Maria Julieta Tortocion
Lawrenceville,Georgia
Summary
Dedicated and compassionate Healthcare Professional eager to contribute strong interpersonal skills and empathetic approach to patient care in a senior level role. Seeking a rewarding position to provide crucial support to healthcare professionals, ensuring a positive and efficient healthcare experience for patients. Committed to maintaining a compassionate and organized environment that fosters optimal well-being for all individuals under care.
Overview
27
27
years of professional experience
Work History
Administrative Assistant/HR Support/Referral coordinator
Emory University Student Health Services
Atlanta, GA
10.2003 - 05.2024
- Screening: Administratively Coordinates care for new and established patients and serve as primary point of care for these patients and families
- Position: work with patients and families to answer questions, provide emotional support and resolves issues concerning the administrative Coordination of their care
- Perform aspects of benefit verification and prior authorization
- Maintain patient accounts by obtaining, recording, and updating personal financial and insurance information
- Collaborates with nursing and physician teams to ensure appropriate appointments and secure in a timely manner
- Treats all individuals with dignity and respect and participates in activities to improve working relationships within the section
- Registration and Scheduling patient appointments using IDX, GPR and now EPIC
- Verification of Health Insurance and Submitting Report Export to Aetna Health Insurance.
- Managed the referral process for a large healthcare organization, resulting in a 15% reduction in wait times for patients and a 10% increase in patient satisfaction scores
- Collaborated with medical staff to implement a streamlined referral workflow, reducing errors and improving communication between departments, leading to a 20% decrease in referral processing time.
- Implemented a tracking system to monitor referral trends and identify areas for improvement, resulting in a 25% increase in referral accuracy and a 10% decrease in referral denials.
Patient Account Representative
Emory University Hospital
Atlanta, Georgia
04.1998 - 11.2003
- REVIEW OF ACCOUNTS: Reviews all accounts assigned for collection prior to, during or alter admission and discharge
- Bookkeeping Functions: Assist in budget development, keeps manager informed of accounts status, authorizes expenditures, and identifies cost effective alternatives
- Prepares charts and graphs for reports and presentations, maintains various databases and spreadsheets
- PRECERTIFICATION: Ensure that precertification has been initiated when necessary
- Verifies insurance as needed to resolve account balances
- BILLING: Bills third party payers when appropriate, by hand or electronic submission; performs billing tasks, combined and split bills
- COLLECTION: Obtain necessary financial data to set up payment arrangement when needed
- Completes financial Statement and gets approval on arrangements exceeding three months to completion
- Performs progressive collection steps to discuss and clear balances on multiple accounts
- INSURANCE PAYMENT STATUS: Contacts Insurance carriers to inquire about status of payment
- Ensure payments are received when expected
- Recommends adjustments as appropriate to bring timely resolution to accounts
- RESEARCH: Research status of Medicare, Medicaid, and Blue Cross through use of MEDIA and BCH, accepted batch listing reports, EOB, and other information
- Excellent in consumer affairs dealing with communication and listening skills.
Accounting Department
WAL-MART
Tucker, Georgia
03.1997 - 06.1998
- Balancing of Accounts and making deposits
- Monitors and maintains budget and expenditures
- Responsible for supervising 12-13 employees
- Money management dealing with accounts payable and accounts receivable
- Answered several phone calls and took messages
- Customer Service dealing with an assortment of clients
- Worked with assorted administrative duties such as, i.e., filing working with office equipment (computers, Xerox machine, fax machine etc.) and maintaining the office.
Sales/Associate
Bell South Mobility
Atlanta, Georgia
04.1997 - 02.1997
- Excellent customer service skills
- Responsible for opening and closing duties
- Sales of rate plans, cell phones and phone accessories
- Accountability of weekly inventory and loss prevention management
- Worked with layout of monthly promotional advertisements.
Education
Master's degree in healthcare administration -
American Intercontinental University
Medical Coding/Billing -
HERZING COLLEGE
Computer Science -
VICTORY BUSINESS COLLEGE
Bachelor of Science in Commerce Major in Accounting and Hotel and Restaurant Management -
UNIVERSITY OF NEGROS OCCIDENTAL - RECOLETOS
Skills
- Computer applications
- Word
- Power Point
- Excel
- Spread Sheets
- XP2000
- Independent work
- Team player
- Epic, GPR, IDX
- Workload management
- Assignment management
- Adaptability
- Multi tasker
- Charismatic
- People skills
- High achiever
- Excellent organizational skills
- Strong communication and interpersonal skills
- Proficiency in healthcare follow-up procedures
- Ability to handle insurance claims related to referrals
- Strong problem-solving skills
Work Phone
(404) 727-0207
Volunteer Experience
I have worked at the Atlanta VA Medical Center in the Volunteers office (for three years) doing administrative duties. In addition, I have worked on a special emphasis program from the homeless veterans, Stand Down programs, Veteran's holidays, and Christmas activities. I helped with the coordination, planning, the distribution of gifts, and most importantly the compassion of dealing with our veterans. Working with small group at 12stone Church to Feed the Hungry every Thanksgiving, Christmas and giving winter coats, blankets to the homeless
Timeline
Administrative Assistant/HR Support/Referral coordinator
Emory University Student Health Services
10.2003 - 05.2024
Patient Account Representative
Emory University Hospital
04.1998 - 11.2003
Sales/Associate
Bell South Mobility
04.1997 - 02.1997
Accounting Department
WAL-MART
03.1997 - 06.1998
Master's degree in healthcare administration -
American Intercontinental University
Medical Coding/Billing -
HERZING COLLEGE
Computer Science -
VICTORY BUSINESS COLLEGE
Bachelor of Science in Commerce Major in Accounting and Hotel and Restaurant Management -
UNIVERSITY OF NEGROS OCCIDENTAL - RECOLETOS