Josue Garcia
Patient Access Specialist
Houston,Texas
Summary
Detail-oriented Patient Access Specialist with 12 years of experience in patient access, medical office experience, and healthcare administration. Proficient in medical terminology, and insurance billing. Skilled in patient registration, scheduling, and eligibility determination. Bilingual in Spanish and English. Possess a Bachelor's degree in Public Health and an Associate of Science in Health & Wellness. Certified Medical Assistants. Patient Access Specialist with customer service skills in all interactions with external and internal customers. Social and communicative with high regard for sensitive and confidential information. A clear understanding of HIPAA rules and insurance protocols.
Overview
14
14
years of professional experience
Work History
Patient Access Specialist
Texas Children's Hospital
02.2013 - 08.2014
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Received patient deductibles and co-pay amounts and discussed options to satisfy the remainder of patient financial obligations
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
- Identified insurance payment sources and listed payers in the proper sequence to establish a chain of payment
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
- Performed patient scheduling and registration functions to serve as an initial contact point for medical office visits
- Collected and entered patient demographic and insurance data into a computer database
- Performed patient pre-admission, admission, transfer, and discharge activities
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians
- Collected and validated patient demographics and insurance information
- Contacted insurance companies for patient medical billing operations
- Prepared patient identification band and completed admissions papers.
Coordinator of Intervention Services
The Center for Hearing and Speech
01.2011 - 01.2013
- Conducted child assessments during intervention visits
- Offered guidance and support to families of children with disabilities or developmental challenges
- Utilized diverse approaches in teaching, technology, and behavior modification
- Gathered, organized, and analyzed data on student needs and progress
- Enhanced knowledge by attending training and adopting new technologies
- Collaborated with teachers to assess needs, set objectives, and discuss strategies
- Developed strategic approaches to foster appropriate child development
- Created tools for instruction and behavioral support
- Assessed and documented student progress with established goals.
Scheduler II
Methodist Hospital
01.2007 - 01.2010
- Conferred with managers, sales teams, and engineering personnel to revise plans and achieve demanding targets
- Optimized organizational processes by effectively managing crew schedules while adhering to contractual restrictions
- Monitored and optimized inventory, and reordered materials as required
- Oversaw and verified adherence to government regulations by maintaining sensitive data and complying with international laws
- Generated department orders and accompanying documentation
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances
- Completed logs and reports detailing production data such as volume, materials used and quality assurance results, helping management make accurate operational decisions
- Scheduled and confirmed appointments and meetings for senior management team
- Received inbound calls and initiated out-bound daily calls to introduce customers to products and services offered
- Answered phone calls and answered questions from potential customers.
Administrative Assistant
Memorial Hermann PARC
01.2006 - 01.2007
- Restocked supplies and placed purchase orders to maintain adequate stock levels
- Prepared weekly employee work schedules to meet operational needs
- Executed record filing system to improve document organization and management
- Updated spreadsheets and databases to track, analyze, and report on performance and sales data
- Drafted agendas, recorded minutes, and generated documents to facilitate meetings
- Recorded expenses and maintained accounting records
- Developed and updated spreadsheets and databases to track, analyze, and report on performance and sales data
- Offered technical support and troubleshooting issues to enhance office productivity
- Answered multi-line phone system, routing calls, delivering messages to staff, and greeting visitors.
Patient Service Coordinator
MD Anderson Cancer Center
01.2001 - 01.2005
- Registered and scheduled patients
- Retrieved and entered outpatient data
- Entered physician's orders and maintained statistical data using the hospital's order entry system
- Ensured accurate and prompt service to all patients
- Performed all duties according to the department and hospital policies and procedures.
Education
Associate of Science - Health & Wellness
Lone Star College System
Springs, Texas05.2024
Associate of Science - Hospital Administration
Lone Star College System
Spring, Texas05.2023
Bachelor of Science - Public Health
UT Arlington
Dallas, TX05.2026
Skills
- Patient Registration
- Patient interviewing
- Specialist Referrals
- Paging Systems
- Collections
- Insurance Verification
- Health information obtainment
- Performance standards compliance
- Medical Terminology
- Exceptional communication
- HIPAA Compliance
- Eligibility Determination
- Data entry proficiency
- Documentation accuracy
- Front Desk Operations
- Insurance Billing
- Medical terminology expertise
Accomplishments
- Honoree of Cum Laude
- Dean's List Spring 2023
- Honor Roll Spring 2023
- Phi Theta Kappa 2024
Languages
Spanish
Native or Bilingual
Software
Epic,Word, PowerPoint
Timeline
Patient Access Specialist
Texas Children's Hospital
02.2013 - 08.2014
Coordinator of Intervention Services
The Center for Hearing and Speech
01.2011 - 01.2013
Scheduler II
Methodist Hospital
01.2007 - 01.2010
Administrative Assistant
Memorial Hermann PARC
01.2006 - 01.2007
Patient Service Coordinator
MD Anderson Cancer Center
01.2001 - 01.2005
Associate of Science - Health & Wellness
Lone Star College System
Associate of Science - Hospital Administration
Lone Star College System
Bachelor of Science - Public Health
UT Arlington