Joanna Rojas
Long Beach, CA
Summary
I'm a Compassionate Medical Office Representative known for my high productivity and efficient task completion. Excel in patient communication, appointment scheduling, and handling confidential medical records. I possess strong organizational skills, adaptability to changing environments, and ability to work under pressure. Utilize empathy, patience, and effective listening to enhance patient experience and support team objectives. I have 25years of experience and would like to grow within your company.
Overview
25
25
years of professional experience
Work History
Medical Office Representative
PMI Heart & Vascular
Torrance
03.2024 - Current
- Processed insurance verifications and maintained accurate patient records.
- Assisted patients with inquiries and provided information about services offered.
- Coordinated communication between medical staff and patients to enhance care experience.
- Utilized electronic health record systems to update patient information promptly.
- Handled incoming calls and directed them to appropriate departments effectively.
- Scheduled follow up visits for discharged patients ensuring that they receive proper aftercare instructions.
- Assisted in scheduling patient appointments, verifying insurance coverage and collecting co-payments or balances due.
Care Review Processor
Molina Healthcare
Long Beach
11.2015 - 09.2017
- Reviewed care requests for compliance with healthcare regulations.
- Processed authorization requests efficiently to ensure timely care delivery.
- Collaborated with healthcare providers to gather necessary documentation.
- Identified discrepancies or errors in documentation or coding that might affect reimbursement levels.
- Conducted initial review of all care requests to determine if they meet criteria for approval or denial.
- Processed appeals from denied claims as necessary, including gathering additional supporting documentation.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Assisted physicians with finalizing reports, speeches or presentations.
Medical Biller Support Team Lead
United Medical Imaging
Downey
10.2011 - 11.2015
- Reviewed patient accounts for accuracy and completeness before submission.
- Communicated with insurance companies to resolve billing discrepancies effectively.
- Assisted patients with inquiries regarding billing statements and payment options.
- Collaborated with healthcare providers to gather necessary documentation for claims.
- Trained new staff on billing procedures and software usage efficiently.
- Verified insurance coverage and eligibility for medical services rendered.
- Entered data into electronic billing system.
- Assisted patients in understanding the details of their billings and payments.
- Worked closely with other departments such as clinical staff, administrative staff, and finance department personnel to resolve any issues related to billing.
- Answered inquiries from patients regarding their bills and payment plans.
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Collected, posted and managed patient account payments.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Answered customer questions to maintain high satisfaction levels.
Patient Admitting Representative
Long Beach Memorial Medical Center
Long Beach
04.2005 - 03.2011
- Completed day-to-day duties accurately and efficiently.
- Assisted with customer requests and answered questions to improve satisfaction.
- Worked with cross-functional teams to achieve goals.
- Verified patient information and completed admission paperwork efficiently.
- Communicated with patients to explain admission processes and answer questions.
- Coordinated with medical staff to ensure timely patient admissions.
- Managed insurance verification and authorization for services provided.
- Maintained confidentiality of all patient information according to HIPAA regulations.
- Managed multiple tasks simultaneously while adhering to strict deadlines.
- Verified insurance eligibility prior to patient admission.
- Created new accounts in hospital database systems.
- Provided support during emergency situations within the admitting area.
- Prepared accurate bills for services rendered.
- Assisted in the registration process by obtaining patient demographic information and insurance information.
- Coordinated patient paperwork and charts.
- Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Medical Receptionist
Long Beach Memorial Family Medicine
Long Beach
09.2000 - 04.2005
- Greeted patients and visitors warmly upon arrival.
- Managed patient scheduling and appointment confirmations efficiently.
- Handled patient inquiries and provided information about services.
- Processed patient registration forms and verified insurance information.
- Maintained accurate medical records and updated patient information regularly.
- Coordinated communication between medical staff and patients effectively.
- Answered incoming calls, responding to inquiries from patients and other medical offices.
- Checked patients in and out for appointments and collected co-payments.
- Called patients to confirm scheduled appointments and obtain additional details.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
- Entered insurance, demographics and health history into patient database.
- Took messages from patients and promptly relayed to appropriate staff.
- Delivered high-quality administrative and customer service to sustain patient and work flows.
- Processed referrals for specialist care when requested by physicians or patients.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Communicated with patients with compassion while keeping medical information private.
Education
High School Diploma -
Jordan High School
Long Beach, CA06-2000
Some College (No Degree) - Criminal Justice
UEI College
Gardena, CASkills
- Insurance verification
- Patient scheduling
- Electronic health records
- Medical coding
- Compliance regulation
- Customer relationship management
- Data entry accuracy
- Effective communication
- Medical terminology proficiency
- Patient confidentiality
- Patient care coordination
- Front desk operations
- Appointment scheduling
- HIPAA compliance
- Medical office procedures
- Letter preparation
- Reminder calls
- Medical terminology
- Paperwork coordination
- Workflow optimization
- Inpatient care
- Patient reception management
- Typing 50 wpm
- Medical office administration
- Appointment setting
- Insurance verifications
- Referral verification
- Patient registration
- Outpatient care
- Microsoft office
- Office administration
- Pre-hospital care
- Typing and filing
- Petty cash management
Languages
Spanish
Professional
English
Full Professional
sign language
Limited
Timeline
Medical Office Representative
PMI Heart & Vascular
03.2024 - Current
Care Review Processor
Molina Healthcare
11.2015 - 09.2017
Medical Biller Support Team Lead
United Medical Imaging
10.2011 - 11.2015
Patient Admitting Representative
Long Beach Memorial Medical Center
04.2005 - 03.2011
Medical Receptionist
Long Beach Memorial Family Medicine
09.2000 - 04.2005
High School Diploma -
Jordan High School
Some College (No Degree) - Criminal Justice
UEI College