Denise Cortez
San Antonio,TX
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
17
17
years of professional experience
Work History
Patient Access Representative Lead
Christus Health
2021.10 - Current
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
- Trained new employees by providing guidance, instruction, and education.
- Audit referrals to ensure the process or quality system met requirements.
Billing Lead
Porter Medical Associates
2018.01 - 2021.10
- Managed a team of billers, providing guidance, coaching, and performance evaluations for professional growth and development.
- Collaborated with sales representatives to ensure accurate pricing information was used for invoice generation.
- Improved patient satisfaction with clear communication on billing matters and prompt resolution of inquiries.
- Achieved timely payments from patients by sending reminders, negotiating payment terms, and resolving disputes promptly.
- Handled account payments and provided information regarding outstanding balances.
- Assisted in external audits by providing accurate documentation related to the billing process, helping to maintain a clean financial record for the company.
- Simplified complex billing data for management reports, aiding in strategic decision-making processes.
New Patient Coordinator
Sage Bariatric
2017.02 - 2017.12
- Increased office efficiency by creating clear communication channels between staff, patients, and healthcare providers.
- Ensured a welcoming environment for all patients by maintaining a clean, professional front-office space.
- Contributed to practice growth by identifying opportunities for expansion based on community needs analysis data.
- Organized educational events for patients on various health topics, fostering a proactive approach to their wellbeing.
- Provided exceptional customer service, addressing concerns and answering inquiries promptly and professionally.
- Reduced patient wait times by efficiently coordinating with medical staff to ensure timely appointments.
- Maintained organized patient records for easy retrieval and accurate billing practices.
Medical Billing Specialist
Momentum Physical Therapy
2014.10 - 2017.02
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Charge Entry Specialist Lead
Ear Medical Group
2007.05 - 2013.08
- Streamlined the charge entry process by collaborating closely with clinical staff to obtain necessary documentation.
- Ensured accurate reimbursement rates were applied during the charge entry process through consistent review of payer contracts.
- Supported the auditing process, thoroughly reviewing medical records to validate appropriate coding and charging practices.
- Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
- Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.
- Contributed to practice growth by effectively coordinating with other departments to optimize billing processes across all service lines.
- Assisted in training new employees on charge entry procedures, promoting best practices for efficient workflow management.
- Expedited payment collection by submitting clean claims for reimbursement from insurance companies and patients promptly.
- Increased efficiency by identifying and addressing discrepancies in coding and charge entries promptly.
Education
High School Diploma -
Blessed Hope Academy
San Antonio, TX05.1990
Skills
- Customer Service
- Insurance Verification
- HIPAA Compliance
- Patient Registration
- Patient check-in
- Multitasking and Organization
- Appointment Scheduling
- Registration and Admissions
- Phone and Email Etiquette
- Medical Terminology
- Healthcare systems navigation
- EMR
Timeline
Patient Access Representative Lead
Christus Health
2021.10 - Current
Billing Lead
Porter Medical Associates
2018.01 - 2021.10
New Patient Coordinator
Sage Bariatric
2017.02 - 2017.12
Medical Billing Specialist
Momentum Physical Therapy
2014.10 - 2017.02
Charge Entry Specialist Lead
Ear Medical Group
2007.05 - 2013.08
High School Diploma -
Blessed Hope Academy
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