Fernando Vargas
Hollywood,FL
Summary
Have been working at Hialeah Hospital for 37 years as a Patient Rep II and have done multiple position within the Admitting Dept. Have worked in the ER, Maternity and in the Admitting outpatient department and every other area of the Admitting department. Excellent reputation for resolving problems and improving customer satisfaction.
Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Admitting Patient Rep position. Ready to help team achieve company goals.
Overview
36
36
years of professional experience
Work History
Patient Access Representative
Hialeah Hospital
04.1986 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
- Resolved patient financial problems with guidance from documented guidelines and procedures.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Organized patient records and database to facilitate information storage and retrieval.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Kept current with literature and felid advancements to advocate to and for patients.
- Recommended service improvements to minimize recurring patient issues and complaints.
Supervisor
Norman LLoyd Burrow
Miami, FL
1993 - 05.2013
- Monitored workflow to improve employee time management and increase productivity.
- Achieved results by working with staff to meet established targets.
- Enforced rules and regulations outlined in company manual to set forth expectations comprehensibly and consistently.
- Conducted routine inspections to check quality and compliance with established specifications.
- Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
- Identified individual employee's unique work styles and adapted management methods.
- Evaluated employee performance and coached and trained to improve weak areas.
- Prepared, calibrated and monitored production levels to achieve targets.
- Streamlined operations to improve process efficiency.
- Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
Education
No Degree - Architectural And Building Sciences
Miami Dade College
Miami, FLAssociate of Arts - Architectural Drafting Technology
Lindsey Hopkins Technical College
Miami, FL06.1985
High School Diploma -
Miami Senior High School
Miami, FL06.1981
Skills
- Training Coordination
- Insurance Information Collection
- Financial Procedures Adherence
- Team Leadership
- Multitasking and Organization
- Resolving Problems
- Documenting and Recording Information
- Gathering Information From Patients
- Scheduling Diagnostic Procedures
- Patient Needs Assessment and Referral
- Pre-Admission Requests
- Administrative and Office Support
- Demographics Information
- Providing Information and Resources
- Diagnostic Codes
- Explaining Policy and Procedures
- Patient Identification
- Work Quality Evaluation
- Verifying Eligibility
- Patient Confidentiality and Data Security
- Insurance Company Knowledge
- Calm and Effective Under Pressure
- Customer Service
- Communicating to Patients and Families
- Patient Education
- Building Rapport and Credibility
- Customer Satisfaction
- Registration and Admissions
- Phone and Email Etiquette
- Accounts Payable and Accounts Receivable
- Calculating Liabilities
- Patient Contact
- Financial Recordkeeping
- Patient Health Information Access
- Insurance Form Processing
- Clerical and Filing Support
- Punctual and Hardworking
- Eligibility Requirements
- Informed Consent
- Patient Rights
- Computerized Maintenance Management Systems
- Spanish Fluency
- Explaining Instructions
- Patient Data Management Systems
- Professional Bedside Manner
- Benefits Explanations
- Bilingual Spanish and English
- Insurance Authorizations
- Billing Issue Resolution and Support
- Payment Calculation
- Business Management Principles
- Claims Handling and Coverage Verification
- Call Transfers
Timeline
Patient Access Representative
Hialeah Hospital
04.1986 - Current
Supervisor
Norman LLoyd Burrow
1993 - 05.2013
No Degree - Architectural And Building Sciences
Miami Dade College
Associate of Arts - Architectural Drafting Technology
Lindsey Hopkins Technical College
High School Diploma -
Miami Senior High School
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