Maira Giles
Denver,CO
Summary
Dependable Customer Service Representative 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
1815
1815
years of professional experience
Work History
Consumer Access Rep
Adventhealth Avista
08.2023 - Current
- Worked effectively in fast-paced environments.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information throughout all stages of the registration process.
- Assisted in developing training materials for new hires within the Patient Access department, enhancing overall staff competency levels in key areas of responsibility.
- Enhanced hospital revenue by accurately verifying over 30 insurance information and collecting payments for services rendered.
Patient Access Rep PRN
CommonSpirit Health
11.2021 - Current
- Translate to Spanish-speaking patients, ensuring patient accurate diagnose complaint and equitable care
- Implemented evidence-based practices in emergency medicine, ensuring consistent quality of care across all cases.
- Register directly to patients for procedures and appointments
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Patient Access Lead
Centura Health
03.2020 - 11.2021
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care
- Provided weekly huddles, rounding with staff with announcement and point of service percentage
- Managed a team of Patient Access Specialists, ensuring proper training and adherence to policies and procedures.
- Streamlined patient registration process by implementing efficient workflows and reducing wait times.
Referral Coordinator
Surgical Specialist of Colorado
01.2019 - 03.2020
- Reviewed demographic, clinical and insurance information before sending to referred specialists
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Scheduled appointments with specialists on behalf of clients.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Patient Service Representative II
St Anthony North Health Campus, General Surgery
02.2016 - 01.2019
- Scheduled patient appointments and procedures
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
Patient Service Representative I
St Anthony North Health Campus, OB/GYN
12.2014 - 02.2016
- Assist with the gathering and processing of all necessary information and data to complete all requirements in medical records, referral, billing, and any medical treatment purposes
- Answer and place telephone calls relate to job duties and/or retrieve online/voice messaging
- Support the review of accuracy and update patient demographic information as needed
- Used EPIC software to schedule appointments.
Clerical Support
Rocky Mountain Youth Clinic
01.211 - 12.2014
- Managed approximately 30 incoming telephone calls, questions, and client inquiries
- Monitored calendars and scheduled appointments based on availability and established load limits
- Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Education
A.A.S - Medical
Community College of Denver
Denver, CO01.2013
Associate of Arts - Business Administration
Community College of Denver
Denver, CO01.2012
High School Diploma -
West High School
Denver05.2009
Skills
- Customer Service
- Work Quality Evaluation
- Training Coordination
- Registration and Admissions
- Team Leadership
- Fee Collection
- Multitasking
- Organization
- Eligibility Determination
- Problem-Solving
- Fluent Bilingualism
- Practical Learning
Languages
Spanish
Timeline
Consumer Access Rep
Adventhealth Avista
08.2023 - Current
Patient Access Rep PRN
CommonSpirit Health
11.2021 - Current
Patient Access Lead
Centura Health
03.2020 - 11.2021
Referral Coordinator
Surgical Specialist of Colorado
01.2019 - 03.2020
Patient Service Representative II
St Anthony North Health Campus, General Surgery
02.2016 - 01.2019
Patient Service Representative I
St Anthony North Health Campus, OB/GYN
12.2014 - 02.2016
A.A.S - Medical
Community College of Denver
Associate of Arts - Business Administration
Community College of Denver
High School Diploma -
West High School
Clerical Support
Rocky Mountain Youth Clinic
01.211 - 12.2014
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