ELIZABETH ORTEGA
Chart Analust
Riverside,CA
Summary
Detail oriented chart analyst with 10+ years experience and zest for problem solving and team building. Diplomatic, personable, and adept at managing sensitive situations as proven in decade of experience in emergency care setting. Highly organized, self-motivated and proficient with computers, claims, and customer service.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Chart Analyst
Corona Regional Medical Center
Corona, CA
07.2021 - Current
- Audit accounts to verify completeness and accuracy, addressing incomplete or missing data fields to streamline application billing process.
- Evaluated and analyzed data by reviewing reports, printouts and performance indicators.
- Used Microsoft Word and other software tools to create documents and other communications.
- Onboarded and train new staff
- Carried out day-to-day duties accurately and efficiently.
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
- Submitted monthly reports to management to ensure goals being met
- Verify and obtain eligibility on outstanding accounts
- Reviewed inpatient accounts for accuracy
- Reviewed charts for inpatient documents
- Conduct individual meetings with staff to review performance and identified errors
Lead ER PAS Representative
Corona Regional Medical Center
Corona, CA
08.2018 - 07.2021
- Audit 600-900 accounts monthly
- Manage and track employee performance
- Manage escalated customer concerns and complaints
- Educate and counsel up to 30 employees regarding demographic, billing, and coding errors
- Developed and implemented training program for department
- Create and submit various monthly tracking reports for management
- Maintain open and strong communication with employees and management
- Perform data analysis and provided recommendations to achieve and maintain monthly goals
- Hold weekly staff meetings
- Implemented incentive programs to improve work place satisfaction
- Participate in interview and new hire process
- Perform in-service presentations to share knowledge with colleagues
- Troubleshoot system and account issues
- Volunteer on-call and after hours assistance
- Recover missing payments on underpaid accounts
- Fill in multiple roles where staffing shortages occur
Quality Analyst
Corona Regional Medical Center
Corona, CA
10.2015 - 08.2018
- Sole auditor for patient access accounts, approximately 200-300 accounts on selected audit days
- Educated and counseled up to 30 employees regarding demographic, billing, and coding errors
- Improved and maintained 98% overall account accuracy, per corporate standards
- Created and submitted various monthly tracking reports for management
- Performed data analysis and provided recommendations to achieve and maintain monthly goals set by corporate
- •Developed new hire training manual and program
- •Organized theme-related courses and events
Patient Access Representative
Corona Regional Medical Center
Corona, CA
11.2011 - 10.2015
- Recorded and filed sensitive patient data
- Reviewed medical records for accuracy and completion
- Strictly followed all federal and state guidelines for release of information
- Acquired insurance authorizations for procedures and tests
- Quickly and cordially handled interactions with customers
- Ensured compliance with medical/legal requirements, JCAHO standards
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
- Collected copays, deductibles, and coinsurance
- Collected deposits from uninsured/under insured patients
- Retain open communication with case manager regarding admissions and insurance inquiries
- Answer phone calls, send faxes, organize work stations
- Responded appropriately to physical, emotional and developmental needs of patients
- Took advantage of opportunities for continuing education, quality assurance and performance improvement activities
- PBX/Operator duties
Patient Access Representative
Whittier Community Hospital
Whittier, CA
09.2008 - 2012
- Recorded and filed patient data
- Carefully reviewed medical records for accuracy and completion
- Strictly followed all federal and state guidelines for release of information
- Acquired insurance authorizations for procedures and tests
- Completed registration quickly and cordially for all patients
- Ensured compliance with medical/legal requirements, JCAHO standards
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
- Confirmed patient information, collected copays and verified insurance
- PBX/Operator duties
Education
High School Diploma - General Education
Magnolia High School
2006
Skills
- HMO, PPO, Medicare, Medi-Cal billing and benefits interpretation
- Leadership skills
- Training and development
- Reports generation and analysis
- Computer proficient
- Bilingual, Spanish
- Proficient medical terminology
- Excellent written and oral communication
- HIPPA compliance
- Phone operator, multi-line management
- Knowledge of third party billing
- Goal setting, results driven
- Dependable, prompt, dedicated
- Internal auditing
- Patient Eligibility Requirements
- Authorization submissions
Certification
Crisis Intervention Institute - Certified Instructor. I was part of a team of ten individuals chosen to train over one thousand current employees in crisis management.
Timeline
Chart Analyst
Corona Regional Medical Center
07.2021 - Current
Lead ER PAS Representative
Corona Regional Medical Center
08.2018 - 07.2021
Quality Analyst
Corona Regional Medical Center
10.2015 - 08.2018
Patient Access Representative
Corona Regional Medical Center
11.2011 - 10.2015
Patient Access Representative
Whittier Community Hospital
09.2008 - 2012
High School Diploma - General Education
Magnolia High School