Gavriela Perez
Garland,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
7
7
years of professional experience
Work History
Patient Access Representative
UT Southwestern Medical Center
07.2019 - Current
- Register patients in timely manner for their inpatient and/or outpatient appointments and procedures
- Obtain all necessary demographic documentation such as, insurance information and cards, identification forms, signed consents, and provide legal compliance forms, based on departmental needs and standards
- Process payments, balance cash drawer, and update accounts to reflect charges
- Receive patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Work with various pre-arrival financial service teams to ensure patient's insurance has been verified along with prior authorizations if needed for services
- Answer inbound calls from new and existing patients to assist with scheduling and answer general clinic questions
- Train new staff on hospital processes and procedures.
- Execute hospital's "Code of Conduct," core values and mission statement
- Secure patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
CLINICAL STAFF ASSISTANT
UT Southwestern Medical Center
07.2018 - 07.2019
- Registered patients in timely manner for their scheduled appointments
- Obtained all necessary demographic documentation such as, insurance information and cards, identification forms, signed consents, and provide legal compliance forms, based on departmental needs and standards
- Worked with various pre-arrival financial service teams to ensure patient's insurance has been verified along with prior authorizations if needed for services
- Scheduled office and imaging appointments while providing exceptional customer service, maintaining complete confidentiality and professionalism
- Answered inbound calls from new and existing patients to assist with scheduling and answer general clinic questions
- Checked faxes daily, received and entered referrals for patients and made outbound calls to schedule new appointments from referrals received
- Processed payments, balanced cash drawer, and updated accounts to reflect charges
- Build rapport and communication with internal and external team members to ensure best outcomes for patient in comprehensive clinical care model
- Maintained neatness of customer waiting area; keeps area stocked with pamphlets and other materials as appropriate
- Executed hospital's "Code of Conduct," core values and mission statement
- Delivered superior customer service, representing UT Southwestern in positive and professional manner to patients, colleagues, and community
- Maintained patient confidentiality in accordance with HIPAA and UT Southwestern policy
- Ensured adequate inventory of items necessary for day-to-day functions of clinic, such as office supplies and patient forms
- Followed all policies and guidelines provided by university, state and federal governments
- Performed other duties as assigned
Insurance Authorization Specialist
Achieve Physical Therapy
09.2017 - 07.2018
- Obtained prior authorizations from various insurance companies by submitting clinical information via fax or speaking directly to case management representative
- Collaborated with insurance companies and physician offices to obtain prior authorization approvals for patient treatment
- Verified prior authorization in compliance with Medicare/Medicaid, Department of Medical Assistance and individual insurance companies
- Answered inbound calls regarding authorizations within established time frame
- Maintained accurate and timely data entry of prior-authorization requests within systems
- Trained all new incoming TOB data entry reps to efficiently data enter information based on medical criteria
- Answered questions related to insurance deductibles and co-pays, mail order, and assistance eligibility while maintaining productivity and HIPAA standards
- Demonstrated skills in communication, organization and problem solving as well as ability to work efficiently in fast-pace environment
- Established open lines of communication with insurance carriers in verifying patient eligibility for insurance plans to cover medical treatment/services
- Performed other duties as assigned
Receptionist
Achieve Physical Therapy
09.2016 - 09.2017
- Provided front-desk customer service in welcoming and handling patients scheduled for medical consultation or treatment
- Registered patients obtained copy of insurance cards, official identification and referrals during check-in process.
- Scheduled office appointments maintained complete confidentiality and professionalism
- Answered inbound calls from new and existing patients to assist with scheduling and answer general clinic questions
- Checked faxes daily, received and entered referrals for patients and made outbound calls to schedule new appointments from referrals received
- Trained new team members on company procedures, customer service and issue resolution.
- Optimized patient satisfaction by answering phone inquiries, performing administrative support activities, and maintaining patient confidentially according to HIPAA regulations
Education
Diploma -
Lakeview Centennial High School
Garland, TX05.2008
Skills
- Microsoft office suite
- ICD-10
- Referrals for pre-certification
- Protect patient privacy HIPPA regulations
- Customer Satisfaction
- Insurance Verification
- Team Collaboration
- Data entry alpha-60
- EPIC
- Winteam-HRIS system
Languages
Spanish
Professional Working
Timeline
Patient Access Representative
UT Southwestern Medical Center
07.2019 - Current
CLINICAL STAFF ASSISTANT
UT Southwestern Medical Center
07.2018 - 07.2019
Insurance Authorization Specialist
Achieve Physical Therapy
09.2017 - 07.2018
Receptionist
Achieve Physical Therapy
09.2016 - 09.2017
Diploma -
Lakeview Centennial High School
Similar Profiles
Lauren StephensonLauren Stephenson
Registered Nurse at Simmons Cancer Center, UT Southwestern Medical CenterRegistered Nurse at Simmons Cancer Center, UT Southwestern Medical Center
Jermisha DavisJermisha Davis
Registered Nurse Supervisor at UT Southwestern Medical CenterRegistered Nurse Supervisor at UT Southwestern Medical Center
Jessica OcegueraJessica Oceguera
Research Assistant at UT Southwestern Medical CenterResearch Assistant at UT Southwestern Medical Center
JOMEY FRANCISJOMEY FRANCIS
Patient Care Technician 6green Medical Surgical at Ut Southwestern Medical CenterPatient Care Technician 6green Medical Surgical at Ut Southwestern Medical Center
Sasha MerajSasha Meraj
CCU Registered Nurse at Medical City Dallas HospitalCCU Registered Nurse at Medical City Dallas Hospital