Esmeralda Reyes
Princeton
Summary
Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Flexible hard worker ready to learn and contribute to team success.
Healthcare professional prepared to excel in patient care and administrative duties. Proven ability to manage patient interactions, coordinate appointments, and support clinical operations. Known for team collaboration and adaptability, leveraging communication and organizational skills to achieve optimal patient outcomes.
Overview
12
12
years of professional experience
Work History
Patient Service Specialist
Baylor Scott & White
McKinney, TX
02.2022 - Current
- Facilitated patient check-in processes to enhance operational efficiency and satisfaction.
- Managed appointment scheduling using electronic health record systems to optimize provider availability.
- Provided detailed information on services and procedures, ensuring clear communication with patients.
- Collaborated with healthcare teams to streamline patient flow and reduce wait times effectively.
- Trained new staff on patient management protocols and software usage for improved service delivery.
- Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
- Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
- 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.
- Facilitated communication between patients and various departments and staff.
Insurance Verification Specialist
All About Children Pediatrics
McKinney, TX
10.2019 - Current
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Assisted 40 patients weekly by reviewing personal cases and insurance coverage information.
Referral Coordinator
All About Children Pediatrics
McKinney, TX
07.2019 - Current
- Gathered community resources and coordinated referrals to obtain services.
- Managed up to 10 patient referrals daily through multi-line telephone system.
- Assisted patients by answering questions and providing information regarding referrals.
- Entered confidential patient information and updated electronic records in database.
- Managed and obtained insurance authorizations for patient referrals from physicians.
Medical Records Specialist
All About Children Pediatrics
McKinney, TX
07.2019 - Current
- Pulled patient records and transferred information to appropriate parties.
- Maintained complete confidentiality in accordance with organization and legal requirements.
- Pulled patient charts for upcoming appointments.
- Arranged and managed medical record filing, retrieval and transfers per established guidelines.
- Completed timely uploads of medical records to patient vaults.
Medical Receptionist
All About Children Pediatrics
McKinney, TX
12.2013 - Current
- Called patients to confirm scheduled appointments and obtain additional details.
- Checked patients in and out for appointments and collected co-payments.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Processed patient payments and scanned identification and insurance cards.
- Protected patients by observing strict HIPAA guidelines.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Took messages from patients and promptly relayed to appropriate staff.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
- Straightened up waiting room to maintain neat and organized space.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Trained new staff on office procedures, insurance processes and medical terminology.
- Verified documents and associated records to catch and resolve discrepancies.
- Selected by supervisor to train new hires on departmental processes and software.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Answered 50 average daily phone calls to schedule appointments and address patient inquiries.
- Called patients to schedule Routine Physical appointments, consistently double-checking information and availability.
Education
High School Diploma - Medical Office Assistance
Concorde Career College
Grand Prairie, TX05-2013
High School Diploma -
Irving High School
Irving, TX05-2000
Skills
- Skilled in Centricity, Epic and Office Practicum
- Medical terminology
- Database management
- Multitasking
- Electronic authorization processing
- Insurance plan verification
- Data management
- Flexible
- Organization
- HIPAA compliance
- Customer service
- Patient registration
- Eligibility determination
- Patient education
Languages
English
Professional
Spanish
Full Professional
Education and Training
other,other
Timeline
Patient Service Specialist
Baylor Scott & White
02.2022 - Current
Insurance Verification Specialist
All About Children Pediatrics
10.2019 - Current
Referral Coordinator
All About Children Pediatrics
07.2019 - Current
Medical Records Specialist
All About Children Pediatrics
07.2019 - Current
Medical Receptionist
All About Children Pediatrics
12.2013 - Current
High School Diploma -
Irving High School
High School Diploma - Medical Office Assistance
Concorde Career College