Maxi Guillermo Aponte
Philadelphia,PA
Summary
Committed professional offering enthusiasm, dedication, and strong work ethic, eager to leverage skills acquired through diverse experiences. Adaptable professional with a quick-learning ability and a talent for adjusting to new environments. Skilled in rapidly acquiring new knowledge and applying it effectively. Driven by a passion for continuous learning and successfully navigating change.
Overview
9
9
years of professional experience
Work History
Patient Access Representative
Redeemer Health
Meadowbrook, USA
09.2024 - Current
- Register patients with accuracy and empathy in high-volume outpatient clinic.
- Verify insurance eligibility, obtain prior authorizations, and explain coverage and financial responsibilities to patients.
- Handle scheduling, admissions, and pre-registration processes for multiple departments.
- Understands & adheres to the rules and regulations of Medicare, Medicaid, and commercial payers regarding referrals, prior authorization, pre-certification requirements.
- Managed electronic health records and coordinated with clinical staff to ensure timely and accurate patient care documentation.
- Effectively handled telephone coverage, quickly addressing patient and concerns.
Patient Service Representative
Southeastern Pa Oral Surgery
Philadelphia, USA
03.2021 - 07.2024
- Greets and arrives patients and other entering the department in a courteous and professional manner in accordance with performance standard.
- Registers new patients and updates existing accounts.
- Gather, verify, and enter particulars into EHR systems during registration, including demographics, medical histories, and insurance details.
- Follow Hippa safety, and security compliance laws to maintain overall confidentiality.
- Answering heavy volume of calls. As well as returning voicemails.
- Handled any and every task given by management.
- Collects and post co-pays, any past due balances, and reconciles money at the end of shift.
- Serve as a liaison between doctors and other staff regarding patient arrivals and emergency situations.
- Assist with insurance-related matters and explain invoice procedures, and guide patients in understanding their obligations.
Receptionist/Dental Assistant
Mohammed Ashad DDS
Philadelphia, USA
02.2018 - 03.2021
- Greeting visitors, scheduling appointments, answering high volume of calls.
- Ensure the reception desk is manned, and the main telephone line has coverage at all times during business hours.
- Direct visitors and refer calls to the appropriate staff member.
- To assist in dealing with customer complaints in an effective and courteous manner, providing or seeking solutions as quickly as possible.
- Recruiting and maintaining participants for the agency.
- Communicating with doctors, insurances, and participants during the process of awaiting approvals.
- Document and report changes in patient status, in service requirements while abiding by HIPAA law.
- Interact with participants, caregivers, professionally by phone, email, or in-person to provide information and directed to desired staff members.
Front Desk Receptionist/Intake Coordinator
Daily Dove Care
Philadelphia, USA
06.2016 - 02.2018
- Adeptly managed a multi-line phone system and pleasantly greeted all patients and visitors.
- Operated telephone to answer, screen, or forward calls, provided information, took messages, or scheduled appointments.
- Ensure highest level of customer service to the managed care plan and internal customers.
- Work with hospitals, clinics, facilities and the clinical team to manage request for services.
- Process new clients paperwork and make charts.
- Provide assistance to physician office staff and patients to complete and submit all necessary documentation required for services.
Education
High school Diploma - Medical Assistant
Harris School of Business
09.2020
Skills
- Organizational skills
- Medical office experience
- Document review
- Medical terminology
- Computer skills
- Medical records
- Insurance verification and prior authorization
- Scheduling tests and procedures
Languages
Spanish, Expert
Timeline
Patient Access Representative
Redeemer Health
09.2024 - Current
Patient Service Representative
Southeastern Pa Oral Surgery
03.2021 - 07.2024
Receptionist/Dental Assistant
Mohammed Ashad DDS
02.2018 - 03.2021
Front Desk Receptionist/Intake Coordinator
Daily Dove Care
06.2016 - 02.2018
High school Diploma - Medical Assistant
Harris School of Business