Summary
Overview
Work History
Education
Skills
Timeline
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Luz Peralta

Brick,NJ

Summary

Dependable PAR serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.

Overview

12
12
years of professional experience

Work History

Patient Access Representative

Ocean Health Initiatives
07.2011 - 04.2023
  • Pre-register 40 patients daily for their appointment by reviewing and prepping appointment.
  • Obtain consent for Family Planning, medical treatment, patient signature confirming/accepting receipt of patient's privacy notice HIPAA rights, medication history, NJIIS, and financial responsibility.
  • Screening all patients for Marketplace/NJ family care for presumptive eligibility.
  • Screening all patients for NJCEED eligibility, complete intake, and consent form for eligible patients.
  • Complete Household Assessment (HHA) on all patients regardless of insurance status.
  • Verifies insurances primary care provider (PCP) enrollment for Private, Medicaid and Medicare.
  • Obtain necessary patient release forms in accordance with patient confidentiality and medical records policy.
  • Accurately complete required data entry for NJIIS.
  • Ensure that patient demographics are updated by utilizing Phreesia at every visit on daily patient demographic form when Phreesia is not available.
  • Assisting walk-in patients to achieve positive outcome.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Responded to inquiries by directing calls to appropriate personnel.
  • 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.
  • Discharge patients with appropriate documentation, follow up instructions and appointments.

Manager

All States Medical Billing
1989 - 1999
  • Set aggressive targets for 8 employees to drive company success and strengthen motivation.
  • Cross-trained existing employees to maximize team agility and performance.
  • Used industry expertise, 200 customer service skills and analytical nature to resolve customer concerns and promote loyalty.
  • Managed and motivated employees to be productive and engaged in work.
  • Controlled costs to keep business operating within budget and increase profits
  • Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills
  • Accomplished multiple tasks within established timeframes
  • Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions

Education

No Degree - Accounting

Colegio Esperanza
Cananea, Sonora. Mexico
06.1972

Skills

  • Bilingual in Spanish and English
  • Excellent problem solving
  • Great customer service and telephone skills
  • Patient Interviewing Skills
  • Payment Processing
  • Insurance eligibility determination
  • EHS, ATHENA HEALTH, PHREESIA and EMR
  • Proficient in Microsoft office 365
  • PE (Presumptive Eligibility) and Market Place Certified
  • 10 years experience in Medical BIlling
  • Trained in remote PAR and Telehealth workflow

Timeline

Patient Access Representative

Ocean Health Initiatives
07.2011 - 04.2023

Manager

All States Medical Billing
1989 - 1999

No Degree - Accounting

Colegio Esperanza

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Luz Peralta