Araceli Reyes
Summary
Dynamic and results-oriented professional with extensive experience in healthcare administration and customer service, notably at Seton Family of Hospitals. Excelled in multitasking and maintaining meticulous attention to detail, ensuring operational excellence. Proven track record in enhancing team collaboration and delivering exceptional support to both patients and staff. Proficient in bilingual communication, embodying a friendly and positive attitude.
Overview
10
10
years of professional experience
Work History
Assistant Office Operations
Seton Family of Hospitals
Austin, TX
11.2022 - Current
- Provide administrative and clerical support to patients, healthcare offices and assigned area
- Communicate with patients, staff, and providers to accurately schedule patients for appropriate appointments
- Greet patients and visitors, check patients in and out, and obtain necessary documentation
- Enter, review and collect co-payments and reconcile all daily
- Skilled at working independently and collaboratively in a team environment
- Excellent communication skills, both verbal and written
- Gather necessary demographic, insurance and clinical information from patient to appropriate database
- Demonstrated respect, friendliness and willingness to help wherever needed
- Assist with day-to-day operations, working efficiently and productively with all team members
- Obtain and verify insurance authorizations/referrals. Complete medical records requests and schedule/confirm patient appointments
- Perform several one on one and group training sessions for new hires
- Maintain and manage spreadsheet to track pending office visit authorizations/referrals
Patient Access Representative
Ascension Seton
Austin, TX
07.2018 - 11.2022
- Performs administrative work in support of pediatric specialties
- Answers over 400 inbound calls quarterly to schedule doctor appointments
- Performs outbound calls to patients' and providers office regarding referrals and scheduling
- Collects, reviews and document demographics, insurance and financial information with patients' and payers
- Review rules and clinic preferences to provide the best care to patients'
- Review and complete incoming referrals and ensured they were addressed in a timely manner
- Provide outstanding customer service to all internal and external customers including our patients', colleagues, physicians and insurance companies
- Ensure quality assurance is used with all customers to offer the best care
- Assisted one on one and group training for various new hires
Program Specialist
Sendero Health Plans
Austin, TX
03.2017 - 09.2017
- Performed administrative work in support of a healthcare insurance plan
- Made outbound calls to providers' office to verify their billing information
- Daily task of printing, mailing and stamping out approval of preauthorization forms to members of insurance plan
- Received incoming phone calls and contact form submissions and provided timely responses to inquiries
- Answered inbound calls from providers office and members of the insurance plan
- Built strong relationships with external partners to secure resources and support necessary for program success.
- Verified ICD codes to correctly identify if a procedure needed preauthorizations
- Interviewed and recommended team members for hire.
Claims Processor
Veterans Affairs
Austin, TX
12.2015 - 03.2017
- Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Reviewed applications and supporting documents to verify claims eligibility and accuracy.
- Managed workload and priorities to meet claims processing meet deadlines.
- Performed document handling, identifying various claims, related forms needing data entry submitted electronically
- Utilized multiple software applications to enter, review and update information
- Input forms completed by the physicians' to ensure correct diagnosis codes, dates and all information is correct to assist the patient in their claims
Teacher's Assistant
Child Craft Schools
Austin, TX
08.2014 - 02.2015
- Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
- Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
- Supported student learning objectives through personalized and small group assistance.
- Worked with lead teacher to monitor class schedule and take attendance.
- Reinforced lessons presented by teacher
- Reviewed learning materials with students one-on-one and in small groups
- Enforced school and class rules to help teach students proper behavior
Education
High School Diploma -
Premier High School
Austin, TXSkills
- Friendly, Positive Attitude
- Teamwork and Collaboration
- Customer Service
- Bilingual
- Attention to Detail
- Multitasking Abilities
- Dependable and Responsible
- Excellent Communication
- Organization and Time Management
Languages
Spanish
Native or Bilingual
Timeline
Assistant Office Operations
Seton Family of Hospitals
11.2022 - Current
Patient Access Representative
Ascension Seton
07.2018 - 11.2022
Program Specialist
Sendero Health Plans
03.2017 - 09.2017
Claims Processor
Veterans Affairs
12.2015 - 03.2017
Teacher's Assistant
Child Craft Schools
08.2014 - 02.2015
High School Diploma -
Premier High School