Christine Lynette Garza
San Antonio,Texas
Summary
To work for a progressive organization in a highly motivating and challenging environment that provides the opportunity to grow and utilize my potential to the fullest to achieve the organization’s goal while achieving my personal goals.
Overview
15
15
years of professional experience
Work History
Insurance Verification Specialist/Biller
Kellum Physician Medicine
Schertz, TX
10.2022 - 06.2024
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Evaluated policies and procedures related to Insurance Verification activities.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
- Updated patient and insurance data and input changes into company computer system.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Accessed third-party insurance databases to identify coverage of benefits.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Answered telephones and directed calls to appropriate medical or administrative staff.
- Communicated with patients with compassion while keeping medical information private.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Scheduled and confirmed patient appointments and consultations.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Greeted patients, determined purpose of visit and directed to appropriate staff.
Registration Specialist
University Health System
05.2016 - 09.2022
- Welcomed patients to facility and assisted with registration sign-in process.
- Responded to incoming department phone calls and directed callers to appropriate team members based on need.
- Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
- Explained forms and documents to patients, guardians and authorized family members, distributing copies and confirming comprehension.
- Scanned IDs documents and insurance cards to include in patient charts.
- Greeted visitors and ascertained purpose of visit, issuing needed credentials and directing to appropriate staff or department.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
Financial Access Specialist
University Health System
04.2018 - 04.2020
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Communicate with patient insurance company for inpatient admission for authorization.
- Transfer incoming calls and assist family with any information needed
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Create Hospice/HLA visits as needed.
- Helped run natural disaster plan roll call of all patients in house
- Provided crisis management when needed by utilizing de-escalation techniques such as redirection or calming strategies.
- Observed clients during both structured and unstructured activities to identify potential areas for improvement or reinforcement.
- Supported clients in developing self-help skills such as dressing, toileting, eating independently .
- Assisted in the implementation of crisis intervention protocols when needed.
- Documented patients' activities and behaviors into EHR system for recordkeeping.
- Conducted intake interviews with new patients to complete forms, assess mental health condition or obtain treatment history.
Registration Access Specialist
Nix Health System
11.2014 - 05.2016
- Performed patient registration functions by interviewing patient or responsible party to obtain identification and demographic information
- Verified insurance/other payer benefits and performed up front collections
- Determined eligibility and arranges for admission of patients to hospital following policies and procedures
- Obtain signatures of individual responsible for payment and explains hospital financial obligation.
Admissions Rep/Registrar/Behavior Technician
South Texas Health Systems
04.2010 - 10.2014
- Performed patient registration functions by interviewing patient or responsible party to obtain identification and demographic information
- Verified insurance/other payer benefits and performed up front collections
- Determined eligibility and arranges for admission of patients to hospital following policies and procedures
- Obtain signatures of individual responsible for payment and explain hospital financial obligation.
- Implemented crisis intervention strategies when needed to deescalate situations involving aggressive behaviors.
- Monitored client progress and documented changes in behavior.
- Supported families of clients by offering guidance on managing challenging behaviors.
- Supervised and secured patients restricted to assigned areas.
- Maintained professionalism in emergency situations, assisting staff members in actions and monitoring patients.
- Monitored patient safety in all areas of the facility.
- Assisted in examination and treatment of patients under direction of nursing staff.
- Followed standard admissions procedures and documentation requirements for client intakes.
- Conducted searches of clients upon return to facility.
- Completed daily client rounds and tracked client movements.
- Recorded patients' health metrics using thermometers or blood pressure gauges.
Insurance Specialist
Valley Surgical Center of Minimally Invasive Surgery
08.2009 - 04.2010
- Duties performed included reviewing incoming medical claims for payment or denial and verifying patient insurance information for claims processing
- Confirmed and updated benefits coverage and pre-approval for medical procedures
- Understanding the latest insurance regulations, claims processing guidelines, medical terminology and procedure codes
- Strong communication skills to be able to advise patients of insurance benefits and to assist clinical staff by advising if a procedure was approved.
Education
Medical Assistant Certificate -
South Texas Vocational Technical Institute
06.2009
High School Diploma -
San Isidro High School
San Isidro, TX05.2008
Skills
- Appointment Scheduling
- Insurance Verification
- Payment Processing
- Medical Terminology
- HIPAA Procedures
- Organizational Skills
- Computer Skills
- Team Building
- Microsoft Office
- Verbal and Written Communication
- Patient Scheduling
- Time Management
- Multitasking and Prioritization
- Registration Documents
- Demographics Information
- Good Work Ethic
- Reliable & Trustworthy
- Insurance Benefits Verification
- Insurance Plan Verification
- Insurance Terminology
- Deductible & Co-Pay Calculation
- Deductible Expense Identification
- Payment Planning
- Patient Communication
- Customer Service Experience
Languages
English
Professional
Spanish
Limited
Timeline
Insurance Verification Specialist/Biller
Kellum Physician Medicine
10.2022 - 06.2024
Financial Access Specialist
University Health System
04.2018 - 04.2020
Registration Specialist
University Health System
05.2016 - 09.2022
Registration Access Specialist
Nix Health System
11.2014 - 05.2016
Admissions Rep/Registrar/Behavior Technician
South Texas Health Systems
04.2010 - 10.2014
Insurance Specialist
Valley Surgical Center of Minimally Invasive Surgery
08.2009 - 04.2010
Medical Assistant Certificate -
South Texas Vocational Technical Institute
High School Diploma -
San Isidro High School
Similar Profiles
Vaishnavi TamilvananVaishnavi Tamilvanan
Student Project Assistant II at Physician Assistant Program, GW School of MedicineStudent Project Assistant II at Physician Assistant Program, GW School of Medicine
Bridget MagorBridget Magor
LPN Clinical Supervisor at OhioHealth Physician Group, Internal MedicineLPN Clinical Supervisor at OhioHealth Physician Group, Internal Medicine
Van LittlejohnVan Littlejohn
Certified Nursing Assistant at Kellum FamilyCertified Nursing Assistant at Kellum Family