Evelyn Perez
Northampton,PA
Summary
Dynamic Bi lingual Medical Representative with a proven track record at Baycare Cypress Ridge Primary, excelling in relationship building and problem-solving. Enhanced patient satisfaction through effective communication and streamlined processes, resulting in improved operational efficiency. Adept at scheduling and collaborating with cross-functional teams to achieve superior patient outcomes while maintaining strict adherence to HIPAA regulations.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Qualified with strong background in medical office administration and patient care coordination. Successfully managed patient schedules, facilitated smooth office operations, and provided excellent patient service. Demonstrated effective communication and problem-solving skills in fast-paced environment.
Medical professional prepared for this role, bringing valuable experience in clinical and administrative functions. Known for reliable support in patient care and effective communication with healthcare teams. Strong focus on collaboration and adaptability to meet changing priorities. Proficient in patient interaction, medical record management, and office support tasks.
Professional in healthcare with solid experience in clinical and administrative duties. Skilled in patient care, medical procedures, and electronic health records. Strong focus on teamwork, adaptability, and delivering high-quality results. Reliable in fast-paced environments and adept at supporting medical staff and patients effectively.
programs: EMR,Cerner powerchart, phreesia
Overview
8
8
years of professional experience
Work History
Medical Representative
Baycare Cypress Ridge Primary
01.2023 - Current
- Established strong relationships with healthcare professionals, resulting in increased trust and credibility for the organization.
- Assisted physicians with patient education efforts, providing resources and support as needed.
- Enhanced patient satisfaction by addressing inquiries and resolving issues related to medical appointments, billing, and insurance.
- Managed high call volume with professionalism and empathy, ensuring timely resolution of customer concerns.
- Handled sensitive patient information with confidentiality, adhering to HIPAA regulations at all times.
- Referred and screened patients to make best use of resources, triage staff, and serve community members.
- Resolved escalated customer complaints efficiently while maintaining composure under pressure situations.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution, and medical care.
- Assisted in training new team members on company policies and best practices in medical customer service delivery and learning our programs,
- Directed incoming calls to internal personnel and departments, routing to best-qualified department.
- Collaborated with cross-functional teams to address complex patient cases, resulting in improved patient outcomes.
- Completed clerical duties and tasks for clinic administration.
- Assessed and forwarded procedure and service details to correct coding staff to best categorize for insurance purposes.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Fielded concerns surrounding patients and care, liaising between physician, patient, and insurance company.
- Disseminated sensitive patient information and coordinated with translators to offer personalized service to individuals from diverse backgrounds.
- Verified and updated demographic and other personal information for patients with respect to personal boundaries when asking for important details.
- Streamlined communication between patients and healthcare providers for efficient appointment scheduling and followups.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Strengthened relationships with healthcare providers through proactive outreach efforts aimed at improving communication channels.
- Developed strong rapport with customers through active listening and empathetic responses, promoting long-term loyalty and trust.
- Educated patients on available healthcare services and assisted them in making informed decisions about their care options.
- Coordinated with clinical staff to ensure seamless handling of prescription refills, test results, and referral authorizations.
- Reduced wait times for callers by implementing callback options during peak hours.
- Implemented improvements in internal processes to optimize efficiency within the customer service department.
- Increased operational efficiency by identifying areas for improvement within the workflow process and recommending necessary changes.
- Supported patients by providing clear explanations on insurance benefits, coverage limitations, and out-of-pocket costs.
- Facilitated the transition to a new electronic medical records system by assisting in data migration efforts and providing user training.
- Contributed to a positive work environment by fostering teamwork among colleagues and consistently offering support when needed.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Responded proactively and positively to rapid change.
- Monitored cash drawers in multiple checkout stations and maintained adequate cash supply.
- Cross-trained and provided backup support for organization
Medical Office Receptionist
Baycare Neuro Surgery
07.2018 - 01.2023
- Improved patient satisfaction by efficiently managing front desk operations and addressing inquiries professionally.
- Increased office productivity by multitasking efficiently during peak hours, handling multiple responsibilities simultaneously.
- Handled sensitive situations compassionately when dealing with distressed patients or families during difficult times.
- Collaborated with medical staff to ensure seamless communication and coordination of patient care.
- Reviewed and sent medical records to other physicians upon request.
- Enhanced office efficiency by maintaining organized patient records and scheduling appointments accurately.
- Managed high call volumes, directing calls to appropriate departments while providing accurate information to callers.
- Pulled charts and prepared for nurse and doctor assessment.
- Streamlined the check-in process for patients, resulting in reduced wait times and increased satisfaction.
- Updated demographics regularly on electronic health record systems ensuring accuracy and up-to-date information accessible during visits.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Assisted in inventory management for office supplies, ensuring adequate stock levels were maintained at all times.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and protecting privacy rights.
- Kept patients' appointments on schedule by informing provider of patient's arrival and any delays.
- Participated in team meetings for continuous improvement of policies, procedures, and overall office operations efficiency.
- Anticipated needs of medical professionals by preparing necessary documents beforehand, resulting in smoother appointments and less downtime between patients.
- Coordinated referrals for specialist consultations, ensuring timely appointments and proper documentation transfer between providers.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Supported new employees through onboarding processes including training in software systems usage necessary for their roles.
- Filed and retrieved patient records for provider.
- Maintained records by recording, obtaining, and updating personal and financial information.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed multi-line phone system and pleasantly greeted patients.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Obtained payments from patients and scanned identification and insurance cards.
- Performed various administrative tasks by filing, copying and faxing documents.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Received and routed laboratory results to correct clinical staff members.
- triage trama calls when we are on call for hospitals
Patient Financial Counselor
Florida Orthopedic Institute
01.2017 - 07.2018
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
- Improved cash flow by proactively monitoring aging accounts receivables and implementing effective collection strategies.
- Reduced hospital bad debt through proactive communication with patients about their financial responsibilities.
- Developed customized payment solutions based on individual patient needs, promoting long-term account sustainability.
- Facilitated timely resolution of outstanding balances by connecting patients with appropriate resources and support.
- Streamlined insurance verification process, minimizing billing errors and speeding up patient admissions.
- Streamlined communication between financial counseling department and clinical staff, ensuring unified approach to patient care.
- Conducted detailed patient financial assessments to identify suitable payment plans, enhancing hospital's revenue cycle.
- Streamlined insurance verification processes for increased efficiency and reduced errors.
- Reduced number of uninsured patient visits by guiding them through insurance enrollment processes.
- Trained new staff on patient financial services best practices, elevating overall performance of financial counseling team.
- Collaborated with healthcare providers to ensure accurate billing codes, reducing claim denials and improving reimbursement rates.
- Coordinated with external collection agencies on delinquent accounts, ensuring sensitive handling of patient financial situations.
- Enhanced patient understanding and reduced financial stress with clear explanations of complex insurance benefits and coverage.
- Mediated disputes between patients and insurance companies, ensuring accurate claim processing and patient satisfaction.
- Developed personalized payment solutions for patients facing financial hardships, preserving patient loyalty and trust.
- Managed sensitive patient information with utmost discretion, adhering to all HIPAA guidelines.
- Educated patients on available financial assistance programs, guiding them through application processes when needed.
- Negotiated payment plans and settlements with patients, improving cash flow and reducing accounts receivable aging.
- Improved patient satisfaction by offering comprehensive financial counseling services, ensuring clarity on billing and insurance processes.
- Collaborated with medical staff to ensure accurate billing codes and minimize claim denials.
Education
High School Diploma -
Central Islip High School
Central Islip, NY06-1987
Skills
- Positive attitude
- Relationship building
- Problem-solving
- Scheduling meetings
- Collaborative teamwork
Accomplishments
- Recognized for going above and beyond the call of duty.
- Recognized for outstanding dedication to patient care.
Languages
Spanish
Timeline
Medical Representative
Baycare Cypress Ridge Primary
01.2023 - Current
Medical Office Receptionist
Baycare Neuro Surgery
07.2018 - 01.2023
Patient Financial Counselor
Florida Orthopedic Institute
01.2017 - 07.2018
High School Diploma -
Central Islip High School