Summary
Overview
Work History
Education
Skills
Timeline
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Cynthia Aguilar

Hacienda Heights,CA

Summary

Patient-focused Patient Access Representative equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records.

Overview

15
15
years of professional experience

Work History

Patient Access Representative

Love Health LLC
Bethlehem, PA
04.2022 - 09.2022
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Assembled registration paperwork and placed identification bands on patient.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.
  • Checked stock to determine inventory level and placed orders for needed supplies.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
  • Instructed patients on policies and required actions for different types of appointments and procedures.
  • Accessed programs and set up correct payment strategies based on patient means and needs.

PATIENT ACCESS SCHEDULER

Huntington Hospital
Pasadena, CA
01.2018 - 10.2019
  • Verified demographics and insurance information to register patients in computer system
  • Organized and maintained records by updating and obtaining both personal and financial information from patients
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations
  • Processed patient responsibility estimate determined by insurance at pre-registration
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions
  • Prioritized and organized tasks to efficiently accomplish service goals
  • Juggled multiple projects and tasks to ensure high quality and timely delivery
  • Demonstrated self-reliance by meeting and exceeding workflow needs.

PATIENT ACCESS REPRESENTATIVE

Huntington Hospital
Pasadena, CA
05.2013 - 01.2018
  • Verified demographics and insurance information to register patients in computer system
  • Organized and maintained records by updating and obtaining both personal and financial information from patients
  • Obtained necessary signatures for privacy laws and consent for treatment
  • Assembled registration paperwork and placed identification bands on patient
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations
  • Processed patient responsibility estimate determined by insurance at pre-registration
  • Responded to patient concerns and inquiries professionally and efficiently
  • Called insurance companies and verified patient coverage
  • Reviewed patient admissions to determine medical necessity as directed by attending physician criteria
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.

PATIENT ACCESS REPRESENTATIVE

St. Bernardine Medical Center
San Bernardino, CA
05.2007 - 03.2011
  • Verified demographics and insurance information to register patients in computer system
  • Organized and maintained records by updating and obtaining both personal and financial information from patients
  • Obtained necessary signatures for privacy laws and consent for treatment
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations
  • Responded to patient concerns and inquiries professionally and efficiently
  • Called insurance companies and verified patient coverage
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.

Education

Associate of Arts - Paralegal Studies

South Coast College

Bachelor of Arts -

Cal State University

Skills

  • Financial Procedures Adherence
  • Problem-Solving
  • Pre-Admission Requests
  • Customer Service
  • g and Organization
  • Verbal and Written Communication
  • Insurance Company Knowledgeable
  • Caring and Empathetic
  • Registration and Scheduling
  • Documenting and Recording Information
  • Organized and Detail-Oriented
  • Building Rapport and Credibility
  • Patient Confidentiality and Data Security
  • Database Search and Data Entry Skills
  • Quality Standards and Protocols
  • Knowledge of Community Services and Programs
  • Administrative and Office Support
  • Complaint Investigation
  • Organized and Efficient
  • Providing Information and Resources
  • Communicating to Patients and Families
  • Helpful and Service-Oriented
  • Gathering Information from Patients
  • Calm and Effective Under Pressure
  • Appointment Scheduling
  • Process Improvement
  • Friendly and Outgoing
  • Calm Under Pressure
  • Payment Processing
  • Team Leadership
  • Phone and Email Etiquette
  • Team Collaboration
  • Flexible Schedule
  • Relationship Building
  • Regulatory Compliance

Timeline

Patient Access Representative

Love Health LLC
04.2022 - 09.2022

PATIENT ACCESS SCHEDULER

Huntington Hospital
01.2018 - 10.2019

PATIENT ACCESS REPRESENTATIVE

Huntington Hospital
05.2013 - 01.2018

PATIENT ACCESS REPRESENTATIVE

St. Bernardine Medical Center
05.2007 - 03.2011

Associate of Arts - Paralegal Studies

South Coast College

Bachelor of Arts -

Cal State University

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Cynthia Aguilar