Julian Zamora

• Processed referral requests from patients, doctors and other health care professionals.
• Called insurance companies to get precertification and other benefits information on behalf of patients.
• Responded to patient inquiries to offer timely updates regarding referral status.
• Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.

As a Patient Access Representative, I work in a medical setting with outpatient behavior health

patients processing patient information for admittance, dismissal and insurance billing; answer and direct phone calls taking detailed messages; answer and return patient phone calls providing sufficient answers to questions; De-escalate agitated patients through crisis phone calls; perform clerical work such as typing documents, printing, copying and faxing; answering and sending emails daily; greet patients and their caregivers direct them appropriately; file and record pertinent patient information into a computer data base, record insurance information and obtain pre-approval for treatment if needed; maintain paper and electronic medical records with updated current information; provide medical and patient information to insurance companies in order to assist in billing; assist patients with checking in to scheduled appointments; schedule and reschedule patient appointments, calculate payment information, collect copayments and ensure the patient has post-treatment instructions if required.

• Delivered support to medical staff in completion of patient paperwork.
• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Resolved patient billing issues in line with established guidelines.
• Recommended service improvements to minimize recurring patient issues and complaints.
• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Resolved customer complaints using established follow-up procedures.
• Educated patients on importance of preventive health care and insurance coverage.
• Processed payments using cash and credit cards, maintaining accurate records of transactions.
• Verified patient insurance eligibility and entered patient information into system.
• Stayed calm under pressure to and successfully dealt with difficult situations.
• Engaged with patients to provide critical information.
• Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
• Contacted patients on annual renewal dates to offer assistance.
• Providing excellent customer service by promptly answering patient inquiries.
• Responded to inquiries by directing calls to appropriate personnel.
• Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
• Compiled and maintained patient medical records to keep information complete and up-to-date.
• Provided excellent customer service to patients and medical staff.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Answered incoming calls, scheduled appointments and filed medical records.
• Helped address client complaints through timely corrective actions and appropriate referrals.
• Trained new staff on filing, phone etiquette and other office duties.
• Followed document protocols to safeguard confidentiality of patient records.
• Responded to inquiries by directing calls to appropriate personnel
• Called insurance companies to get precertification and other benefits information on behalf of patients.
• Processed referral requests from patients, doctors and other health care professionals.

• As an Advanced Medical Support Assistant, I am responsible for greeting patients direct them appropriately; direct phone calls taking detailed messages; answer and return patient phone calls providing sufficient answers to questions; perform clerical work such as typing documents, printing, copying, and faxing; answering and sending emails daily, relaying messages to appropriate staff inside or outside of the unit. Scheduling appointments, including interpreting and verifying provider orders in accordance with VHA national scheduling guidelines. Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulation. Knowledgeable on new Cerner computer system.
• Mailed patient appointment letters
• Determined nature and urgency of patient requests to refer patients to appropriate medical staff
• Verified and updated clinical records
• Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment
• Skilled at working independently and collaboratively in a team environment.
• Self-motivated, with a strong sense of personal responsibility.
• Proven ability to learn quickly and adapt to new situations.
• Worked well in a team setting, providing support and guidance.
• Worked effectively in fast-paced environments.
• Managed time efficiently in order to complete all tasks within deadlines.
• Demonstrated respect, friendliness and willingness to help wherever needed.
• Excellent communication skills, both verbal and written.
• Passionate about learning and committed to continual improvement.
• Proved successful working within tight deadlines and a fast-paced environment.
• Strengthened communication skills through regular interactions with others.
• Organized and detail-oriented with a strong work ethic.
• Adaptable and proficient in learning new concepts quickly and efficiently.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Paid attention to detail while completing assignments.
• Worked flexible hours across night, weekend and holiday shifts.
• Developed and maintained courteous and effective working relationships.
• Identified issues, analyzed information and provided solutions to problems.
• Cultivated interpersonal skills by building positive relationships with others.