Detail oriented Medical Assistant/Administrative with a proven history of modernizing traditional offices to maximize patient satisfaction. Skilled at maintaining facility operations at optimal levels with great organizational and multitasking abilities in fast-pace environments. Confident and empathetic with all patients, taking special care to hold confidentiality.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Registration Representative
Marian Regional Medical Center
Santa Maria, CA
09.2023 - Current
Explain financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
Operate MS4, MedeAnalytics, Soarian, and Cerner for updating patient demographic information, scanning ID/Insurance and registering patients based on acuity level or whether they are considered inpatient or outpatient by physician order.
Secure patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
Answer telephone calls to offer office information, answer questions, and direct calls to staff.
Maintain clean and organized workspaces to promote smooth operation and easy access to patient information.
Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
Gather demographic and insurance information to register patients for medical services, worked along side colleagues to determine the estimate cost of each procedure.
Collect payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
Obtain payments from patients and scann collected documents and receipts.
Coordinate referrals through insurance and other medical specialists and documented details in patient charts.
Imaged and scanned patient and registration documentation into electronic patient records, sent billing statements during discharge.
Provide counseling to help patients navigate financial assistance programs for uncovered bills.
Set up payment plans and discuss next steps for patient who do not have active insurance.
Offer Emergency Medi-cal to patients who seek enrollment for individual coverage, vigorously discuss further steps to patients who qualify so they can receive full scope.
Medical Office Coordinator
Alta Orthopedics
Santa Maria, CA
06.2020 - 08.2023
Coordinated and reported data on topics, such as patient encounters and inter- institutional problems, made recommendations when appropriate.
Greeted and checked in patients in an efficient manner, confirmed personal demographics and went over office waivers for every new patient.
Verified insurance eligibility before scheduling patient appointment, confirmed whether coverage plan is HMO or PPO, requested Authorization for Medicare and Cencal patients.
Explained policies, procedures and services to patients using medical and administrative knowledge.
Answered telephones and directed calls and voicemails to appropriate staff.
Operated Modern Medicine and Care Tracker Software systems to compile and record medical charts and reports.
Protected patient rights by maintaining medical and financial information confidentiality in accordance with HIPAA.
Determined if patient was seen at the ER/Urgent Care for possible fractures or body pain by screening as much as possible.
Tasked Doctors and PA with patient's medical history/injury to schedule next available appointment.
Optimized patient satisfaction and provider time by following up with previous appointment visits and take message for Medical Assistant if condition has worsened.
Closed batches at the end of day, documented daily transactions of Co-pays, Initial EDD forms, & Self pay visits.
Medical Billing Specialist
Community Health Centers, Vallarta Pediatrics
Santa Maria, CA
09.2019 - 05.2020
Prepared billing statements for patients, ensuring correct diagnostic coding.
Entered procedure codes, diagnosis codes and patient information into Cerner EMR Software.
Contacted patients for unpaid claims for HMO, PPO and private accounts, performed friendly follow-ups to ensure proper payments were made according to contracts.
Remained up-to-date details of patient financial responsibilities, fee-for-service and managed care plans by participating in weekly conference meetings.
Determined prior authorizations for medication and outpatient procedures.
Prevented financial delinquencies by working closely with staff to resolve billing errors before becoming unmanageable.
Analyzed and interpreted patient medical and past history records to determine billable services.
Billed all lab claims with attached lab slips or encounter forms.
Forwarded and created invoices, processed incoming payments and created daily report.
Clinical Medical Assistant
Nano Health Clinic
Arroyo Grande
11.2017 - 08.2019
Operated X-ray, Ultrasound, and other equipment to administer routine diagnostic tests.
Assisted physicians with personnel phlebotomy injections and other patient care procedures.
Performed general administrative duties on Tuesdays and Thursdays, such as telephoning patients on follow ups with Pre/Post Ops , completing referral forms and orders for medication prescription refills.
Treated injuries and illnesses affecting muscles and bones, developed individualized health care plans and educated patients about self-care and available support systems.
Instructed patient and family on proper use and care of bandages, braces, splints and prostheses,verified patient questions or concerns before discharge.
Aided patients with functional mobility and daily task performance to increase comfort and reduce disability.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Stocked clinical workstations and procedure rooms with necessary supplies.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Medical Receptionist
Central Coast Family Care
Santa Maria, CA
05.2014 - 10.2017
Coordinated patient scheduling, check-in, check-out and payments for billing.
Adhered to strict HIPAA guidelines to protect patient privacy.
Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Greeted patients and initiated triage processes for clients to streamline patient flow.
Obtained payments from patients and scanned identification, insurance cards.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Registered and verified patient records before triage with most up-to-date information.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts using MediTech EMR.
Contacted patients regarding unpaid and underpaid accounts to resolve issues.
Attended weekly meetings to discuss appointment plans and changes within office policies.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Enhanced patient outcomes by providing knowledgeable education on procedures, inquiry on medications, and other physician instructions.
Requested medical records and report from different offices to determine the cause of injury.
Collected and reviewed patient medical super bills at the end of the day to process for billing department.
Education
Certified Medical Assistant - Medical Assisting
San Joaquin Valley College
Santa Maria, CA
07.2022
High School Diploma - General Studies
Delta High School
Santa Maria, CA
06.2017
Skills
Office Management
Medical Records Management
Patient Care Medical Billing
Customer Service Confidentiality
Appointment Scheduling Billing and Invoice
Multi-Line Phone Systems Documentation and Reporting
Microsoft Office Meditech, Cerner, Modern Medicine, CareTracker, & Office
Ally EMR Knowledge
Payment Processing
Medical Scheduling
Phone Etiquette Medical Terminology Knowledge
QuickBooks 55wpm Key Typing
Faxing and Scanning Interpretor
Medical Transcripts Bilingual
Venipuncture Vital signs
X-Ray Multitasker
Scheduling Tests and Procedures
Sterilizing Procedures
Advising Patents
Collecting Patient Specimens and Tests
Payment Scheduling and Collection
Confidential Records Management
CPR Certified
BLS Certified
Teamwork and Collaboration
Patient Registration
Verifying Eligibility
Certification
Certified Clinical Medical Assistant (CCMA) — Jul, 2022
CPR/AED License — Apr, 2023
Basic Life Support (BLS) — Oct, 2022
HIPAA & OSHA Compliance Certification — Dec, 2021