Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Karla Saenz

Seabrook,TX

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

8
8
years of professional experience

Work History

Patient Access Representative

Houston Methodist - Baytown ER
07.2023 - Current
  • Ensured compliance with all HIPAA regulations regarding patient privacy and confidentiality
  • Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
  • Referred patients to appropriate health care services or resources
  • Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during check-in process.
  • Manage approximately 36 registrations per shift, along with obtaining Medicare documentation for Inpatient and Outpatient patients.

Patient Access Representative

Memorial Hermann Health System
10.2022 - 07.2023
  • Enhanced patient satisfaction by streamlining registration processes and ensuring timely appointments.
  • Reduced wait times for patients through efficient scheduling and coordination with clinical staff.
  • Improved revenue cycle management by verifying insurance eligibility and obtaining necessary authorizations.
  • Supported implementation of new EMR software, facilitating smooth transition for staff and patients alike.
  • Managed over 50 calls per day effectively while maintaining positive attitude and professional demeanor at all times.
  • Promoted positive workplace culture by demonstrating respect, empathy, and professionalism in all interactions with patients, colleagues, and other stakeholders.

Bilingual Patient Access Specialist

Fondren Orthopedic Group- Bracing Office (Raborn Orthotics)
03.2021 - 10.2022
  • Enhanced team productivity by streamlining processes and implementing time-saving strategies.
  • Developed strong client relationships through consistent communication and attentive service.
  • Reduced costs by identifying inefficiencies in operations and implementing cost-saving measures.
  • Negotiated over 35 favorable contracts with vendors, securing high-quality products at competitive prices.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Trained new staff on hospital processes and procedures.
  • Addressed bad debts in line with set protocols.
  • Helped address client complaints through timely corrective actions and appropriate referrals.

Bilingual Patient Assistance Specialist

Pharmacy Partners (Altus Infusion)
06.2016 - 03.2021
  • Ensured compliance with all HIPAA regulations regarding patient privacy and confidentiality.
  • Demonstrated strong organizational skills by accurately entering patient information into electronic health record system.
  • Monitored over 60 incoming calls from patients, physicians, or other healthcare providers while providing timely responses.
  • Assisted patients in understanding their insurance benefits in order to facilitate successful reimbursement claims.
  • Optimized patient satisfaction and provider time by scheduling appointments in person or by telephone.
  • Assisted in organizing and maintaining patient files.
  • Performed quality assurance checks on regular basis to ensure accuracy of collected data.
  • Made outbound calls to different insurance companies to obtain coverage as required.
  • Requested prior authorization and processed with insurance companies and practitioner offices
  • Developed and maintained relationships with key accounts to ensure customer satisfaction
  • Cultivated strong client relationships through proactive communication and problem-solving
  • Generated and presented reports to senior management on account performance

Facility Resource Specialist

First Choice Emergency Room
12.2015 - 06.2016
  • Completed over 15 authorizations and referrals for services, including appointments and procedures.
  • Reviewed patient's medical history and insurance coverage for approval.
  • Contacted referring physicians for additional information as needed.
  • Input new patient information and updated information in system.
  • Monitored schedule for potential issues.
  • Completed billing documentation.
  • Collaborated with cross-functional teams to develop new strategies for increased revenue generation.
  • Completed patients' paperwork and scanned into EMR system.
  • Exceeded performance targets through diligent work ethic and focus on results-driven tasks.

Education

High school diploma or GED - N/a

Cesar Chavez
Houston, TX
05.2008

Orthotist Licence - ORTHOPEDICS

TDLR
Houston, TX
03.2022

Certification -

San Jacinto College District
Pasadena, TX
03.2024

Skills

  • Patient Education
  • Training Coordination
  • Multitasking and Organization
  • Quality Assurance
  • HIPAA Compliance
  • Outbound calls
  • EMR
  • Scheduling
  • Customer Service

Languages

Spanish
Full Professional

Timeline

Patient Access Representative

Houston Methodist - Baytown ER
07.2023 - Current

Patient Access Representative

Memorial Hermann Health System
10.2022 - 07.2023

Bilingual Patient Access Specialist

Fondren Orthopedic Group- Bracing Office (Raborn Orthotics)
03.2021 - 10.2022

Bilingual Patient Assistance Specialist

Pharmacy Partners (Altus Infusion)
06.2016 - 03.2021

Facility Resource Specialist

First Choice Emergency Room
12.2015 - 06.2016

High school diploma or GED - N/a

Cesar Chavez

Orthotist Licence - ORTHOPEDICS

TDLR

Certification -

San Jacinto College District

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