HELEN MAY CAPISTRANO
Galloway
Summary
Attentive and responsible in processing authorizations and referrals when dealing with HMO's, PPO, EPO's Insurances. Educate patients/clients about their deductibles, co insurances and out of pockets. Greet/ Welcoming patients to make them safe and comfortable and make them feel respected. Answers phone calls and re route them to the right person in the Department. Schedule and confirm their appointments, Make sure that they have follow up appointments. I believe that continuity of care is very important for the proper care and wellness of the clients Service-oriented Office Coordinator/Patient Access Representative, trained in reception, leadership and successful at proactive multitasking. Knowledgeable about Health insurances and multi-line phone systems with a commitment to individualized client. Communicate with the providers about scheduled procedures with proper authorizations and referrals on file. Very familiar with ICD 10 codes and CPT codes and assist the providers with the proper billing.
Overview
33
33
years of professional experience
Work History
PIR
HMH -JFK Medical Center
05.2023 - Current
- Register patients, verification of their insurances and getting an authorization base on the procedure patient needs.
- Produced and distributed memos, newsletters and other forms of communication.
- Processed memos, client correspondence, travel vouchers and other documents, routing to appropriate personnel as necessary.
- Educated clients, patients and customers on[about their plans on what to expect and not to expect through oral communication and self-created handouts.
- Resolved customer complaints or answered customers' questions.
- Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
Patient Intake Representative/Front Office Coordinator
Saint Peter University Hospital
MONROE, NJ
02.2022 - 03.2023
- Responsible on Pre registration of the patients, including their Insurances for proper Billing. Know and educate about their plans.
- Responsible for obtaining an authorization/referrals if it needs be.
- Familiar with Medicare and Medicaid 's Protocol as well as the other Commercial Insurances
- Notify the patient with their upcoming appointments and make sure they have their follow appointments if needed.
- Responded to messages and emails to the office and transferred correspondence.
- Performed administrative support tasks, completing duties within required timeframes.
- Maintained general office organization and cleanliness.
- Transmitted information or documents to customers, using computer, mail or facsimile machine.
Patient Service Representative/Patient Intake Representative/Front Office Coordinator
JFK Medical Center
Edison, NJ
09.2013 - 02.2022
- Scheduled patient appointments and procedures.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Scheduled patient appointments over phone and in person, maximizing productivity.
- Documented and managed patient information in computer system.
- Answered patient questions and fielded complaints to resolve issues.
- Registered patients by verifying records to update computer system and patient charts.
- Obtained proper authorization and identification to release confidential medical records.
- Coordinated with patients and healthcare professionals to meet patient needs.
Office Manager
APEX MEDICAL ASSOCIATES PA
Jersey City, NJ
09.1993 - 09.2013
- Oversaw daily operations ensuring seamless workflow and team collaboration.
- Managed scheduling and coordination of patient appointments to optimize clinic efficiency.
- Developed and implemented office policies enhancing operational effectiveness and compliance.
- Supervised administrative staff, providing mentorship and training to improve performance.
- Obtaining authorization for Cardiac procedures and make sure they have appropriate schedules.
- Managing office and staff.
Education
Bachelor of Arts -
University of The Assumption
PhilippinesSkills
- Registrations
- Verifications
- Authorizations
- Call Routing
- Appointment Confirmation
- Front Office Management
- Register and admitting patients
- Multitasking and Organization
- Schedule Coordination
- Customer Service
- Appointment Scheduling
- Office Supplies Ordering
- Honesty and Integrity
- Multitasking and Prioritization
- Verbal and Written Communication
- Phone and Email Etiquette
- Friendly and Relatable
Timeline
PIR
HMH -JFK Medical Center
05.2023 - Current
Patient Intake Representative/Front Office Coordinator
Saint Peter University Hospital
02.2022 - 03.2023
Patient Service Representative/Patient Intake Representative/Front Office Coordinator
JFK Medical Center
09.2013 - 02.2022
Office Manager
APEX MEDICAL ASSOCIATES PA
09.1993 - 09.2013
Bachelor of Arts -
University of The Assumption