Maria A Rivera
Patient Access Represenative
Kissimmee,FL
Summary
Dynamic Patient Access Representative with a proven track record at Advent Health Heart of Florida, excelling in insurance verification and HIPAA compliance. Recognized for enhancing patient experiences through exceptional customer service and efficient registration processes. Professional and prepared healthcare access professional with strong experience ensuring seamless patient admissions and registration processes. Proven ability to work collaboratively within team to achieve organizational goals and adapt to changing needs. Skilled in patient communication, insurance verification, and data management, providing reliable support in fast-paced environment. Known for maintaining high standards and delivering results.
Overview
26
26
years of professional experience
Work History
Patient Access Representative
AdventHealth Heart of Florida
11.2015 - Current
- Coordinated patient registration processes to enhance operational efficiency.
- Managed insurance verification and processes for seamless patient access.
- Assisted patients with inquiries, ensuring timely resolution and exceptional service delivery.
- Streamlined check-in to minimize wait times and improve patient experience.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining accuracy, entering claim details into the system.
- Enhanced data accuracy with meticulous verification of patient information and insurance details.
Office Manager
VMR Truck Holding Corp
12.2013 - 01.2016
- Oversaw daily office operations, ensuring efficient workflow and productivity.
- Developed and implemented organizational systems to enhance file management and data retrieval.
- Coordinated communication between drivers and dispatcher, fostering collaboration and information sharing.
- Managed vendor relationships, negotiating contracts to optimize service delivery.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Facilitated positive work environment, addressing employee concerns promptly and fostering culture of mutual respect.
- Completed weekly payroll for five employees.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Front Office Manager
Dr Debra Price MDPA
08.2003 - 11.2013
- Directed front office operations, ensuring seamless patient flow and optimal service delivery.
- Implemented efficient scheduling systems to enhance appointment management and reduce wait times.
- Supervised and trained front office staff, fostering a collaborative and high-performance environment.
- Developed standard operating procedures to improve administrative processes and enhance patient experience.
- Managed electronic health record (EHR) systems, ensuring data accuracy and compliance with regulations.
- Oversaw financial transactions and billing processes, maintaining accuracy in patient accounts and collections.
- Monitored financial transactions at the front desk, ensuring accurate billing procedures and minimizing discrepancies.
- Created weekly schedules for front office staff members to ensure appropriate coverage during peak hours or high demand periods.
- Reconciled end-of-day reports to determine accurate billing and payment processing.
- Resolved guest complaints professionally, maintaining positive relationships with customers for future business opportunities.
- Supervised and guided new employees and responded quickly to questions to improve understanding of job responsibilities.
- Developed effective communication channels within the team to improve decision-making process and problem-solving abilities.
- Enhanced patien satisfaction by efficiently managing front office operations and addressing patient concerns promptly.
- Conducted regular staff evaluations, providing constructive feedback and identifying opportunities for professional growth.
- Maintained a clean and organized work environment, promoting a professional clean enjoinment
- Oversaw daily operations of front desk, ensuring all patient interactions were handled with high professionalism.
- Developed and enforced front office policies that ensured consistent and high-quality patient experience.
- Analyzed medical records to assign accurate ICD-10 and CPT codes.
- Collaborated with healthcare providers to clarify diagnoses and treatment plans.
- Reviewed documentation for completeness and compliance with coding guidelines.
- Implemented quality assurance processes to enhance coding accuracy and efficiency.
- Developed strategies for optimizing revenue cycle through effective coding practices.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
Office Assistant
Baptist Hospital of Miami
09.1999 - 03.2002
- Managed office communications, ensuring timely responses and efficient information flow.
- Organized and maintained filing systems, enhancing document retrieval efficiency.
- Coordinated scheduling for meetings, maximizing staff availability and productivity.
- Assisted in preparing reports, ensuring accuracy and adherence to deadlines.
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
- Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
- Expedited document processing with accurate data entry and timely filing.
- Strengthened office organization by implementing new filing systems and digital record-keeping practices.
- Managed incoming and outgoing correspondence, ensuring prompt and accurate delivery of information.
- Enhanced office efficiency by organizing and maintaining filing systems both digitally and physically.
- Fostered positive work environment, coordinating team-building activities and maintaining clean and organized office space.
Education
Certificate of Technical Studies - Accounting And Finance
Miami Dade College
Miami, FL08-1996
High School Diploma -
South Dade High School
Miami, FL05-1991
Skills
- Customer service
- Insurance verification
- HIPAA compliance
- Patient registration
- Multitasking and organization
- Registration and admissions
- Medical terminology
- EMR
- Money handling
- Insurance billing
- Eligibility determination
- Payment processing
- Information collection
- English and Spanish fluency
- Fee collection
- Friendly and outgoing
- Data entry
- Medical coding
- Health insurance knowledge
- Privacy regulations knowledge
- Punctual and hardworking
- Clerical and filing support
- Payment collection
- Interpreting physician orders
Languages
English
Native or Bilingual
Timeline
Patient Access Representative
AdventHealth Heart of Florida
11.2015 - Current
Office Manager
VMR Truck Holding Corp
12.2013 - 01.2016
Front Office Manager
Dr Debra Price MDPA
08.2003 - 11.2013
Office Assistant
Baptist Hospital of Miami
09.1999 - 03.2002
Certificate of Technical Studies - Accounting And Finance
Miami Dade College
High School Diploma -
South Dade High School