Elaine A. Delacruz
Whittier,CA
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
16
16
years of professional experience
Work History
Patient Registration Representative
PIH Health/Outpatient Registration
01.2016 - 01.2019
- Patient registration and billing
- Checking in patient for outpatient procedures, data entry, patient registration, insurance verification, icd 9 coding, billing, Medicare billing and coding, collections, financial counseling, patient admitting, familiarity with all insurance providers including state insurance
- Performed all tasks related to pre- registration, and registration of inpatients and outpatients including securing and calculating upfront collections with co-pays, and co-insurance in an efficient, accurate and hospitable manner to ensure that patient, physician and hospital needs are met.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
- Gathered demographic and insurance information to register patients for medical appointments.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Prepared patient charts before visits to facilitate easy access to relevant information for healthcare providers.
- Provided counseling to help patients navigate financial assistance programs for uncovered bills.
- Performed various administrative tasks by filing, copying and faxing documents.
- Registered and verified patient records before triage with most up-to-date information.
- Conducted patient intake interviews, recording and documenting relevant information.
- Prepared and processed patient referrals and transfer requests.
- Assisted with medical coding and billing tasks.
Data entry/phone operator
PIH/Orthopedics/Sports Medicine
01.2014 - 01.2016
- Completed data entry tasks with accuracy and efficiency.
- Maintained files, records and chronologies of entry activities.
- Corrected data entry errors to prevent duplication or data degradation.
- Verified data files prior to entry to maintain high data accuracy.
- Sent completed entries for evaluation and final approval.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Searched, extracted and interpreted information to determine correct input procedure.
- Coded and processed applications into required electronic formats.
- Followed established procedures to enter and process data correctly.
- Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
- Collated and organized data entry documents into filing systems for easy access.
- Developed data entry policies and procedures in compliance with company standards.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided prompt, polite and professional in-person and telephone customer service.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Updated patient information and insurance details for accurate electronic medical records.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Processed medical insurance claims and payments.
Receptionist/office assistant
Guy K
11.2007 - 12.2014
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Maintained current and accurate medical records for patients.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Supported office staff and operational requirements with administrative tasks.
- Completed patient referrals to other medical specialists.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Obtained payments from patients and scanned identification and insurance cards.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Registered and verified patient records before appointment with most up-to-date information.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Assisted with medical coding and billing tasks.
- Processed medical insurance claims and payments.
Front office receptionist
Madhure Mangunath M.D
04.2007 - 11.2007
- Paid office bills
- Faxed and filed patient charts and reports
- Scheduled patient appointments
- Scheduled doctor's meetings.
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Helped patients complete necessary medical forms and documentation.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed multi-line phone system and pleasantly greeted patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Supported office staff and operational requirements with administrative tasks.
- Completed clerical duties and tasks for clinic administration.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Notified manager of incidents and potential incidents relating to patients and staff for swift action.
- Obtained payments from patients and scanned identification and insurance cards.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Performed various administrative tasks by filing, copying and faxing documents.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Registered and verified patient records before triage with most up-to-date information.
- Placed new supply orders, managed inventory and restocked clerical spaces.
CPSP Patient Coordinator
Midpoint Management
04.2023 - Current
- Explained upcoming treatment preparation, instructions, and other facts to patients.
- Worked with patients to schedule tests and procedures.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Provided complete patient assessments and communicated with patients to understand medical histories.
- Educated patients by explaining preparation instructions for upcoming procedures and tests.
- Communicated with patients, caregivers and families members to relay diagnoses and treatment options.
- Aided in development and betterment of patient management and workflow processes.
- Informed patients and caregivers on clearance procedures to maintain patient health and facilitate recovery goals.
- Managed hospital admissions and patient flows while organizing patient care.
- Shared patient status updates during shift changes for continuum of care.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Monitored patient health records for accuracy to meet compliance with healthcare guidelines.
- Coordinated transportation to get patients to and from medical appointments.
- Provided support and guidance to patients and families to navigate healthcare systems.
- Assisted patients with coordinating long-term care for chronic conditions to support and manage illnesses.
- Supported patients with necessary care during end-of-life phases by coordinating hospice care.
Education
High School Diploma -
Family Life Center Christian Academy
Whittier, CA2006
Skills
- SKILL
- Computer and Internet literate; typing ability: 65 WPM
- Assertive, self-motivated, goal-oriented, organized and efficient
- A Flexible, Cooperative, hard worker, team player and reliable
- A good morale builder
- Knowledgeable in Microsoft word and Excel
- Icd 9 and icd 10 coding
- Medicare billing
- PPP,Hmo and private insurance billing
- Insurance verification
- Insurance Practices
- Patient Registration
- Patient Care and Education
- Medical Terminology
- Case Management
- Quality Assurance
- Electronic Records Management
- Patient Flow Coordination
- Customer Service
- Database Coordination
- HIPAA Regulations
- Benefits Explanations
- Organizational Skills
- Multi-Line Telephone Systems
- Patient Health Information Access
- Call Transfers
- Insurance Form Processing
- Appointment Confirmation
- Patient Records Management
- Reminder Calls
- Outbound Calling
- Critical Thinking Skills
- Claim Processing
- Healthcare System Navigation
- Patient Interviewing Skills
- EMR Systems
- HCPCS Compliance
- Medical Services Administration
- Coordinate Referrals
- Punctual and Hardworking
- Medical Filing
- Healthcare Regulations
- Claims Handling and Coverage Verification
- Insurance Verification
- Counseling and Guidance
Timeline
CPSP Patient Coordinator
Midpoint Management
04.2023 - Current
Patient Registration Representative
PIH Health/Outpatient Registration
01.2016 - 01.2019
Data entry/phone operator
PIH/Orthopedics/Sports Medicine
01.2014 - 01.2016
Receptionist/office assistant
Guy K
11.2007 - 12.2014
Front office receptionist
Madhure Mangunath M.D
04.2007 - 11.2007
High School Diploma -
Family Life Center Christian Academy
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