Krystal Bujanda
Los Angeles,CA
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
14
14
years of professional experience
Work History
Patient Access Liaison II
University of Southern California
05.2021 - Current
- Act as Liaison between clinic and patients by addressing and resolving concerns
- Screens and directs incoming and outgoing calls along with routing messages to the correct personnel
- Verifies insurance eligibility
- Update patient demographics and insurance information
- Schedule and confirm initial, follow-up, pre-op/post-op appointments.
Customer Service Rep
Ethos Medical Management
04.2020 - 11.2020
- Verifies insurance eligibility
- Collects patient payments via credit card and cash
- Assist patient with setting up payment plan
- Act as liaison between patient and insurance company by addressing concerns and resolving any billing issues
- Calculates and informs patients of co-pays, co-insurances and any out-of-pocket expenses to be paid for date of service
- Explain explanation of benefits to patient
- Update patient demographics and insurance information.
Contact Center Rep II
City of Hope
12.2017 - 02.2020
- Schedule/reschedule for multiple doctors and ancillary services
- Act as a liaison between patients and hospital/doctor's office staff
- Warm transfer calls to the necessary departments
- Collects critical information from patient and routes messages to appropriate department/staff
- Manages/follow up on any open cases in EPIC
- Verifies and updates patient demographics
- Manage multiple doctors clinic schedules, block out dates if needed
- Verifies insurance eligibility
- Obtains authorizations for patient's appointments including TAR's, and authorizations.
Patient Access Representative
CVHP Intercommunity Hospital
04.2016 - 12.2017
- Admits a high volume of incoming patients for inpatient/outpatient procedures, ancillary services, MRI's, CT scans, bone density, and direct admits ranging occasionally over 50 patients per day
- Greets and interviews all patients, verifies demographics, insurance information, pharmacy information and specialist information
- Reviews doctor orders and ensures it's valid within a 6-month time-frame ensuring it's complete with complaint diagnosis, doctor's signature, date and procedures
- Reviews insurance eligibility and ensures accurate financial class is added into database
- Calculates and informs patients of co-pays, co-insurances and any out of pocket expenses to be paid at time of service
- Obtains authorizations for patient's appointments including TAR's, and authorizations
- Calls to identify whether pre-certifications are necessary and requested per insurance carrier.
Patient Access Representative
Methodist Hospital of Southern California
12.2015 - 03.2016
- Greeted and interviewed patients or their representatives to determine reason for visit
- Collected and input accurate demographic data into Cerner database
- Verified insurance eligibility
- Collected any payments and co-payments due on patient account
- Responsible for thoroughly explaining the consent forms obtaining the patient's signatures
- Monitored waiting room and patient wait time along with coordinate communication between patient and nurse.
Administrative Assistant
Pacific Spice Co.
07.2010 - 10.2014
- Greeted persons entering establishment, determine nature and purpose of visit, and direct or escort them to specific destinations
- Operated telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments
- Prepared invoices, reports, memos, letters, financial statements, and other documents
- Listened and resolve complaints from customers and entered process purchase orders.
Education
Medical Billing and Coding Certificate -
Downey Adult School
03.2015
High School Diploma -
Alhambra High School
06.2006
Skills
- Insurance Verification
- Medical Terminology
- Appointment Scheduling
- Safety Monitoring
- Patient Intake
- Information Collection
- Fee Collection
- Customer Service
- Problem-Solving
- Multitasking and Organization
- HIPAA Compliance
- Patient check-in
- Registration and Admissions
- Administrative and Office Support
Timeline
Patient Access Liaison II
University of Southern California
05.2021 - Current
Customer Service Rep
Ethos Medical Management
04.2020 - 11.2020
Contact Center Rep II
City of Hope
12.2017 - 02.2020
Patient Access Representative
CVHP Intercommunity Hospital
04.2016 - 12.2017
Patient Access Representative
Methodist Hospital of Southern California
12.2015 - 03.2016
Administrative Assistant
Pacific Spice Co.
07.2010 - 10.2014
Medical Billing and Coding Certificate -
Downey Adult School
High School Diploma -
Alhambra High School
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