Celina Alvarez
Tucson,AZ
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Skilled at analyzing case files and databases to speed up inquiry and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Ready to maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 17 years of relevant work experience to your team.
Overview
18
18
years of professional experience
Work History
Outpatient Access Specialist Admitting
Conifer Health Revenue Cycle Solutions
07.2006 - Current
- Enhanced patient satisfaction by efficiently scheduling and confirming appointments for outpatient services.
- Streamlined registration processes for better patient experience and reduced wait times.
- Improved communication between departments by accurately documenting and relaying pertinent patient information.
- Increased accuracy of patient records with meticulous data entry and verification of insurance information.
- Assisted patients in understanding their financial responsibilities, providing clear explanations of billing procedures and payment options.
- Ensured smooth operation of front office, managing phone lines, greeting patients, and handling inquiries with professionalism.
- Contributed to a positive work environment through effective teamwork and collaboration with medical staff members.
- Maintained patient confidentiality in accordance with HIPAA regulations while managing sensitive information and documentation.
- Supported efficient clinic operations by assisting nursing staff in preparing examination rooms for patient visits.
- Expedited the referral process by promptly obtaining necessary authorizations from insurance providers.
- Reduced no-show rates by implementing appointment reminder systems via phone calls or text messages to patients.
- Resolved any billing discrepancies or issues, liaising with insurance companies as needed to ensure accurate invoicing.
- Facilitated timely access to care by identifying available appointment slots and coordinating schedules among multiple healthcare providers.
- Promoted a welcoming atmosphere for all patients, addressing concerns or questions with empathy and understanding.
- Managed inventory of office supplies, ensuring availability of necessary materials for daily operations without interruption.
- Enabled seamless transitions between appointments by effectively managing patient flow within the outpatient facility.
- Coordinated transportation arrangements for patients when necessary, collaborating with external providers to guarantee punctual arrivals at appointments.
- Conducted quality assurance checks on electronic health record system inputs, mitigating errors that could impact care delivery or billing processes.
- Educated new staff members on proper use of relevant software programs and office procedures, fostering a well-prepared team of outpatient access specialists.
- Stayed up-to-date with relevant industry regulations and best practices through ongoing professional development, ensuring continued excellence in service delivery.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Providing excellent customer service by promptly answering patient inquiries.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Trained new staff on hospital processes and procedures.
- Resolved patient billing issues in line with established guidelines.
- Educated patients on importance of preventive health care and insurance coverage.
- Addressed bad debts in line with set protocols.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
- Greeted and assisted patients with check-in procedures.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Trained new staff on filing, phone etiquette and other office duties.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Responded to inquiries by directing calls to appropriate personnel.
- Engaged with patients to provide critical information.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Resolved customer complaints using established follow-up procedures.
- Delivered support to medical staff in completion of patient paperwork.
- Recommended service improvements to minimize recurring patient issues and complaints.
Insurance Verification Specialist
Conifer Healthcare Solutions
07.2006 - Current
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Streamlined workflow for medical providers by obtaining necessary referrals and authorizations for services.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Maintained up-to-date knowledge of industry trends, changes in regulations, and benefit updates to provide accurate guidance to clients.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Minimized delays in treatment scheduling by promptly identifying potential coverage issues and working proactively towards their resolution.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Contributed to company''s bottom line by reducing write-offs due to incorrect or outdated insurance information through diligent verification efforts.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Implemented improvements to existing verification processes, increasing accuracy rates while reducing time spent on manual tasks.
- Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
- Conducted regular audits of processed claims, identifying areas for improvement and making recommendations to enhance overall efficiency and accuracy.
- Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Updated patient records with accurate, current insurance policy information.
- Trained new staff on current, correct insurance verification procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Established and maintained relationships with insurance providers for productive communications.
- Posted payments to accounts and maintained records.
- Generated reports to track insurance verifications and claim progress.
- Communicated verification and authorization status updates with [Type] department to facilitate decision-making for patient admissions and insurance coverage.
- Performed various administrative tasks by filing, copying and faxing documents.
- Assisted with medical coding and billing tasks.
- Obtained payments from patients and scanned identification and insurance cards.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Processed medical insurance claims and payments.
- Registered and verified patient records before triage with most up-to-date information.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Conducted patient intake interviews, recording and documenting relevant information.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Answered phone calls and messages for 10-physician one medical facility, scheduling appointments, and handling patient inquiries.
Education
High School Diploma -
Pueblo High Magnet School
3500 S. 12th Ave Tucson, AZ 8571312.2021
Skills
- Computer Proficiency
- Patient Registration
- Patient Check-out
- Customer Service
- Patient Check-in
- Time Management
- Payment Collection
- Medical Coding
- Quality Assurance
- Prior Authorization
- Appointment Confirmation
- Problem Solving
- Telephone Etiquette
- Active Listening
- Medical Office Procedures
- Patient Education
- Healthcare Experience
- Follow-up Calls
- Decision Making
- Professionalism
- Medical Terminology
- HIPAA Compliance
- Attention to Detail
- Conflict Resolution
- Cash Handling
- Software Navigation
- Insurance Verification
- Critical Thinking
- Process Improvement
- Adaptability
- Organizational Skills
- Patient Confidentiality
- Multitasking Abilities
- Financial Procedures Adherence
- Pre-Admission Requests
- Multitasking and Organization
- Registration Management
- Problem-Solving
- Registration and Admissions
- Work Quality Evaluation
- Flexible Schedule
- Insurance Billing
- Payment Processing
- Team Leadership
- Phone and Email Etiquette
- Statistical Data Management
- System Updating
- [Language] Fluency
- Regulatory Compliance
- Relationship Building
- Money Handling
- Eligibility Determination
- Information Collection
- Team Collaboration
- Database Search and Data Entry Skills
- Administrative and Office Support
- Explaining Policy and Procedures
- Patient Needs Assessment and Referral
- Resolving Problems
- Documenting and Recording Information
- Communicating to Patients and Families
- Patient Confidentiality and Data Security
- Registration and Scheduling
- Gathering Information From Patients
- Caring and Empathetic
- Providing Information and Resources
- Claims Handling and Coverage Verification
- [Type] Coding Understanding
Languages
spanish
Professional Working
English
Full Professional
refrences
Breighanna Mowbray VA Health Administraion 520-647-6788
LaSalle Prentiss (Chuck) 520981-8088 VA RN
Anita Vargas St Joes Admitting 520-236-0380
Timeline
Outpatient Access Specialist Admitting
Conifer Health Revenue Cycle Solutions
07.2006 - Current
Insurance Verification Specialist
Conifer Healthcare Solutions
07.2006 - Current
High School Diploma -
Pueblo High Magnet School
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