Cindy Raygoza
Orange,CA
Summary
Dependable Access Representative serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times 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.
Overview
23
23
years of professional experience
Work History
Patient Access Representative
St Joseph Hospital
Orange, CA
11.2000 - Current
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Knowledge of EPIC software , IDX, Cerner, Manage over 40 insurance company website and calls per day, and all insurance direct websites and authorization submission process.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Knowledge of many hospital departments Insurance billing and data entry such as Cancer center, Radiology, pre-op surgeries, Hospital surgery, mammography, and Emergency Room Department.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
Patient Access Representative
Revenue Cycle Services
Irvine, CA
09.2019 - 10.2021
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Communication between patient ordering doctor for procedural or surgery authorizations,
- Highly regarded Knowledge of CPT , and ICD-9 Codes for proper billing and accuracy of coding for procedure and or pre-op surgery.
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
Education
Bachelor of Science - Social Services
University of Phoenix
La Palma, CA08.2016
Skills
- Gathering Information from Patients
- Caring and Empathetic
- Providing Information and Resources
- Epic Software, microsoft Office,Onesource Medicaid, Noridian
- Knowledge of Community Services and Programs
- Documenting and Recording Information
- Database Search and Data Entry Skills
- Calm and Effective Under Pressure
- Communicating to Patients and Families
- Verbal and Written Communication
- Resolving Problems
Languages
Spanish
Professional Working
Timeline
Patient Access Representative
Revenue Cycle Services
09.2019 - 10.2021
Patient Access Representative
St Joseph Hospital
11.2000 - Current
Bachelor of Science - Social Services
University of Phoenix
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