Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

ELIZABETH MORA

Houston,TX

Summary

Bilingual, hardworking, fast learner and passionate job seeker with strong organizational skills eager to secure a job within an organization that offers growth opportunities. Ready to help a team achieve company goals.

Overview

31
31
years of professional experience

Work History

Pre-Service Contact Center

Texas Children's Hospital
06.2023 - Current
  • Collaborated with team members to identify areas for improvement in customer service processes, implementing changes as needed.
  • Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
  • Educated patients on importance of following insurance guidelines so the may obtain the maximum amount of benefits.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of medical insurance and services and creating welcoming, positive experiences.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Responded proactively and positively to rapid change.
  • Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
  • Developed and maintained courteous and effective working relationships.
  • Passionate about learning and committed to continual improvement.
  • Obtained patient or family member authorizations for tests and procedures.
  • Coordinated with insurance providers to secure coverage for necessary medical services, alleviating financial burdens on patients and families.
  • Excellent communication skills, both verbal and written.
  • Self-motivated, with a strong sense of personal responsibility.
  • Paid attention to detail while completing assignments.

Patient Access Representative

Texas Children's Hospital
02.2003 - 06.2020
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments, procedures and medications including chemotherapy.
  • Attended meetings with with Bone Marrow Transplant (BMT) Chief of staff, Nurse Manager, BMT Coordinator Manager, Nurse Managers, Providers, Nurse Coordinators, BMT Coordinators regarding issues, new processes and implemented new ideas to assist different areas of BMT.
  • Demonstrated excellent problem-solving skills by identifying potential problems within the registration process and implementing effective solutions to address them.
  • Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
  • Performed patient registration functions to serve as initial contact point for medical office visits services and procedures.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Greeted and assisted patients with check-in procedures.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
  • Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Facilitated communication between patients and various departments and staff.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Worked effectively in fast-paced environments.
  • Paid attention to detail while completing assignments.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Provided professional services and support in a dynamic work environment.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Proven ability to learn quickly and adapt to new situations.
  • Responded to patient, family and external payer inquiries.
  • Contributed to a positive atmosphere within the clinic by maintaining a professional demeanor and compassionate attitude towards all patients.
  • Streamlined communication between patients, providers, and insurance companies for a seamless healthcare experience.
  • Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
  • Promoted a culture of teamwork among clinic staff by offering assistance whenever needed and fostering open communication channels.
  • Managed hospital admissions and patient flows.
  • Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.

Patient Access Representative

Prostaff Temp Agency - Texas Children's Hospital
12.2002 - 02.2003

· Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments, procedures and medications including chemotherapy.

· Demonstrated excellent problem-solving skills by identifying potential problems within the registration process and implementing effective solutions to address them.

· Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.

· Performed patient registration functions to serve as initial contact point for medical office visits services and procedures.

· Processed payments using cash and credit cards, maintaining accurate records of transactions.

· Greeted and assisted patients with check-in and check-out.

· Followed document protocols to safeguard confidentiality of patient records.

· Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.

· Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.

· Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.

· Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.

· Facilitated communication between patients and various departments and staff.

· Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.

· Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.

· Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.

· Cultivated interpersonal skills by building positive relationships with others.

· Worked effectively in fast-paced environments.

· Paid attention to detail while completing assignments.

· Developed strong organizational and communication skills through coursework and volunteer activities.

· Provided professional services and support in a dynamic work environment.

· Demonstrated respect, friendliness and willingness to help wherever needed.

· Proven ability to learn quickly and adapt to new situations.

· Responded to patient, family and external payer inquiries.

· Contributed to a positive atmosphere within the clinic by

maintaining a professional demeanor and compassionate

attitude towards all patients.

· Streamlined communication between patients, providers, and

insurance companies for a seamless healthcare experience.

· Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.

· Promoted a culture of teamwork among clinic staff by offering assistance whenever needed and fostering open communication channels.

· Managed hospital admissions and patient flows.

· Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.

Receptionist/Billing

HARDY STREET MEDICAL CLINIC
01.1997 - 12.2022
  • · Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments, procedures and medications including chemotherapy.
  • Posted and adjusted payments from insurance companies.
  • · Attended meetings with with Bone Marrow Transplant (BMT) Chief of staff, Nurse Manager, BMT Coordinator Manager, Nurse Managers, Providers, Nurse Coordinators, BMT Coordinators regarding issues, new processes and implemented new ideas to assist different areas of BMT.
  • · Demonstrated excellent problem-solving skills by identifying potential problems within the registration process and implementing effective solutions to address them.
  • · Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
  • · Performed patient registration functions to serve as initial contact point for medical office visits services and procedures.
  • · Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • · Greeted and assisted patients with check-in and check-out.
  • · Followed document protocols to safeguard confidentiality of patient records.
  • · Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • · Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
  • · Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • · Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • · Facilitated communication between patients and various departments and staff.
  • · Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • · Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • · Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • · Cultivated interpersonal skills by building positive relationships with others.
  • · Worked effectively in fast-paced environments.
  • · Paid attention to detail while completing assignments.
  • · Developed strong organizational and communication skills through coursework and volunteer activities.
  • · Provided professional services and support in a dynamic work environment.
  • · Demonstrated respect, friendliness and willingness to help wherever needed.
  • · Proven ability to learn quickly and adapt to new situations.
  • · Responded to patient, family and external payer inquiries.
  • · Contributed to a positive atmosphere within the clinic by maintaining a professional demeanor and compassionate attitude towards all patients.
  • · Streamlined communication between patients, providers, and insurance companies for a seamless healthcare experience.
  • · Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained accurate records of customer payments.
  • Collected payments and applied to patient accounts.
  • · Promoted a culture of teamwork among clinic staff by offering assistance whenever needed and fostering open communication channels.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • · Managed hospital admissions and patient flows.
  • · Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.

RECEPTIONIST/BILLING

Bac Track Physical Therapy
01.1993 - 01.1997
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments, procedures and medications including chemotherapy.
  • · Demonstrated excellent problem-solving skills by identifying potential problems within the registration process and implementing effective solutions to address them.
  • · Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
  • · Performed patient registration functions to serve as initial contact point for medical office visits services and procedures.
  • · Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • · Greeted and assisted patients with check-in and check-out.
  • · Followed document protocols to safeguard confidentiality of patient records.
  • · Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • · Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
  • · Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • · Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • · Facilitated communication between patients and various departments and staff.
  • · Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • · Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • · Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • · Cultivated interpersonal skills by building positive relationships with others.
  • · Worked effectively in fast-paced environments.
  • · Paid attention to detail while completing assignments.
  • · Developed strong organizational and communication skills through coursework and volunteer activities.
  • · Provided professional services and support in a dynamic work environment.
  • · Demonstrated respect, friendliness and willingness to help wherever needed.
  • · Proven ability to learn quickly and adapt to new situations.
  • · Responded to patient, family and external payer inquiries.
  • · Contributed to a positive atmosphere within the clinic by maintaining a professional demeanor and compassionate attitude towards all patients.
  • · Streamlined communication between patients, providers, and insurance companies for a seamless healthcare experience.
  • · Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
  • · Promoted a culture of teamwork among clinic staff by offering assistance whenever needed and fostering open communication channels.
  • · Managed hospital admissions and patient flows.
  • · Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
  • Billing and coding
  • Obtained Letter of Guarantee
  • Answer phone, faxes
  • Applied physical therapy

Education

GED -

San Jacinto College
Houston, TX
01.1991

Skills

  • Fluent Bilingualism
  • Prior authorization processing
  • Authorizations understanding
  • Effective communication skills
  • Multitasking Abilities
  • Insurance Verification
  • Retro-Authorizations
  • Effective Decision Making

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Pre-Service Contact Center

Texas Children's Hospital
06.2023 - Current

Patient Access Representative

Texas Children's Hospital
02.2003 - 06.2020

Patient Access Representative

Prostaff Temp Agency - Texas Children's Hospital
12.2002 - 02.2003

Receptionist/Billing

HARDY STREET MEDICAL CLINIC
01.1997 - 12.2022

RECEPTIONIST/BILLING

Bac Track Physical Therapy
01.1993 - 01.1997

GED -

San Jacinto College
ELIZABETH MORA