Marcel T Esteban
Tracy,CA
Summary
Empathetic, analytical and organized Patient Service Representative with 10 years of experience within the health care. Settings, coordinating communication between patients and medical staff and maintaining up-to-date knowledge of policies and procedures. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations. Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach.
Overview
22
22
years of professional experience
Work History
Patient Service Representative
El Camino Hospital
05.2021 - 02.2023
- Supports operations by coordinating schedules for patients and providers
- Works with patients, families, providers, clinical and non-clinical staff to coordinate patient's experience throughout process of accessing healthcare
- Registration: Collects, verifies and updates patient demographic and guarantor information
- Follows established parameters to ensure procedures, treatments, test, are scheduled with required amount of time and effectively utilize resources
- Patient Satisfaction: This position is key contributor to patient satisfaction initiatives within department by participating in patient satisfaction related process improvement activities as well as providing high quality contact experience for patient with every interaction
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
Care Coordinator
Hospital Corporation of America
07.2014 - 04.2021
- Initiate and coordinate multidisciplinary team approach to care management which includes patients, payers, and providers, across care Continuum
- Work closely with Care Manager to target high-risk, chronically ill patients and facilitate their enrollment in appropriate care management programs
- Help established patients to identify barriers to self-care and additional services that may be needed, such as home health care, caregiver support or community services
- Respond to physician referrals for care coordination
- Promote patient self-management skills
- Work with physicians and their office staff to help coordinate care for patients
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Built strong relationships with clients to deliver emotional support and companionship.
- Completed resident assessments in accordance with current regulations and guidelines.
- Updated policies and procedures, leading continuous improvement of resident assessments and care.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
- Recognized and reported abnormalities or changes in patients' health status to case manager.
- Monitored client vital signs, administered medications, and tracked behaviors to keep healthcare supervisor well-informed.
Patient Services Representative
Mills Peninsula Health Services
07.2001 - 03.2014
- Accountable for collection insurance 50K and over and patient payments for all accounts
- As patient's advocate working and facilitating resolution of patient accounts by working with insurance companies, government agencies and patients in payment for services that has been provided.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Assisted patients in filling out check-in and payment paperwork. Managed patient registration process, confirming data accuracy and completeness .Built and maintained positive working relationships with patients and staff.
- Investigated insurance claims denials and appeals.
- Followed document protocols to safeguard confidentiality of patient records.
- Use valuable, intellectual skills and resources by responding to questions, researching discrepancies and insurance denial.
- Identify and share research, recommendations, or other information regarding legal liabilities, risk management, or quality of care.
- Applied administrative knowledge and courtesy to explain procedures and services to patients
- Reviewed and corrected claim errors to facilitate smooth processing
Education
Some College (No Degree) - General Education
Skyline College General Education
3300 College Dr. San Bruno, CA EKG/Certification -
Daly City Adult School
Daly City, CA2003
High School Diploma -
Salinas High School
Salinas, CASkills
- Epic, Access Express, AS 400 (PHAMIS), IDX, MS4, MYSIS Health System, Cisco phone system
- Patient greeting
- Flexible and Adaptable
- Medical insurance
Timeline
Patient Service Representative
El Camino Hospital
05.2021 - 02.2023
Care Coordinator
Hospital Corporation of America
07.2014 - 04.2021
Patient Services Representative
Mills Peninsula Health Services
07.2001 - 03.2014
Some College (No Degree) - General Education
Skyline College General Education
EKG/Certification -
Daly City Adult School
High School Diploma -
Salinas High School