Knowledgeable and reliable professional with comprehensive background in customer service and patient relations. Consistently recognized for resolving complex issues and improving patient satisfaction. Demonstrated ability in fostering positive patient interactions and maintaining high work standards.
Overview
10
10
years of professional experience
Work History
Jr. Billing Follow Up Rep.
Bay Imaging Consultants
11.2024 - Current
Contact insurance companies to inquire about the status of unpaid claims and work to resolve any issues.
Address patient and insurance company questions regarding billing issues
Track and manage the progress of claims and follow-ups, ensuring timely resolution.
Verify the accuracy of payments and ensure they are correctly applied to accounts.
May include tasks like preparing invoices, entering billing information, and reconciling accounts.
Processed invoices and billing statements with accuracy and attention to detail.
Collaborated with cross-functional teams to resolve billing discrepancies efficiently.
Managed customer inquiries regarding billing issues, ensuring timely communication and resolution.
Enhanced customer satisfaction by promptly addressing and resolving billing inquiries or disputes.
Produced and mailed invoices, payment reminders, and financial notices.
Coordinated with other team members to streamline billing processes, resulting in reduced turnaround times for invoice generation and distribution.
Worked closely with the accounting department to ensure timely and accurate posting of client payments.
Processed and submitted medical claims using advanced billing software, ensuring compliance with industry standards.
Reviewed patient accounts for accuracy, identifying discrepancies and resolving issues promptly.
Clerk/Medical Office Assistant
Contra Costa Regional Medical Center Psych Emergency Services (Apple One)
07.2024 - 11.2024
Arrived patient's noting the accurate time and date.
Properly notated if the patient is admitted voluntarily or involuntarily.
Took proper precautions to safely interview patients to obtain correct demographics, insurance, and necessary signatures.
Used systems such as Medicare, Medi-Cal, and e-2-search to compile additional information for patients.
Arranged transportation to and from facilities.
Documented registration and discharges.
Informed incoming staff of any insurance or patient issues before the end of the shift.
Restocked and made notes of any needed supplies.
Managed patient registration processes, ensuring accuracy and compliance with health regulations.
Maintained up-to-date knowledge of insurance verification processes and eligibility criteria.
Completed registration paperwork, verifying accurate patient information.
Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
Managed incoming calls professionally, directing callers to appropriate personnel or taking detailed messages when necessary.
Clerk (Registration) Experienced Level
Contra Costa Regional Medical Center
10.2023 - 05.2024
Directs and coordinates the flow and timing of patient care activities & procedures at the OR Control Desk.
Answered telephones, communicates information, takes messages, and directs calls appropriately.
Always demonstrates exceptional phone and in-person etiquette.
Keyboarding is accurate, precise, and at least 35 words per minute.
Answered patient questions and inquiries regarding registration process and documentation.
Entered patient information into payment system accurately for billing purposes.
Served as a liaison between patients, clinical staff, and administrative personnel to facilitate optimal communication and coordination of care.
Safeguarded patient privacy with strict adherence to data security protocols related to electronic health records.
Updated patient contact information to support accurate electronic medical records.
Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Assisted other clerks with front desk duties, answering questions and accurately using reservation system.
Reduced errors in insurance verification, ensuring accurate billing and timely payments from insurance companies.
Patient Access Representative/Registration
Sutter Health California Pacific Mission Emergency Room
06.2022 - 10.2023
I interviewed and input demographics on patients registering for services, including registrations by phone (pre-registration).
Maintained awareness of contract requirements for authorizations in an outpatient setting and verified the patient had obtained proper insurance authorizations at the time of registration.
Greeted and checked-in patients, verified information, schedules, and updated Electronic Health record with demographics and insurance information.
Great critical thinking skills with the ability to recognize, research, and resolve questionable data, and determine solutions or next steps.
Received and recorded reservations for incoming patients; made telephone calls to confirm patient appointments/orders.
Stayed calm under pressure to and successfully dealt with difficult situations.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
Patient Access Representative
John Muir Health WC Campus
06.2016 - 08.2021
Obtained any past medical history reports from the referring physician and any prior therapy reports as available.
Triaged patient care requests by phone, email, and chat.
Scheduled appointments, performed clinical tasks, and completed appropriate forms as required by the department.
Maintained and consolidated schedules as appropriate to help meet department productivity standards.
Processed payments using cards via telephone and in person, and checks.
Recorded information in patients’ medical records using EPIC system.
Created charts for new patients, collected current discharges and old charts from nursing units, surgery, and the Emergency Department.
Ensured the privacy of each patient’s Protected Health Information (PHI).
Education
Medical Assistant Certificate - Medical Assisting Front And Back Office
Western Career College
Antioch, CA
08.2008
Skills
Attention to detail
Proficient in John Muir, Contra Costa Sutter EPIC
MedInformix
Customer service skills
Emergency room, Family Practice, Pain Management, PT, OT, ST, and OB/GYN departments
Goal-oriented mindset
Records management
Account servicing
Timeline
Jr. Billing Follow Up Rep.
Bay Imaging Consultants
11.2024 - Current
Clerk/Medical Office Assistant
Contra Costa Regional Medical Center Psych Emergency Services (Apple One)
07.2024 - 11.2024
Clerk (Registration) Experienced Level
Contra Costa Regional Medical Center
10.2023 - 05.2024
Patient Access Representative/Registration
Sutter Health California Pacific Mission Emergency Room
06.2022 - 10.2023
Patient Access Representative
John Muir Health WC Campus
06.2016 - 08.2021
Medical Assistant Certificate - Medical Assisting Front And Back Office
Regional Sales and Business Medical Coordinator at Nuclear Imaging ConsultantsRegional Sales and Business Medical Coordinator at Nuclear Imaging Consultants