Kyra-Lynn Santana

• The submitting of surgical claims and follow-up of payment to ensure the proper payments and timely filing.
• Checking statuses of claims and the submission of medical records for medical necessity.
• Prepare the collection process and assign to outside agency.
• Check eligibility of benefits for all patients prior to appointments/ procedures.
• Handle collections of past due balances (copayments, deductibles, and coinsurances, etc.) as well as collect reimbursement from insurance plans.
• Work with several programs for data entry and EMR.
• Submit appeals as per claim clarification for reimbursement.
• Work closely with a team of individuals.
• Answer patient phone calls related to billing inquiries.
• Identify, investigate, and resolve rejected, denied, and outstanding claims.
• Outreach to patients to obtain missing insurance information and/ or other demographic information.

• Greet and check-in patients as they arrived in a timely manner and update any demographics if needed.
• Checked patients temperature and follow COVID-19 healthcare setting guidelines.
• Answering multi-line phones, emails, and patient portal messages in a professional and courteous manner.
• Enhanced patient satisfaction by efficiently scheduling appointments and/or procedures and managing patient flow.
• Streamlined communication between patients, providers, and insurance companies for a seamless healthcare experience.
• Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
• Reduced wait times by effectively coordinating with medical staff on patient schedules and room availability.
• Maintained accurate electronic health records for improved patient care and compliance with privacy regulations.
• Supported clinical staff in providing high-quality care by organizing necessary paperwork and ensuring timely access to information.
• Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
• Assisted in the training of new Patient Coordinators, sharing best practices and ensuring consistent quality of service across the team.
• Coordinated referrals to specialists as needed, following up with patients to confirm appointments and provide necessary information.
• Collaborated closely with billing departments to resolve any discrepancies or issues related to patient accounts, reducing payment delays.
• Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
• Managed incoming calls from patients, directing them appropriately while maintaining confidentiality at all times.
• Explained upcoming treatment preparation, instructions, and other facts to patients.
• Worked with patients to schedule tests and procedures.
• Processed claims and followed-up on payments ensuring accurate timely filing.
• Checking statuses of claims and submitting medical records for medical necessity.
• Obtained prior authorization for upcoming procedures.
• Order office supplies and maintain cleanliness of the office.

• Reduced wait times for temperature checks by efficiently organizing and managing the temperature-taking process.
• Improved safety measures by diligently monitoring and reporting abnormal temperatures to relevant personnel.
• Maintained a hygienic environment by regularly sanitizing equipment and workstations.
• Increased accuracy of readings with proper use of infrared thermometers and non-contact methods.
• Greeting all visitors and patients entering the main entrance of hospital.
• Directing and escorting of all visitors and/or patients to their destination.
• Providing visitors, patients, and vendors passes.
• Data entry, finding patients appointments and department information and inpatient information.

• Complete bedside registration accurately, in a timely manner and always ensuring quality and privacy.
• Obtain and determine the coordination of benefits for medical insurance.
• Work with several programs for data entry and EMR.
• Handle any departmental paperwork flow in a timely manner and consistent following departmental policies and procedures.
• Acts as a liaison between patients, and/or families and clinical staff providing support as needed.
• Functions as a support part of the Emergency Department clinical team reacting urgently and appropriately to the needs of the Emergency Department clinical staff.

Meeter Greeter/ Outpatient Registration

• Greeting all patients and direct them and visitors to proper outpatient departments.
• Answering multi-line phones in a professional and courteous manner, also incoming calls throughout the hospital.
• Check patients in the Emergency Room and utilize the sign in system to ensure wait times are minimal.
• Handle departmental paperwork flow in a consistent manner.
• Accurately complete outpatient registration, updating all necessary demographics as needed.
• Accurately enters diagnosis codes into registration system, scan all appropriate paperwork and obtain patients consents.
• Escort patients to appropriate destinations.