Clemente Medina
Phoenix,AZ
Summary
Professionalism, positive attitude, with an extensive background working with clinic staff, Intuitive to the needs of others. Highly skilled professional offering 12+ years of related experience in the healthcare field as an Admitting Representative. Dedicated to making a positive impact in the healthcare field. Recognized for dependable and detail oriented work in support of management and clinical staff as “someone who gets things done".
Overview
23
23
years of professional experience
Work History
Lead Pre Access Specialist
PHOENIX CHILDRENS HOSPITAL
03.2014 - Current
- Lead pre access specialist
- Role as Lead Pre-Access specialist is responsible for accurate and complete pre-registration, insurance verification and authorization of scheduled professional and hospital services, Handles Stat requests along all service lines and prepares reports for pre access team service team
- Prepares daily and weekly reports that drive workflow within department to ensure daily productivity and accurate and compliant pre registration has been performed
- Leadership that sets standard pediatric health care today and innovations in the future
- Plans and schedules work for the group ensuring proper distribution and completion of assignments. Maintains staff schedules to ensure adequate coverage.
- Responds to patient fluctuations and assists staff in daily needs; performs duties of a Pre-Access Specialist, as needed
Registration & Bed Control Rep
METHODIS HOSTPITAL
03.2014 - 03.2018
- Demonstrated high standards of integrity exemplary attention to detail and precise record keeping
- Exhibit patient’s needs as priority and contribute to the professional courteous and efficient operations of the department and provide excellent customer service
- Maintain awareness of HMO, PPO, Medicare,
- Medi-cal and other service programs
- Work directly with physicians, directors, and clinical staff to obtain all pertinent data for outpatient, emergency department and admissions
- Provide arrangements for direct admissions, verify eligibility, and obtaining accurate demographic data
- Utilize methods and computer systems for patient admissions and assist healthcare team as needed
- Participate in the organizational performance improvement through education, and interdepartmental quality control.
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
- Explained form wording to patients to help each understand information required.
ER Registration Rep
SAN GABRIEL VALLEY HOSPITAL SAN GABRIEL
06.2002 - 06.2008
- Performed accurate and timely manner of patient registrations
- Collected patient valuables according to hospital policies and procedures
- Utilized techniques in verifying insurance eligibility and patient financial responsibility.
Education
Bell High SchoolBell High School
Skills
- Role model by displaying exemplary, compassionate and professional behavior and motivates staff to provide excellent, patient-focused service
- The ability to use critical thinking skills to anticipate and respond to issues
- The ability to analyze and solve problems
- Knowledge of insurance guidelines for governmental and non-governmental carriers
- Security protocols
Timeline
Lead Pre Access Specialist
PHOENIX CHILDRENS HOSPITAL
03.2014 - Current
Registration & Bed Control Rep
METHODIS HOSTPITAL
03.2014 - 03.2018
ER Registration Rep
SAN GABRIEL VALLEY HOSPITAL SAN GABRIEL
06.2002 - 06.2008
Bell High SchoolBell High School
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