Maria Peralez

• Performs pre-registration/registration processes, verifies eligibility and obtains authorizations, submits notifications and verifies authorizations for services. Verifies patient’s demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient’s insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management.
• Verifies and understands insurance benefits, Collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management.
• May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources. Assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).
• Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence.
• Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Work to meet the patient’s needs in financial services.
• Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve process and practices good teamwork.
• Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team.
• Works independently under regular supervision and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient’s care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payors.

• Welcomes each member and handles all member interactions with the highest level of hospitality and professionalism
• Demonstrates a commitment to quality, delivering uncompromised service and outcomes
• Accommodates special requests for member support whenever possible and helps to promptly resolve member questions
• Assists with assigned projects and special provider or patient requests
• Assists with the member check-in process, including a basic understanding of benefit eligibility files, check-in technology and overall clinic workflows within the context of care delivery
• Processes transactions required to begin or complete the visit
• Demonstrates an in-depth knowledge of employer-sponsored health insurance, including copays, coinsurance, and related benefit specific requirements, in order to support members
• Engages with members by answering calls, scheduling appointments, responding to emails, and following up with member needs
• Collaborates with providers and staff members to deliver an exceptional seamless patient-centered care experience
• Performs other duties as assigned

• Held Interim Officer in Charge title for 8 months 11/22 to 8/23 per oversight of ED and managed team of 5-6 individuals
• Effectively oversee and manage 200-400 students/graduates throughout their tenure with UEI College
• Provides on-going professional development assistance and coaching of concerns to students and graduates
• Ensure that students are prepared to gain employment upon graduation
• Responsible for weekly employment goals and 30-90 day employment verification; actively assist students and graduates with employment in professional Healthcare and Business facilities for all UEI College programs to meet or exceed benchmarks within three to six months of graduation
• Plans and participates in student/alumni activities, Career Fairs, Advisory Boards, Program Reviews, Graduation Ceremonies, Open-House events and other related activities
• Develops long term working relationships with businesses and industries and respond to job opening requests by sending appropriate resumes to employers
• Maintain an employment rate of at least 75%, an attrition rate of 5% or better, an extern- to-hire rate of 50% or more, an externship start of 75% and high student-satisfaction ratings at all times
• Research market trends affecting employment and serve as both a strategic guide and employment resource to our students
• Generate employer database through cold calling, mailings, and occasional site visits
• Perform career and professional development workshops regularly for all students to prepare them to enter the workforce
• Build positive internal relationship with staff and faculty to encourage a team environment
• Prepare statistical employment reports as required for state and accrediting agencies
• Ensures accurate data entry and reporting of all department related activities on students and graduate into company database
• Report weekly and monthly rates to management

• Effectively oversee and manage 175 – 200 students throughout their tenure with Unitek College. Provides ongoing professional development assistance and coaching of concerns to students and graduates.
• Ensure that students are prepared to gain employment upon graduation.
• Responsible for weekly employment goals and 30-90 day employment verification; actively assist students and graduates with employment in professional Healthcare and Business facilities for all Unitek programs to meet or exceed benchmarks within three to six months of graduation.
• Plans and participates in student/alumni activities, Career Fairs, Advisory Boards, Program Reviews, Graduation Ceremonies, Open-House events and other related activities.
• Develops long term working relationships with businesses and industries and respond to job opening requests by sending appropriate resumes to employers.
• Maintain an employment rate of at least 75%, an attrition rate of 5% or better, an extern-to-hire rate of 50% or more, an externship start of 75% and high student-satisfaction ratings at all times.
• Research market trends affecting employment and serve as both a strategic guide and employment resource to our students.
• Generate employer database through cold calling, mailings, and occasional site visits.
• Perform career and professional development workshops regularly for all students to prepare them to enter the workforce.
• Build positive internal relationship with staff and faculty to encourage a team environment.
• Prepare statistical employment reports as required for state and accrediting agencies.
• Ensures accurate data entry and reporting of all department related activities on students and graduate into company database.
• Report weekly and monthly rates to management.

Supervisor

• Worked and reported directly with management.
• Prepared screeners, electronic dialing dispositions, and contact sheets for recruiters.
• Uploaded and formatted samples for recruiters.
• Worked with recruiters to ensure that we are looking at all aspects of a respondent when recruiting.
• Worked with management to approve possible respondent holds.
• Edited screeners and sending overview emails out to management at the end of the night.

Recruiting

• Called possible respondents and taking them through a screener.
• Entered contact information onto an Excel spreadsheet for clients.
• Calculated quotas for new recruits.
• Determine articulation levels of respondents.
• Worked alongside other recruiters and supervisors to recruit the best group of respondents for the client.

Hosting

• Tended to the needs of clients for a focus group.
• Prepared client and respondent rooms.
• Printed name tents, sign-in sheets, client profile contacts, and any other material needed for the group.
• Filled out host report that includes notes of the project day as well as all needs for billing to the client i.e food, printing, audio/video services, respondent incentives

Billing

• Entered timecards and other data into a system weekly to accrue office wide spread.
• Edited the systems process manually on a weekly basis.
• Ensured that all original documentation provided by the nurse are acquired for insurance and audits.
• Worked with a group of 2-4 recruiters to orient nurses properly to ensure accuracy of documentation.
• Called patients and/or their primary caregivers, nurses, schools to obtain confirmation of shifts.
• Worked closely with corporate to verify that all contributions to spread are accurate/fixing any errors made with corporate.

Payroll

• Verified and obtained authorization for all patients: current and incoming referrals.
• Called and worked with commercial and government funded payors.
• Worked with case managers to approve authorization of services rendered by our facility.
• Worked with management and corporate to ensure that all sales are paid for by the correct payors.
• Ensured that we are maximizing all benefits provided by working with recruiters on scheduling.
• Worked with insurance companies and families on denials of non-covered services and appeals.