JOHANNA GOMEZ
Miami,FL
Summary
Dedicated, customer-focused administrative professional with significant experience in healthcare registration, admissions, insurance verification, in a high-volume patient setting. Strong attention to detail, excellent interpersonal and communication skills, and a proven ability to work effectively in fast-paced, self-directed environments.
Overview
18
18
years of professional experience
Work History
ED & Fracture Clinic Registrar / Admissions
Nicklaus Children's Hospital
01.2022 - Current
- Greet patients and families in person and register emergency department and fracture clinic visits while verifying demographic information, telephone numbers, primary care provider information, and preferred pharmacy details.
- Verify that pediatric patients are accompanied by a legal guardian and notify Risk Management and/or Social Services when a patient is accompanied by someone other than the legal guardian.
- Complete patient registration by obtaining demographic, insurance, financial, and medical information, as well as required treatment consents, financial agreements, and advance directives when applicable, in person or by telephone.
- Verify active insurance coverage and obtain benefit information, including deductibles, coinsurance, out-of-pocket amounts, and emergency department copayments.
- Calculate patient financial responsibility estimates based on insurance benefits and contracts and clearly communicate expected costs to patients and families.
- Notify patients and families of deductibles, copayments, deposits, and other emergency department financial responsibilities, including potential out-of-pocket expenses.
- Escalate insurance and financial discrepancies to management for review and approval and document all registration activity accurately in the patient record.
- Scan and organize required documents in the appropriate electronic chart folders and collect patient payments after services are rendered, providing receipts as needed.
- Correct registration errors using the QA system and maintain accurate patient records and registration data.
- Communicate with nurses, physicians, and other clinical staff to resolve registration issues, answer questions, and accommodate special patient needs.
- Activate trauma and medical patient visits at the direction of the charge nurse and collaborate with Social Services in the trauma room to obtain patient information and determine whether the patient has an existing MRN or requires a new record.
- Receive and manage incoming calls, directing questions and requests to the appropriate department or staff member.
- Identify duplicate charts and/or medical record numbers and notify the appropriate department to coordinate chart merges after patient discharge.
- Coordinate patient transfers and admissions in collaboration with LifeFlight, admitting nurses, and the Transfer Center; convert emergency department visits to inpatient or observation admissions as ordered.
- Verify inpatient and observation benefits and obtain required insurance authorizations for admissions; secure signatures for HOON, MOON, IMM, and other applicable forms.
- Perform downtime manual registration procedures as needed to maintain continuity of patient access and accurate documentation during system interruptions.
Policy Services Executive
Best Doctors Insurance Services, LLC
04.2018 - 10.2018
- Processed and verified new policyholder information, including name, age, address, and plan details, within a 24-hour service period.
- Conducted twice-weekly reports to identify new international health insurance policies and update existing policy and renewal information.
- Modified and updated policies based on information received through reports and prepared and mailed new-policy and renewal documentation to assigned insurance agents within required timelines.
Administrative Assistant
Service of Process, Inc.
10.2014 - 04.2018
- Received, prepared, and routed summonses and complaints, dissolution of marriage documents, petitions, subpoenas, 3-day notices, writs of garnishment, and small claims suits for service of process from various law firms.
- Generated, validated, and shipped monthly statements and daily invoices.
- Performed skip-traces to locate individuals and provide accurate information to process servers.
- Served as liaison among process servers, attorneys, and paralegals and processed service-of-process payments.
International Billing Department Coordinator
MedFi International, LLC
02.2009 - 05.2013
- Validated and reviewed new accounts to ensure accuracy and consistency.
- Prepared UB-04 and CMS-1500 forms for submission to insurance companies.
- Assisted policyholders through the claims process, including insurance validation and preparation and submission of claims packages to payers.
- Prepared and mailed collection letters to international self-pay patients with outstanding balances.
- Developed and implemented best practices to improve accuracy of international mailing addresses, reducing returned mail.
Education
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National School of Technology
08.2001
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Coral Gables Senior High School
06.1999
Skills
- English and Spanish — fluent written and verbal communication
- Microsoft Office Suite
- 100 WPM
- DisplaySoft
- DoubleTime
- Medic Software
- Process Server’s Toolbox
- IRB
- IdiCORE
- LexisNexis
- Operationally trained on hospital systems: Citrix, Capacity, PowerChart, Experian, FinThrive, SMS Imaging System, OnBase, HPF Webstation, EPIC, Centricity, HIS
Timeline
ED & Fracture Clinic Registrar / Admissions
Nicklaus Children's Hospital
01.2022 - Current
Policy Services Executive
Best Doctors Insurance Services, LLC
04.2018 - 10.2018
Administrative Assistant
Service of Process, Inc.
10.2014 - 04.2018
International Billing Department Coordinator
MedFi International, LLC
02.2009 - 05.2013
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Coral Gables Senior High School
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National School of Technology