Payments
• TOS
• Scheduling Appointments
• Registration
• Verifying Insurance
• EMR
• Systems (Athena)
• Obtains patient demographics ,verifies insurance
• Self pays
• Scan’s insurance and photo ID
• Copying Faxing Filing Documents
• Collecting Co Payments
• Billing/Statements

Communication with social workers, case workers upon patient discharge planning needs, transfer discharge

• Verifies patient demographic’s, accurately updates in EHR/EMR, verify 3rd party insurance
• Obtaining appropriate completed forms, documenting accounts
• Proficiency with multiple service's, including web based, insurance collection system, scanning, multiple phone lines, electronic faxing
• Interviewing patient's by phone and or bedside, obtain and update inpatient and outpatient electronic records
• Ability to communicate messages with appropriate staff inside or outside the unit
• Supports and assists consumers with public access with enrollment HEAPLUS and ACA MARKETPLACE application's
• Conducts interviews with patient’s and or/ family members while in house
• Records and maintains documentations of activities performed on account’s-and during patient account cycle
• Answering and responding to all incomings calls, emails and inquires-in timely and effective manner
• Keeping track on an Excel Spreadsheet for Proof Of Eligibility’s (POE)
• Notifies hospitals case management, social services and admission staff of case screenings determinations and outcomes via verbal and written communication
• Communicate’s effectively through Written, Verbal and interpersonal skills as applied when interacting with employee’s, internal/ external clients , patients or visitors.
• Patient Registrations/Data Entry/Applications
• Obtaining all necessary Signatures
• Cancels accounts that have not had any cooperations and are not eligible for any programs and prepares accounts for Financial Assistance Reviews
• Multiple payer experience
• Schedule Follow Ups
• Follows up on assigned accounts to ensure follow through on Government Applications Submitted. Following on accounts to be processed quickly with Government Programs Eligibility
• Provides needed documentation to insurance companies such as AHCCCS/ (CFS) FINANCIAL ASSISTANCE accordance with mandated insurance regulations via fax, online or by phone or email.
• Communicates with patients regarding their outstanding balance. Providing explanations and next step actions.
• Computer skills with emphasis on Outlook, Cerner, Advocatia,ACE ,Excel, AHCCCS APPLICATION Online,HEAPlus on line
• Obtain insurance information from a patient that has not provided insurance at the time of Admission
• Patient screening’s on Victims Of a Crime /Workplace Injury/Illness/Auto Accident
• Screening patients Inpatient/ER by Bedside or by Phone
• Email Out Of State to Verify Eligibility
• Do skip traces on balances over 15K
• ICD-10
• EMR/EHR
• HCPCS
• Reject Self Pay accounts that already have insurance
• Verify Demographics, Facesheets, Eligibility
• Verify SSI/Pension/VA Benefits

• Answering phones
• Processing paperwork
• Faxes
• ICD CODES
• Referrals
• Filing Cases
• Refills
• Check in/Check out
• Processing Payments
• TOS
• Scheduling Appointments
• Registration
• Verifying Insurance
• EMR
• Systems (Athena)
• Obtains patient demographics ,insurance
• Scan’s insurance and photo ID
• Copying Faxing Filing Documents
• Collecting Co Payments
• Billing/Statements

• Processing Payments by ACH or Debit Cards
• Balance Inquiry
• Payment Float
• Balance Transfer
• Authorizations
• Transactions
• Registration Online
• Credit Cards
• Delinquent Accounts
• Closed /Reopen
• Cash Advance
• Statements/Billings
• APR/interest rates
• Costco Rewards Cash
• Costco Membership Rewards
• Credit Limit Increases
• Billing Adjustments and Refunds
• Billing Disputes
• Filing Complaints
• Late Fee/Interest Charge
• Payment investigations

• Performs Pre-Registration,Data Entry,Intake Forms
• Obtain information regarding refills, clinical questions, referrals,services. Enter documentation and communication within EMR for non urgent clinical calls
• Work with Hospitals, clinics, and Facilities
• Provides assistance with certified mail, copying, faxes chart retrieval
• Scan insurance cards and photo ID
• Check-in/Check-out patient
• Verifies insurance and eligibility benefits
• Scheduling appointments, confirming appointments, rescheduling appointments
• Athena systems
• Accurately post payments received, accurately codes and enter all daily encounter forms as required, balance cash and register TOS at the end of the day
• Communicate by phone, in person, electronically and in writing, with internal and external customers
• Excellent Verbal and Written communication skills, preparing written correspondence to notify patients of lab results
• Answered multi-line phone system and greeted callers enthusiastically.
• Copying, faxing and filing documents.
• Obtains patient demographics ,insurance information and necessary documents required to secure authorization, referrals.
• Collect Co-pays and post charges

• Developes and maintain a working knowledge of current products and service and Medicare, Medicaid insurance regulations
• Manages all aspects of intake; answering the phone and receiving faxes, collecting patient and referral source information, printing tickets, assembling charts and processing paperwork
• Process paperwork confirms tickets, inputs New Patient Set Ups and assemble charts
• Provides service for all retail/walk-in equipment request
• Knowledge of Durable Medical Equipment
• Work with Hospitals, clinics, and Facilities
• Verifying updating Demographics,Facesheet,LPM,order,facesheets
• Assist in obtaining or validating pre-certification, referral’s, and authorization
• Secures medical necessity checks/verification in accordance to Medicare and Medicaid services, verifies insurance, benefits, coverage and eligibility, completes assigned registration, obtains insurance authorization for scheduled & unscheduled hospital services
• Scheduling appointments, confirming appointments, rescheduling appointments
• Verifying and responding to electronic orders, consult
• Complete SOP/CMNs and documents on tracking log
• Collections
• Data entry on New Oxygen orders, Cpap, Bipap, Nwpt,Ventilators, Nebulizer
• Inpatient to outpatient discharge
• Eintake systems
• Enters documentation and communication within EMR
• Communicate by phone, in person, electronically and in writing, with internal, and external customers
• Excellent Verbal and Written communication skills, preparing written correspondence to notify patients of lab results

• Answering average of 100 calls, addressing customer inquiries, solving problems and providing product information
• Processing New Accounts
• Transfer of Service
• Payment Arrangements
• Verify Usuage
• Retrieves Meter Reads
• Delinquent Accounts
• Verifying Electric Bill
• Collections
• Past Payments
• Verify Usage
• Processing Payments by debit or credit card
• Open/Close customer request
• Average Billing
• Monthly Billing/Pre pay services