Rachel Ibarra
Cottonwood,CA
Summary
With over 12 years of experience in the healthcare sector, passionate about enhancing the quality, efficiency, and accessibility of health services for diverse communities. A Master's Degree in Public Administration with a specialization in Healthcare Management, a Bachelor's Degree in Technical Management with a focus on Health Services Management, and a Graduate Certificate in Health Services Management.
As a Healthcare Consultant at Ibarra Co-Op, apply skills and knowledge in patient access, office administration, problem solving, and analytical thinking to help healthcare organizations improve their performance, processes, and patient satisfaction. With a proven track record of creating and implementing effective strategies, policies, and procedures for patient access departments, as well as cultivating relationships with internal and external stakeholders. Is a compassionate and collaborative leader who can see solutions when others do not, and who is committed to advancing the mission and vision of Ibarra Co-Op and its clients.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Healthcare Consultant
Ibarra Co-Op
08.2023 - Current
- Act as Knowledge base of Patient Access department (i.e policies, procedures, and department structure etc.)
- Reviews schedules for staff and assures areas are staffed when needed
- Reviews patient access policies on a regular basis and makes updates as needed focusing on continuous process improvements
- Ensures registration audits and prior authorization audits are regularly performed to promote quality and identify root causes of issues to develop action plans for process improvement
- Monitors and trends Key Performance Indicators for Patient Access
- Trends results and reports findings to Director of Revenue Cycle Management with recommendations for improvement as needed
- Acts as Meditech Expanse Build Team lead for ADM and Scheduling Module
- Acts as Meditech (Magic and Expanse) super user for ADM Module and Scheduling Module
- Updates dictionaries and processes when indicated
- Reviews patients insurance is obtained thru electronic data interfacing systems before initiating prior authorization for services and procedures.
Patient Access Director
Cuero Regional Hospital
03.2022 - 08.2023
- Created the Patient Access Department with all new job descriptions, policies and procedures
- Created strategies to increase efficiency, improve processes, and enhance the patient experience
- As part of achieving these goals, the Director Patient Access identifies opportunities to work with leaders in other areas-including corporate compliance, clinical services, case management, and the businesses office to ensure regulatory compliance, increase care coordination and improve process efficiency between departments and entities
- Monitor Mailroom Round Monitor Email and Address all concerns Approve Timesheets for Payroll Attend Meetings (Huddle, Cash Net Revenue, Unbilled Charges, etc) Create & Research QAPI Project & Attend QAPI Quarterly meetings Review Applicants Interviews Submit Necessary Paperwork to HR for new position/hire 1:1's with All Staff Run reports(Meditech & eCareNext) Plan Department Meeting & Lead Monthly Department Meeting Order supplies(Meditech & Quadient) Forums(Make sure all staff attend) Create Policies & Procedures Check Charge Nurse Report for any issues that need to be addressed Submit IT requests Monitor & Research Denials 30/60/90 Days Check-ins with new hires Cover Lunches Answer Phone calls from internal and external concerns and address accordingly Apply Postage to Checks & Take to Post Office Register New Employees for Insurance Portals Investigate Errors & Correct Errors Research New Ways to Verify Insurances (Supplements) Webinars(Updates, Laws, Regs, etc) Evals- 90 days and annually for all staff Workflows regularly & adjust as I see fit Download Quadient Invoice & email to AP Train New Staff Track Attendance Every 2wks Attend Managers Meetings Approve DME/Lifeline PO's Work Current Project (ex
- 270/271 Integration, Bad Debt write off) Approve PTO Counsel Staff Address all RL Solutions (safety & quality concerns related to my department) Work Workques (Meditech & eCareNext) Provide Guidance to Managers & Staff
Accounting Tech. Temp.
Express Employment Professionals International Headquarters
12.2021 - 03.2022
- Office Duties, File Clerk, AR, AP, Process Invoices, Create Invoices, Scan Documents, Attach Documents, Customer Service, Answer Phones, Etc.
Patient Access Supervisor
Baptist Health
08.2020 - 11.2021
- Responsible for day-to-day operations of the department
- Ensure work processes are efficient and customer focused
- Provides leadership for the team
- Monitors data collected and entered into EPIC system by team members to ensure accuracy
- Responsible for assisting uninsured patients and their families in meeting financial obligations for care
- Responsible for determining potential sources of funding for patients
- Assists patients in making payment arrangements
- Responsible for successfully implementing the financial clearance policy
- Facilitates maximum production and efficiency of staff in getting the work completed
- Monitors and evaluates area for improvement
- Assist with training to ensure employees provide accurate data collection and effective customer centered service that fulfill requirements as set forth in department standards to include orientation, competencies, and ongoing continuing education
- Serves as a liaison and resource for other departments
- Facilitates positive working relationship
- Promotes an environment of teamwork and customer service excellence
- Assist with problem solving, dealing with computer outages, patient and family complaints, and employees calling in for their shifts
- Performs monthly audits in all areas of responsibility to provide critical feedback to employees regarding areas of improvement
- Advises patients and family members of their financial obligation via all modes of communication and clean face-to-face communication while in the facility.
Patient Account Representative
Shasta Regional Medical Center
01.2020 - 07.2020
- Register patients conning into the Emergency Department Collect patient data to create account in EMR or update current account Collect and verify insurance information Collect co-pay Scan documents into EMR Answer phones in operator booth
Community Liaison
AccentCare, Inc.
07.2019 - 03.2020
- I am responsible for orders Management in my assigned branches
- I am in place to collaborate with internal and external stakeholders to ensure the most efficient timeframe possible for securing physician signatures on orders of for care
- In addition, I'm responsible for completing the order management process for signed orders
- I provide assistance as needed with obtaining other required documentation to be provided by external stakeholders.
Billing Specialist/ Privacy Officer
Luke Klaja PT PC
02.2013 - 05.2019
- We are a very small physical therapy office and I do all the billing and collections myself as well as creating all the privacy policies and security requirements.
IBO
ACN
11.2012 - 11.2014
- Broker of telecommunication products.
Care Giver
Home Health
01.2010 - 12.2011
- I worked in the patient's home with activities of daily living.
CNA
Marquis Companies
06.2008 - 01.2010
- Help patient with ADL's and do all necessary paperwork.
Teller
Pacific Crest Federal Credit Union
09.2007 - 01.2008
- Count cash, complete financial transactions
Customer Care Rep
NEW Corp
07.2007 - 08.2007
- It was a call center for Direct TV so I would answer phones and read from a script how the company wanted us to direct the customer to trouble shoot and if we could fix it over the phone I would send out a tech.
Teller
Premier West Bank
07.2004 - 04.2007
- Balance cash drawer and complete financial transactions, as well as all necessary compliance certifications.
Education
Masters in Public Administration, Healthcare Management -
Keller Graduate School of Management of DeVry University
12.2020
Bachelor of Science - BS, Technical Management Specializing in Health Services Management -
DeVry University
01.2019
Associate's degree, Health Information/Medical Records Technology/Technician -
DeVry University-California
01.2012
Butte Valley High School
01.2005
Skills
- Healthcare Consulting
- Patient Access
- EHR Building
- Patient Safety
- Healthcare Customer Service
- Healthcare Analytics
- Healthcare ethics
- Healthcare management
- Quality Improvement
- Healthcare Education
- Healthcare operations
- Healthcare administration
Certification
Graduate Certificate in Health Services Management
Other
www.facebook.com/rachel.ibarra.10
Personal Information
Title: Healthcare Consultant
Timeline
Healthcare Consultant
Ibarra Co-Op
08.2023 - Current
Patient Access Director
Cuero Regional Hospital
03.2022 - 08.2023
Accounting Tech. Temp.
Express Employment Professionals International Headquarters
12.2021 - 03.2022
Patient Access Supervisor
Baptist Health
08.2020 - 11.2021
Patient Account Representative
Shasta Regional Medical Center
01.2020 - 07.2020
Community Liaison
AccentCare, Inc.
07.2019 - 03.2020
Billing Specialist/ Privacy Officer
Luke Klaja PT PC
02.2013 - 05.2019
IBO
ACN
11.2012 - 11.2014
Care Giver
Home Health
01.2010 - 12.2011
CNA
Marquis Companies
06.2008 - 01.2010
Teller
Pacific Crest Federal Credit Union
09.2007 - 01.2008
Customer Care Rep
NEW Corp
07.2007 - 08.2007
Teller
Premier West Bank
07.2004 - 04.2007
Masters in Public Administration, Healthcare Management -
Keller Graduate School of Management of DeVry University
Bachelor of Science - BS, Technical Management Specializing in Health Services Management -
DeVry University
Associate's degree, Health Information/Medical Records Technology/Technician -
DeVry University-California
Butte Valley High School
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