Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
Reduced errors in patient data entry with thorough verification processes and attention to detail.
Completed intake assessment forms and filed clients' charts.
Patient Service Representative
Triwest Healthcare Alliance
El Paso, TX
02.2016 - 05.2022
Approved Secondary Authorization Referral when patient’s insurance wasn’t in network.
Connected patients with external specialist/provider whenever there wasn’t room for more appointments.
Gained trust and solid relationship with providers.
Project Management, Provider Services, outside/external vendors, to create strategies for process improvements.
reviewing outgoing and incoming cases, ensuring processes were followed.
Obtained documents and verified patient demographics, financial and insurance information.
Assist with resolving claims quality issues by identifying, documenting, and communicating with management. o Assist with performing root cause analysis.
Determined medical insurance coverage by applying proper clearance criteria.
Oversaw veteran’s appointments and tests maintenance to assure patient history was accurate.
Patient Service Specialist
Texas Tech University Health Sciences Center at El Paso
El Paso, TX
12.2014 - 04.2015
Adhered to check in and check out procedures.
Provided efficient telephone services with excellent etiquette.
Registered patients using EMR system, verified demographics and updated accordingly.
Collected co-payments, prepared patient receipts, and posted payments accurately via EMR.
Collected lab work and recorded results as corresponding to each patient’s record.
Checked insurance eligibility and obtained patient insurance referrals as needed.
Performed daily chart preparation ensuring that required documentation was prepared in advance to patient’s arrival.
Medical Assistant and Medical Office Administration
Rio Grande Urology
El Paso, TX
08.2012 - 04.2014
Oversaw the health condition of the patients on daily basis and reported any changes to medical history progress notes.
Prepared procedure rooms before and after physician exams and checked patient’s vital signs.
Answered telephones, recorded messages, scheduled and confirmed patient appointments.
Created copies of medical information, organized new and established patient charts, filed medical records and maintained their appearance.
Education
Associates - Medical Assistant
Vista College
El Paso, TX
02.2012
High School Diploma - undefined
Father Yermo High School
El Paso, TX
05.2009
Skills
Ten years of experience in clerical and medical terminology
Knowledge and experience on the HIPAA law
Knowledge on different insurance companies and plans
Exceptional customer service
Experience working with EMR programs
Experience working remote and in person with dual monitor
Problem-solving, proactive, independent work, cross-team communication, and teamwork skills
Competent in Web research
Fluent in speaking and writing Spanish
Timeline
Intake Coordinator
Victoria Transcultural Clinical Center
10.2023 - 08.2024
Patient Service Representative
Triwest Healthcare Alliance
02.2016 - 05.2022
Patient Service Specialist
Texas Tech University Health Sciences Center at El Paso
12.2014 - 04.2015
Medical Assistant and Medical Office Administration