Bianca De La Hoya
Baldwin Park
Summary
Accomplished professional with expertise in insurance verification and front desk operations, honed throughout my career. Proven ability to enhance workflow efficiency and ensure data accuracy. Strong work ethic and adept at problem-solving, contributing to improved patient satisfaction and streamlined processes. Proficient in HIPAA compliance and data entry, driving operational excellence.
Overview
10
10
years of professional experience
Work History
Night Auditor
Evergreen Lodge
05.2025 - Current
- Processed daily financial transactions and reconciled cash drawers to ensure accuracy.
- Assisted in maintaining guest records and managing reservations efficiently.
- Responded to guest inquiries and resolved issues to enhance satisfaction.
- Conducted nightly audits of hotel operations, ensuring compliance with procedures.
- Responded to guest inquiries, providing information about hotel amenities and services.
- Handled cash and credit transactions for room payments efficiently.
- Assisted in training new staff on front desk procedures and customer service protocols.
Patient Registration Representative
PIH Health Hospital - Whittier
07.2024 - 01.2025
- Assisted patients with registration processes, ensuring accurate data entry and compliance with hospital protocols.
- Coordinated patient check-in procedures to enhance workflow efficiency and reduce wait times.
- Maintained electronic health records system, updating patient information and verifying insurance details.
- Provided exceptional customer service by addressing patient inquiries and resolving registration-related issues.
- Verified patient insurance information, facilitating smooth billing processes and reducing claim denials.
- Coordinated communication between medical staff and patients to enhance service quality and satisfaction.
- Handled patient inquiries promptly, demonstrating adaptability in fast-paced environments while providing support.
Patient Access Representative
Cedars Sinai Hospital
04.2024 - 07.2024
- Assisted patients in understanding insurance coverage and financial obligations for services rendered.
- Verified patient information and maintained accurate records in electronic health record systems.
- Assisted with updating patinet information from an old system to new program
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Insurance Verification Specialist
Hoag Medical Group
12.2023 - 04.2024
- Processed insurance verifications for patient appointments, ensuring timely approvals and seamless access to care.
- Maintained accurate patient records in electronic health record (EHR) systems, enhancing data integrity and accessibility.
- Monitored authorization requests, adhering to compliance guidelines and optimizing workflow efficiency.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
Financial Services Representative
City of Hope National Medical Center
01.2020 - 01.2023
- Educated patients on insurance benefits and claims procedures clearly and concisely.
- Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
- Enhanced data accuracy by meticulously updating patient records and insurance information in the system.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and other applicable regulations in all aspects of the role.
- Ensured accurate medical records, diligently verifying insurance information and patient demographics.
- Coordinated with medical professionals to ensure accurate insurance verification and authorization.
Referral Specialist
Altamed Medical Group
08.2015 - 09.2018
- Coordinated referral processes to enhance patient access to services and specialists.
- Streamlined communication between healthcare providers and patients for timely referrals.
- Educated patients on referral procedures, ensuring clarity and compliance with protocols.
- Facilitated timely prior authorization requests to ensure compliance with insurance guidelines.
- Reviewed and interpreted clinical documentation to determine coverage eligibility.
- Processed insurance authorization requests efficiently to ensure timely patient care.
Education
GED -
California Online
OnlineVocational Certificate -
United Education Institute
El Monte, CASkills
- Front desk operations
- Multitasking and organization
- Problem-solving
- Strong work ethic
- Insurance coverage verification
- HIPAA compliance
- Data entry proficiency
Timeline
Night Auditor
Evergreen Lodge
05.2025 - Current
Patient Registration Representative
PIH Health Hospital - Whittier
07.2024 - 01.2025
Patient Access Representative
Cedars Sinai Hospital
04.2024 - 07.2024
Insurance Verification Specialist
Hoag Medical Group
12.2023 - 04.2024
Financial Services Representative
City of Hope National Medical Center
01.2020 - 01.2023
Referral Specialist
Altamed Medical Group
08.2015 - 09.2018
GED -
California Online
Vocational Certificate -
United Education Institute