Summary
Overview
Work History
Education
Skills
Timeline
Generic

Eilene Tellez

Orange

Summary

Dynamic Patient Access Representative with extensive experience, in insurance verification and patient financial counseling. Proven ability to manage high volumes of patient interactions while delivering exceptional customer service. Skilled in EMR systems and maintaining HIPAA compliance, ensuring accuracy and confidentiality in all patient records.

Overview

18
18
years of professional experience

Work History

Admitting Representative

Prime Health Care Services/ Garden Grove Hospital
Garden Grove
02.2023 - Current
  • The ER Clerk plays a crucial role in a fast-paced hospital environment, serving as the first point of contact for patients and visitors in the emergency room
  • This position requires excellent communication and organizational skills to manage patient interactions, insurance billing, and scheduling effectively while maintaining a calm demeanor under pressure
  • Greet and assist patients and visitors in the emergency room
  • Manage insurance billing, patient scheduling, and maintain accurate records
  • Collaborate with medical staff to ensure smooth operations
  • Use medical software to handle patient information and billing processes
  • The incumbent will also schedule, confirm, and cancel patient appointments

Patient Access Representative III

City of Hope Lennar Foundation
Irvine
10.2022 - Current
  • Registers consents and schedules all patient appointment types, for the clinic
  • Collects accurate patient demographic and insurance information
  • Confirms authorization is secured prior to forwarding patients to service area
  • Serves as a liaison between patients and support staff
  • Collects patient liabilities and refers patients who are uninsured/underinsured to Financial Counselor for financial assistance
  • Managed high call volume with tact and professionalism

Medicaid Eligibility Advocate

Parallon
Garden Grove
06.2022 - 10.2022
  • Responsible for conducting eligibility screenings, assessment of patient financial requirements and counseling patients on insurance benefits and co-payments
  • Serves as liaison between case management personnel and physicians
  • Obtain legal relevant medical evidence, physician statements and all other documentation required for eligibility determination, and complete and file applications
  • Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation

Traveling Patient Service Representative

Human Arc/HCFS/Centauri
Frisco
02.2017 - 06.2022
  • Greeting patients and families, providing necessary registration forms, and ensuring accuracy of information.
    Updating patient information in electronic health records (EHR) systems.
    Verifying patient eligibility and insurance coverage.
  • Financial and Administrative Tasks:Collecting copays, deductibles, and other payments.
    Processing insurance claims and verifying benefits.
    Scheduling appointments and managing patient schedules.
  • Customer Service and Communication:Answering patient inquiries and addressing concerns.
    Providing information about healthcare services and procedures.
    Coordinating with medical staff and other departments.
  • Other Duties:Sorting and distributing incoming mail.Handling routine typing, copying, and other clerical tasks.

Admitting Registrar

Orange County Global Hospital
Santa Ana
09.2016 - 02.2017
  • Scheduling appointments, managing patient queues, and ensuring efficient flow of patients.
  • Patient Reception:Greeting patients, checking them in, and ensuring a positive and welcoming experience.
  • Patient File Management:Activating patient files, updating information, and ensuring accurate and organized records.
  • Patient Support:Answering patient inquiries, addressing concerns, and providing information about services and procedures.
  • Communication:Communicating effectively with patients, medical staff, and other departments to ensure smooth operations.
  • Data Entry:Entering and processing patient information accurately and efficiently.
  • Insurance Verification:Verifying patient insurance information and obtaining necessary authorizations.
  • Problem Solving:Identifying and resolving patient issues in a timely and effective manner.
  • Adherence to Procedures:Following established guidelines and procedures for patient care and service.
  • Compliance:Adhering to relevant regulations and standards related to patient privacy and confidentiality. Scheduling patients for surgery, including coordinating with surgeons, nursing units, and other departments.
  • Scheduling pre-operative appointments and tests.
  • Ensuring timely and efficient use of surgical service blocks.
  • Receiving and processing booking requests for diagnostic and medical treatment procedures.

Simulation Technician

UCI Medical Center
Irvine
07.2015 - 09.2016
  • Provided administrative and technical support for simulation-based training sessions, ensuring smooth execution and adherence to protocols
  • Operated and maintained audiovisual and medical simulation equipment to support dynamic, real-time learning environments
  • Coordinated scenario logistics and scheduling in collaboration with faculty and staff, similar to managing high-volume patient admissions
  • Ensured participant safety and scenario accuracy by preparing materials and verifying equipment functionality prior to sessions
  • Delivered responsive support during simulations, troubleshooting technical issues—comparable to resolving insurance and billing concerns in real time
  • Maintained confidential learner records and documented session data, reflecting experience with HIPAA compliance and secure data handling.
  • Fostered communication between multidisciplinary teams to support educational objectives, echoing patient-facing collaboration in admissions roles
  • Served as a certified CPR Instructor, delivering lifesaving training to students and staff, reinforcing patient care principles and emergency preparedness
  • Integrated CPR instruction into broader simulation education, enhancing realism and supporting hands-on clinical skills development

Patient Access Lead

St Joseph Health/ Revenue Cycle Services
Orange
08.2007 - 12.2015
  • This position is responsible for day-to-day greeting and patient registration functions at Providence Little Company Of Mary Torrance Hospital
  • The role involves welcoming patients, registering non-scheduled patients, activating pre-registered patients, collecting patient financial responsibilities, obtaining necessary signatures, and assisting with inpatient bed placement activities
  • The position emphasizes a culture of patient-focused care and mutual respect among caregivers
  • Greet patients upon arrival
  • Register non-scheduled patients
  • Activate pre-registered patients
  • Collect identified patient financial responsibilities
  • Obtain required signatures from patients or family members
  • Assist with inpatient bed placement activities

Registrar II

Ultimate Staffing
Brea
02.2007 - 08.2007
  • Served as registration personnel at St Joseph Hospital as a Temporary employee in Emergency Department.
  • Obtained and entered patient demographics and insurance information
  • collected patient financial liabilities

Education

Certificate - Surgical Technology

American Career College
Orange, CA
06.2008

Certificate - First Responder

North OC Regional Occupational Program

Certificate - Hospital Assistant I

North OC Regional Occupational Program

Certificate - Emergency Medical Technician

North OC Regional Occupational Program
Orange

Skills

  • Insurance Verification & Authorization – Accurately verifying patient insurance coverage, benefits, and obtaining pre-authorizations
  • Patient Financial Counseling – Explaining out-of-pocket costs, copays, payment plans, and financial assistance options with clarity and empathy
  • Customer Service & Communication – Providing professional, compassionate service to patients and families during high-stress situations
  • Medical Terminology & EMR Systems – Familiarity with healthcare terms and proficiency in Electronic Medical Records (EMR) systems like Epic or Cerner
  • Data Entry & Accuracy – Maintaining precise patient records, insurance info, and billing data while minimizing errors
  • HIPAA Compliance – Handling sensitive patient information with strict confidentiality and adherence to privacy regulations
  • Multitasking & Time Management – Managing high patient volumes, phone calls, and documentation under tight deadlines
  • Problem Solving & Conflict Resolution – Addressing patient concerns, resolving billing issues, and navigating insurance denials effectively

Timeline

Admitting Representative

Prime Health Care Services/ Garden Grove Hospital
02.2023 - Current

Patient Access Representative III

City of Hope Lennar Foundation
10.2022 - Current

Medicaid Eligibility Advocate

Parallon
06.2022 - 10.2022

Traveling Patient Service Representative

Human Arc/HCFS/Centauri
02.2017 - 06.2022

Admitting Registrar

Orange County Global Hospital
09.2016 - 02.2017

Simulation Technician

UCI Medical Center
07.2015 - 09.2016

Patient Access Lead

St Joseph Health/ Revenue Cycle Services
08.2007 - 12.2015

Registrar II

Ultimate Staffing
02.2007 - 08.2007

Certificate - Surgical Technology

American Career College

Certificate - First Responder

North OC Regional Occupational Program

Certificate - Hospital Assistant I

North OC Regional Occupational Program

Certificate - Emergency Medical Technician

North OC Regional Occupational Program
Eilene Tellez