Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Fernando Vargas

Hollywood, FL,FL

Summary

Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records. Flexible hard worker ready to learn and contribute to team success. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Cordial Patient Access Representative with 39-year track record of successfully handling busy Admitting office asks to serve diverse populations. Career-minded and organized professional skillful in maintaining patient accounts, arranging immediate medical care and verifying insurance claims. Familiar with medical and clinical terminology coupled with proficiency in MS Office. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

Work History

Patient Access Coordinator

Hialeah Hospital
Hialeah , FL
1986.04 - Active
  • Greeted patients, verified patient identification and collected demographic information.
  • Scheduled appointments for outpatients using the electronic health record system.
  • Verified insurance eligibility and ensured coverage of services to be provided.
  • Processed referrals from primary care physicians and other healthcare providers.
  • Assisted in obtaining prior authorizations from insurance companies.
  • Maintained accurate patient records, including registration data in computer systems.
  • Coordinated with clinical staff to ensure timely completion of registration process.
  • Answered incoming calls, responded to inquiries, resolved customer complaints and provided assistance as needed.
  • Provided financial counseling services to patients regarding payment options.
  • Collected payments for services rendered and processed credit card transactions accurately and efficiently.
  • Ensured compliance with all relevant laws and regulations governing patient access activities.
  • Adhered to HIPAA guidelines when handling confidential patient information.
  • Performed quality assurance checks on patient data entered into system.
  • Researched discrepancies between insurance company information and hospital records.
  • Reviewed medical documents for accuracy prior to submission for billing purposes.
  • Prepared reports related to patient access activities such as average wait times or number of patients served per day.
  • Audited accounts receivable balances for assigned accounts regularly.
  • Participated in training sessions related to new software programs or changes in policies and procedures.
  • Collaborated with other departments within the organization to ensure seamless transition of patients through their healthcare journey.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Assembled registration paperwork and placed identification bands on patient.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.
  • Checked stock to determine inventory level and placed orders for needed supplies.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Collaborated with clinical and administrative staff to meet patient needs.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Explained policies, procedures and services to patients.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
  • Obtained informed consent and payment documentation from patients and filed in system.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Organized timely and accurate referrals to help patients obtain health care services and access available resources.
  • Instructed patients on policies and required actions for different types of appointments and procedures.
  • Counselled patients on potential financial liabilities and payment requirements.
  • Accessed programs and set up correct payment strategies based on patient means and needs.
  • Reported liabilities and risk management concerns to supervisor for review.

Education

Associate of Arts - Architectural Drafting Technology

Lindsey Hopkins Technical College
Miami, FL
1987-01

High School Diploma -

Miami Senior High School
Miami, FL
1981-06

Some College (No Degree) - Architectural And Building Sciences

Miami Dade College
Miami, FL

Skills

  • Healthcare knowledge
  • Patient Registration
  • Appointment Scheduling
  • HIPAA Compliance

Languages

Spanish
Professional

Timeline

Patient Access Coordinator

Hialeah Hospital
1986.04 - Active

Associate of Arts - Architectural Drafting Technology

Lindsey Hopkins Technical College

High School Diploma -

Miami Senior High School

Some College (No Degree) - Architectural And Building Sciences

Miami Dade College
Fernando Vargas