Maria Rios
Newark,NJ
Summary
Organized Patient Service Representative with 25 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations. Capable and dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
27
27
years of professional experience
Work History
Medical Reception/ Patient Service Representative
RWJBarnabas Health
01.2001 - Current
- Company Overview: formerly Primary Medical Care
- Referral and to specialist written and electronically
- Correction of codes for claims hospital billing
- Helping patient understand bal and coinsurance
- Super user for Epic
- Balanced deposits and credit card payments each day.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Built and maintained positive working relationships with patients and staff.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Verified insurance eligibility and coverage for patients.
- Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
- Handled customer service inquiries in person, via telephone and through email.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Trained new staff on filing, phone etiquette and other office duties.
- Greeted and assisted patients with check-in procedures.
- Took copayments and compiled daily financial records.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Entered patient demographic and insurance data into electronic medical record system.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
- Supported new Patient Service Representatives'' orientation process by sharing expertise on office procedures.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Resolved customer complaints using established follow-up procedures.
Administrative Assistant
Tri-State Dental
12.2000 - 01.2001
- Operate data entry devices, such as keyboard or photo composing perforator
- Duties include verifying data and preparing materials for printing
- Operating telephone switchboard to answer, screen and forward calls, providing information, taking messages and scheduling appointments
Receptionist
Food Trading
08.1997 - 10.2000
- Perform administrative support tasks such as proofreading, transcribing handwritten information, and calculation or computer work with pay records, invoices, balance sheets and other documents
- File and maintain records
Education
Bachelor of Arts - Human Services
University of Arizona
02-2025
Clinical Medical Receptionist - Medical Reception
Metro Wide Technical Institute
01.2001
Target Computer Training - Microsoft 200, Lotus, Powerpoint Excel and Word
Target Computer Training
01.2000
Skills
- Customer Service
- HIPAA Compliance
- Insurance Verification
- Medical terminology knowledge
- Appointment Scheduling
- Patient confidentiality
- Office Administration
- Data entry proficiency
- Healthcare industry understanding
- Reception Management
- FLUENT IN English and Spanish
- Medicaid
- Cross-cultural sensitivity
- Hospital and Medical office coding understanding
- Front desk supervision
- Phone and Email Etiquette
- Problem-Solving
- Medical Billing
- Multitasking and Organization
- Money Handling
- Call Screening
- Team Collaboration
- Relationship Building
- EMR
- Training Coordination
- Referral Coordination
- Insurance company knowledgeable
- Calm and Effective Under Pressure
- Reliability and Dedication
- Resolving Problems
Languages
English
Full Professional
Spanish
Full Professional
Affiliations
- RWJBarnabas Health
Quote
"If you're always trying to be normal you will never know how amazing you can be".
Maya Angelou
Timeline
Medical Reception/ Patient Service Representative
RWJBarnabas Health
01.2001 - Current
Administrative Assistant
Tri-State Dental
12.2000 - 01.2001
Receptionist
Food Trading
08.1997 - 10.2000
Bachelor of Arts - Human Services
University of Arizona
Clinical Medical Receptionist - Medical Reception
Metro Wide Technical Institute
Target Computer Training - Microsoft 200, Lotus, Powerpoint Excel and Word
Target Computer Training
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