Detailed, reliable, energetic healthcare professional with over a decade of medical administrative experience. Specializing in patient care and insurance billing and coding.
Overview
12
12
years of professional experience
Work History
Patient Access Coordinator
Retina Consultants of Texas
11.2024 - Current
Manage patient registration process, ensuring accuracy and timely data entry.
Ensure completion of insurance verification and authorizations.
Implement workflow improvements to enhance patient experience and reduce wait times.
Collaborate with clinical teams to streamline appointment scheduling.
Resolve patient inquiries and concerns through effective communication.
Analyze data trends to identify areas for operational enhancements in patient services.
Contribute to a positive work environment by providing support and assistance to colleagues during peak periods or staff shortages.
Participate in continuous improvement initiatives, collaborating with team members to identify areas of opportunity and develop plans for enhancement.
Provide compassionate service to patients and their families during difficult times, addressing concerns promptly and offering assistance as needed.
Lead Front Office Specialist
Dr. Fernando A. Romero MD PA
01.2019 - 11.2024
Trained and mentored junior staff on office procedures and patient management protocols.
Coordinated patient scheduling and managed appointment flow to enhance clinic efficiency.
Addressed and remedied all patient and team member issues.
Provided supervision and management to all staff.
Developed and implemented strategies to improve patient access, satisfaction and quality of care.
Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Oversaw billing processes, ensuring timely submission of claims and prompt payment from insurance providers.
Generated, posted and attached information to claim files.
Posted payments to accounts and maintained records.
Reviewed and processed insurance claims,
Resubmitted claims after editing or denial.
Facilitated clear communication between patients, providers, and insurance companies to resolve billing discrepancies.
Reconciled daily reports to identify discrepancies and solutions.
Prepared and mailed invoices to patients, processed payments, and documented account updates.
Medical Receptionist and Surgery Coordinator
Houston Pediatric Urology
08.2015 - 08.2018
Managed multi-line phone system and pleasantly greeted patients.
Maintained current and accurate medical records for patients.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Helped patients complete necessary medical forms and documentation.
Verified insurance coverage, obtained pre-authorizations and pre-certifications for scheduled appointments and surgeries.
Expertly managed planning, scheduling, and coordination of outpatient and inpatient surgeries.
Arranged pre-operative and post-operative appointments for surgical patients.
Phone Operator/ Receptionist
Clear Lake Specialties
08.2013 - 05.2015
Initial hire as phone bank operator in charge of scheduling and triage of all patient calls for a multi-specialty practice, promoted to front office receptionist. In which I assisted patients with check-in process and input of patient demographic and medical information into EMR system.
Education
Certification - Medical Coding Professional
Penn Foster Career School
Scranton, PA
08-2026
Phlebotomy
Alvin Community College
Alvin, Texas
High School Diploma -
Alvin High School
Skills
Excellent verbal and written communication in English and Spanish