Claudia Medina
Breckenridge
Summary
Patient Service Representative with extensive experience, excelling in customer service and insurance verification. Proven ability to enhance patient satisfaction and streamline operations through effective problem-solving and multitasking. Bilingual in Spanish, adept at navigating financial needs and ensuring compliance with HIPAA regulations for optimal patient care.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
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.
Overview
18
18
years of professional experience
Work History
Patient Service Representative
Resource Care
03.2016 - Current
- Managed patient inquiries and appointment scheduling using electronic health record systems.
- Trained new staff on administrative processes and customer service best practices.
- Verified insurance eligibility and coverage for patients.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Assisted patients in filling out check-in and payment paperwork.
- Entered patient demographic and insurance data into electronic medical record system.
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Provided compassionate support for patients facing financial challenges, assisting them in navigating available resources and payment options.
- Verified patient insurance eligibility and entered patient information into system.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and sliding scale or income-based programs for those who are uninsured.
Front Desk Receptionist
Breckenridge Medical Center
08.2007 - 03.2016
- Managed patient check-in and appointment scheduling, ensuring seamless front desk operations.
- Maintained accurate patient records in electronic health record system, ensuring data integrity.
- Trained new reception staff on customer service protocols and office procedures to improve efficiency.
- Collected room deposits, fees, and payments.
- Assisted with administrative tasks such as filing, data entry, and document preparation, supporting overall office productivity.
- Handled assignments independently with good judgement and critical thinking skills.
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Oversaw daily front desk activities, optimizing workflows for maximum operational efficiency.
Education
High School Diploma -
Breckenridge High School
Breckenridge, Tx06-2006
Skills
- Customer service
- HIPAA compliance
- Insurance verification
- Eligibility determination
- FLUENT IN Spanish
- Financial needs determination
- Multitasking and organization
- Patient registration
- Referral coordination
- Payment collection
- Scheduling appointments
- Clinical data entry
Languages
Spanish
Full Professional
Timeline
Patient Service Representative
Resource Care
03.2016 - Current
Front Desk Receptionist
Breckenridge Medical Center
08.2007 - 03.2016
High School Diploma -
Breckenridge High School