JESSICA SOTO
VERNON
Summary
Dedicated and detail-oriented Patient Access professional with expertise in patient registration, insurance verification, and appointment scheduling, consistently delivering exceptional customer service while ensuring smooth patient flow and accurate data collection in a fast-paced healthcare environment; skilled in maintaining patient confidentiality and compliance with HIPAA regulations.
Overview
16
16
years of professional experience
Work History
Prior Authorization Specialist
Hartford Healthcare
06.2024 - 10.2024
- Secured prior authorizations from payors, ensuring seamless patient care and compliance
- Coordinated patient referrals to appropriate appointments, enhancing service efficiency
- Maintained accurate patient records
- Identified and authorized infusion services, optimizing patient treatment plans
- Responsible for providing excellent customer service over the phone for members, providers, and insurance companies
IT Application Analyst (EPIC)
Hartford Healthcare
10.2021 - 06.2024
- Managed IT application analysis for EPIC systems, ensuring seamless integration and optimal functionality
- Led design of business workflows, improving efficiency, and solving complex issues
- Provided robust user support while maintaining strict data security protocols
- Supported major enterprise applications, delivering measurable results
Admissions Department Supervisor- Hartford Hospital
Hartford Healthcare
10.2014 - 10.2021
- Managed the daily operations of the department to ensure that patients received seamless care
- Monitored and coordinated the daily staffing schedule to provide the appropriate resources to meet department needs
- Maintained positive customer service and helped staff resolve issues
- Oversaw all copay collections, balanced cash drawers, and managed/ordered all supplies for the department
Patient Accounts Representative
Hartford Hospital
08.2010 - 10.2014
- Collaborated with insurance providers to verify patient coverage
- Facilitated uninterrupted patient care by securing necessary authorizations for medical treatments
- Maintained accurate patient records by diligently scanning documents into electronic health records
- Improved patient satisfaction through meticulous attention to insurance and documentation processes
Registrar
Hartford Hospital
07.2009 - 08.2010
- Accurately processed patient registrations, securing necessary signatures and disseminating relevant documents to ensure compliance with healthcare protocols
- Diligently entered and updated demographic and insurance details into patient accounts, confirming identities and verifying insurance coverage to maintain accurate records
Telecom Rep
Hartford Hospital
09.2008 - 07.2009
- Managed high-volume telephone communications, ensuring timely and precise paging for on-call physicians, and executing essential overhead announcements
- Maintained up-to-date directory information and on-call rosters, while promptly and efficiently managing emergency calls and urgent page requests
Education
University of Connecticut
West Hartford, CTHartford Public High School
Hartford, CTSkills
- Outlook
- Microsoft Office
- Typing
- Bilingual
- EPIC experience
Timeline
Prior Authorization Specialist
Hartford Healthcare
06.2024 - 10.2024
IT Application Analyst (EPIC)
Hartford Healthcare
10.2021 - 06.2024
Admissions Department Supervisor- Hartford Hospital
Hartford Healthcare
10.2014 - 10.2021
Patient Accounts Representative
Hartford Hospital
08.2010 - 10.2014
Registrar
Hartford Hospital
07.2009 - 08.2010
Telecom Rep
Hartford Hospital
09.2008 - 07.2009
University of Connecticut
Hartford Public High School
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