Daissy Calle
Newark,NJ
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Very eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
3
3
years of professional experience
Work History
Patient Access Representative
Robert Wood Johnson Barnabas Health
Somerset, NJ
08.2022 - Current
- Verified insurance coverage for services provided by the facility.
- Created new patient accounts in EMR system as needed.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Actively participated in team meetings and training sessions.
- Responded to patient inquiries regarding billing or financial matters.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
- Scanned documents into electronic medical records system.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
- Made reminder calls for upcoming appointments as well as confirming new ones when requested by patients or physician offices.
- Scheduled patient appointments and maintained appointment records.
- Provided clerical support to the medical staff including filing, photocopying, faxing, and scanning documents.
- Checked physician orders and schedule availability to make accurate appointments for tests and surgical procedures.
- Assisted with scheduling referrals and prior authorizations.
- Answered phone calls in a professional manner while providing excellent customer service.
- Assisted patients with canceling and rescheduling appointments.
- Prevented double bookings and set aside appropriate time in between appointments.
- Routed calls and correspondence to appropriate medical staff.
- Informed patients regarding needed medical tests and procedures.
- Evaluated medical insurance details and informed patients of uncovered fees.
- Scheduled diagnostic tests such as X-rays, CT scans, ultrasounds and MRIs for patients.
- Transcribed documents and maintained high levels of accuracy.
- Trained new staff in relevant processes and procedures.
- Rotated through series of different stations based on team needs.
- Supported the manager in developing plans for future projects, initiatives and objectives.
- Assisted customers in resolving payment issues by providing them with information regarding their accounts and payment options.
- Processed payments over phone and set up recurring drafts.
- Handled customer inquiries regarding billing discrepancies or collection notices in a professional manner while adhering to company standards.
- Reviewed authorizations from payer to determine approved or denied items.
- Submitted for prior authorization with required documentation to appropriate funding source.
Collection Team Leader
Alaris Health at Belgrove
Kearny, NJ
11.2020 - 07.2022
- Ensured compliance with all applicable laws and regulations pertaining to collections practices.
- Provided guidance and support to the team members in resolving customer payment issues.
- Participated in industry conferences to stay up-to-date on best practices in the field of collections management.
- Held regular meetings with the team members to discuss progress on goals set by management.
- Trained new staff on policies and procedures related to collections process.
- Remained calm, stayed professional and provided exceptional service on calls, even when interacting with difficult individuals.
- Reviewed accounts to determine payment plan compliance.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Discussed job performance problems with employees, identifying causes and issues to find solutions.
- Developed work schedules according to budgets and workloads, covering priority tasks.
Education
Associate of Applied Science - Accounting And Business Management
Hudson County Community College
Jersey City, NJ12-2024
Skills
- Appointment Scheduling
- Patient Education
- Registration Management
- Insurance Verification
- Phone and Email Etiquette
- Payment Processing
- Team Collaboration
- Team Leadership
- Scheduling Diagnostic Procedures
- Multitasking and Organization
- Training Coordination
- Excellent Communication
- Teamwork and Collaboration
Languages
English
Professional
Spanish
Professional
References
References available upon request.
Timeline
Patient Access Representative
Robert Wood Johnson Barnabas Health
08.2022 - Current
Collection Team Leader
Alaris Health at Belgrove
11.2020 - 07.2022
Associate of Applied Science - Accounting And Business Management
Hudson County Community College