CESILIA RIZO
San Jacinto,CA
Summary
Seeking and entry level position with the potential for growth and job skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
Work History
Inpatient Insurance Verifier
Memorial Hospital of Gardena
Gardena , CA
2018.02 - Current
- Verified insurance coverage and eligibility for services using computer software.
- Submitted prior authorization requests to insurance companies when necessary.
- Monitored changes in health care policies and procedures related to insurance verification process.
- Reviewed patient information to ensure accuracy of data entered into the system.
- Assisted in training new staff on insurance verification processes and procedures.
- Ensured compliance with HIPAA regulations when handling confidential patient information.
- Performed verification of Medicare coverage.
- Updated patient and insurance data and input changes into company computer system.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Collected copays or deductibles.
- Calling Medical Insurances to get Tracking# for Inpatient stay.
Emergency Room Patient Access Rep
Memorial Hospital of Gardena
Gardena , CA
2008.04 - 2018.02
- Greeted patients and answered questions regarding registration process.
- Collected patient demographic information, verified insurance coverage, and updated records as necessary.
- Entered patient data into electronic medical record system accurately and efficiently.
- Responded to inquiries from patients, families, physicians, and other healthcare personnel.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified insurance eligibility through online portals or by phone calls.
- Handled incoming faxes related to admissions, discharges, transfers, pre-certifications, authorizations.
- Managed high volume of incoming calls while maintaining professional demeanor.
- Assisted patients with completion of forms needed for admission process.
- Collected Er copays
- Department Schedule
PBX Operator
Memorial Hospital of Gardena
Gardena , CA
2006.06 - 2008.04
- Monitored and operated PBX switchboard to route incoming calls to appropriate personnel.
- Provided customer service support by answering questions, resolving issues, and providing information.
- Responded promptly to emergency calls for assistance.
- Transferred calls to the correct departments or individuals in accordance with established procedures.
- Assisted external callers with department directory information as needed.
- Operated multi-line telephone system to answer incoming calls and direct callers to specific destinations based on their needs.
- Assisted in training new PBX operators on how to use the system correctly.
- Alerted staff of emergency information and general announcements using PA system.
- Monitored emergency and code alarms, making emergency announcements or routing emergency calls to appropriate location.
Education
High School Diploma -
Lynwood High School
Lynwood, CA2006-06
Skills
- Insurance Verification
- Coverage and Authorizations
- Insurance Plan Verification
- Data Entry and Review
- Attention to Detail
- Eligibility Determination
- Customer Service
- Bilingual
- BLS Certification
- Computer Skills
- Team work
- Communication
- ICD-10
Timeline
Inpatient Insurance Verifier
Memorial Hospital of Gardena
2018.02 - Current
Emergency Room Patient Access Rep
Memorial Hospital of Gardena
2008.04 - 2018.02
PBX Operator
Memorial Hospital of Gardena
2006.06 - 2008.04
High School Diploma -
Lynwood High School
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