Eric Alcantar

Under direct supervision of the Payor Authorization Coordinator, performs specialized functions for SHC patients by completing all activities related to insurance verification and securing authorization. These activities are performed in accordance with established Stanford Health Care regulations, policies and procedures. Has knowledge of healthcare payers, such as Medicare, Medi-Cal, Workers Comp, and all Managed Care plans as well as State and Federal regulations.

• Established financial arrangements for self-pay patients.
• Accurately reviews over 120 patient accounts daily.
• Resolved complex insurance and customer payment issues by providing options or escalating problems to supervisors.
• Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
• Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.

Primarily responsible for the processing, recording, and the accuracy of patient billings, and a resource for patients when they have questions. Work with Marketing to make the community aware of EPIC/Beaver offerings. Developing and conducting patient orientation in a friendly and informative manner. Familiar with all systems and work flows provided within the Center. Ability to develop correspondence and create patient notification. Participate in a team environment that includes open communication, trust, accountability, and mutual respect.

Worked under general and direct supervision to perform various routine and complex clerical duties as defined in department operating procedures or supervisory instructions; dealt regularly with other clinic or support operations personnel, patients, and other visitors to ensure excellent internal and public relations; worked directly with insurance representatives and other vendors, suppliers, and sources to complete tasks; and processed a high volume of transactions with accuracy.

• Scheduled and registered appointments using Booker scheduling programs.
• Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing and coding questions.
• Prepared medical records for chart audits according to front desk and charge entry audit policy.

Responsible for creating and editing recordings, setting up equipment in studio, following client specifications, and meeting project deadlines.