Erica Melissa Marichalar
Weslaco
Summary
Dedicated Patient Service Representative with strong skills in customer service, HIPAA compliance, and insurance verification. Proven ability to enhance patient-provider interactions and streamline office operations. Professional with experience in healthcare support, skilled in managing patient interactions and administrative tasks. Known for strong collaboration with teams, adapting to changing needs, and consistently achieving results. Proficient in scheduling, patient communication, with focus on delivering quality service and ensuring patient satisfaction. Reliable and contributing effectively to team goals and patient care excellence.
Overview
16
16
years of professional experience
Work History
Patient Service Representative
Wellmed Medical Group
Weslaco, TX
05.2019 - 03.2026
- Facilitated patient scheduling and appointment confirmations, contributing to improved overall office productivity.
- Streamlined patient-provider interactions to ensure prompt responses to healthcare inquiries.
- Facilitated insurance verification procedures to optimize patient onboarding experience.
- Assisted with medical record management, promoting accuracy and compliance with regulations.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Managed patient registration process, confirming data accuracy and completeness.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Entered patient demographic and insurance data into electronic medical record system.
- Balanced deposits and credit card payments each day.
- Built and maintained positive working relationships with patients and staff.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
- Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
- Supported new Patient Service Representatives'' orientation process by sharing expertise on office procedures.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Facilitated communication between patients and various departments and staff.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Delivered support to medical staff in completion of patient paperwork.
Insurance Verification Specialist
DHR Midvalley Imaging
Weslaco, TX
01.2017 - 04.2018
- Verified insurance coverage for patient procedures, ensuring compliance with regulatory standards.
- Collaborated with healthcare providers to resolve discrepancies in patient information and insurance details.
- Analyzed patient eligibility for services, streamlining approval processes and reducing delays.
- Trained new team members on insurance verification protocols and effective communication strategies.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Enhanced communication between medical staff and insurance companies, leading to more efficient patient care coordination.
- Contributed to patient education by explaining complex insurance terms and procedures in understandable manner.
- Collaborated with healthcare providers to ensure that insurance coverage met needs of patient treatments.
- Monitored trends in insurance claims to identify potential issues and recommend strategic solutions.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Radiology Associate
Knapp Medical Center
Weslaco, TX
05.2010 - 03.2016
- Streamlined patient intake processes, enhancing workflow efficiency and reducing wait times.
- Coordinated scheduling for medical appointments, ensuring optimal resource allocation and improved patient satisfaction.
- Implemented electronic health record systems, increasing data accuracy and accessibility for clinical teams.
- Increased customer satisfaction by resolving complex issues and providing exceptional service at all times.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Education
High School Diploma -
East Grand Forks Senior High
East Grand Forks, MN05-1998
Skills
- Commitment to service quality
- Knowledge of HIPAA guidelines
- Efficient appointment scheduling
- Maintaining healthcare confidentiality
- Patient evaluation process
- Effective patient interaction
- Administrative support
- Efficient data input
- Effective conflict resolution
- Managing incoming calls
- Proficient in Spanish
- Effective verbal communication
- Professional phone communication
- Appointment notification management
- Team collaboration
- Payment processing
- Referral coordination
- Punctual and hardworking
- HIPAA compliance
Timeline
Patient Service Representative
Wellmed Medical Group
05.2019 - 03.2026
Insurance Verification Specialist
DHR Midvalley Imaging
01.2017 - 04.2018
Radiology Associate
Knapp Medical Center
05.2010 - 03.2016
High School Diploma -
East Grand Forks Senior High