Juan Bautista
San Diego,CA
Summary
Detail-oriented and organized Revenue Cycle Analyst with a extensive track record of success in the field. History of optimizing processes from intake through collections to deliver increased revenues. Interested in gaining additional experience in team supervision and project management.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Analyst
UCSD Hematology/Oncology Infusions
San Diego, CA
01.2025 - Current
- Facilitated authorization submissions for various payors, improving efficiency of patient care processes.
- Billing prep for all medications being administered.
- Coding treatments with exact dosing and medication strengths.
- Assisted patients with inquiries regarding charges and coverages, enhancing patient understanding and satisfaction.
- Audited referral data to ensure equitable workload distribution among teams, promoting balanced team performance.
- Submitted relevant data to enhance departmental operations.
- Treatment plan Coordinator.
PSR Lead
Scripps Primatology
San Diego, CA
01.2020 - 01.2025
- Conducted department meetings to align team goals and facilitate communication.
- New staff onboard training
- Continuous workflow teaching & training
- Edited templates for clarity and organization, enhancing usability for team members.
- Cover and back up Diabetes in Pregnancy clinic.
- Reported essential data regarding billing.
- Auditing clinical data for improvement of services and protocols
- Executed clinic outreach to referring providers, strengthening inter-office relationships.
- Authorization and referral Lead in charge of all auth & claims requests.
CAU Specialist 2
Rady Children’s Hospital
San Diego, CA
10.2013 - 01.2020
- Insurance Eligibility Verification
- Extensive INS plan & Group knowledge
- Submitted authorization requests to ensure timely patient care and service access.
- Utilized ICD-10 and CPT code knowledge for Perinatology and Cardiology to ensure accurate billing and compliance.
- Navigated online portals for various medical insurance payors to access patient information and verify claims.
- Patient Registration and demographic verification.
- Coordinated CCS clinics with social services to facilitate ongoing patient care and support.
PAR NexGen Trainer
La Maestra Community Health Centers
San Diego, CA
03.2013 - 10.2015
- Trained new hires in NexGen program to effectively utilize tools for job roles.
- Led patient access representatives in implementing new updates and rolling out policies.
- Created information reports on productivity and demographic data by payor for analysis.
- Trained in various departments including OB, Pediatrics, and Homeless clinics to enhance operational flexibility.
- Urgent scheduling and template editor
Education
Medical Office Administration Certification -
Concorde career College
11.2013
High School Diploma -
Thurgood Marshall High School
11.2010
Skills
- Proficient in Microsoft Word
- Proficient in Excel
- Proficient in Outlook
- Proficient in PowerPoint
- Strong verbal communication skills
- Strong written communication skills
- Fluent spoken Spanish
- Fluent written Spanish
- Clinic outreach and Marketing
Awards
Value in Action honoree, 2021, Scripps
Timeline
Revenue Cycle Analyst
UCSD Hematology/Oncology Infusions
01.2025 - Current
PSR Lead
Scripps Primatology
01.2020 - 01.2025
CAU Specialist 2
Rady Children’s Hospital
10.2013 - 01.2020
PAR NexGen Trainer
La Maestra Community Health Centers
03.2013 - 10.2015
Medical Office Administration Certification -
Concorde career College
High School Diploma -
Thurgood Marshall High School