Guillermo Moretta Gutierrez
HIALEAH,FL
Summary
Dedicated HealthCare Professional with more than 3 years experience in front end revenue cycle Patient Access Operations.. Proven track record of providing excellent customer service and efficiently resolving patient & client inquiries. Experience in different settings such as Emergency Room, Main Admitting, Outpatient and Surgical Areas.
Overview
11
11
years of professional experience
Work History
Member Service Representative
Leon Health
Miami, FL
12.2023 - Current
- Medicare HMO insurance Specialist
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Assisted in resolving any issues or concerns related to Medicare policies.
- Provided exceptional customer service to members and guests by answering inquiries, resolving complaints, and providing information in a timely manner.
Patient Access Representative III
STEWARD HIALEAH HOSPITAL
Hialeah, FL
06.2020 - Current
- Dedicated patient access representative with more than three years of experience in healthcare industry. Proven track record of providing excellent customer service and efficiently resolving patient inquiries.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Effective and timely in using various healthcare programs such as patient access, cerner, meditech, onesource, avility, etc.
- Persistent and successful in deductibles, co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Authorization specialist, interact with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Underwent company transition which allowed new learning experiences.
- Trained new staff on hospital processes and procedures.
Patient Finance Specialist Part-Time
Jackson West Medical Center
Miami, FL
02.2023 - 09.2023
- Interviews patients and or family/relative or other responsible party at workstation or at bedside to obtain all necessary account information.
- Obtain patient demographic information with insurance and financial information, as warranted.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Providing excellent customer service by promptly answering patient inquiries.
- Authorization specialist, interact with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Patient Access Registration Part-time
Larkin Community Hospital Palm Springs Campus
Hialeah, FL
07.2022 - 12.2022
- Collected and entered thousands of patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Performed patient pre-admission, admission, transfer and discharge activities.
- Authorization specialist, interact with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Hostess Part-Time
PM Fish & Steak House
Brickell, FL
02.2022 - 11.2022
- Assigned patrons to tables suitable for needs and restaurant section rotation.
- Took reservations and to-go orders by phone, answered customer questions and informed of accurate wait times.
- Cultivated positive guest relations by managing information and orchestrating speedy seating.
- Prepared artistic menu boards highlighting current specials and promotions using eye-catching decorative techniques.
SALES MANAGER
GENESIS STORE, store
Miami, FL
09.2018 - 01.2020
- Monitored customer buying trends, market conditions and competitor actions to adjust strategies and achieve sales goals.
- Managed order cycle to enhance business development and maintain sustainability and customer satisfaction.
- Reduced expenses by effectively negotiating contractor prices, terms and service agreements.
- Maintained relationships with customers and found new ones by identifying needs and offering appropriate services.
SALES MANAGER
LA CASA DEL PERFUME
Miami, FL
11.2012 - 09.2018
- Resolved customer issues quickly and managed over 100 accounts to increase sales and meet quotas.
- Organized promotional events and interacted with community to increase sales volume.
- Developed value-added solutions and approaches by leveraging trends in customer marketplaces and industries.
- Created effective strategies to target new markets after researching and analyzing competitor behavior.
Education
Certified Professional Photographer -
School of Art Miami
Miami, FL01-2013
Bachelor of Science - Communication Advertising & Public Relations
Udabol University
Bolivia High School Diploma -
Mayor San Pablo High School
Bolivia01-2006
Skills
- Communication Skills
- Multi-tasking strength
- Time Management
- Insurance Verification
- Payor Mix & Medical terminology
- Financial Counseling
- Medical admissions and authorizations specialist
- Team Leadership
- Training Coordination
- Cerne/Meditech/Epic/PAI
- Customer Service Oriented
Accomplishments
- Jackson West Medical Center PAS Management Award of Historial Balance March 2023
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
References
Maria Jose Roman
Patient Access Supervisor
Hialeah Hospital
305-812-6108
Glendy Urbay
RN Jackson Memorial Hospital
786-398-1597
Timeline
Member Service Representative
Leon Health
12.2023 - Current
Patient Finance Specialist Part-Time
Jackson West Medical Center
02.2023 - 09.2023
Patient Access Registration Part-time
Larkin Community Hospital Palm Springs Campus
07.2022 - 12.2022
Hostess Part-Time
PM Fish & Steak House
02.2022 - 11.2022
Patient Access Representative III
STEWARD HIALEAH HOSPITAL
06.2020 - Current
SALES MANAGER
GENESIS STORE, store
09.2018 - 01.2020
SALES MANAGER
LA CASA DEL PERFUME
11.2012 - 09.2018
Certified Professional Photographer -
School of Art Miami
Bachelor of Science - Communication Advertising & Public Relations
Udabol University
High School Diploma -
Mayor San Pablo High School
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