Knowledgeable Patient Access Supervisor with a proven track record at the University of Miami Health System, showcasing exceptional leadership in enhancing patient access services. Expert in Microsoft Office and bilingual communication, significantly improving customer satisfaction and operational efficiency. Demonstrates a unique blend of empathy and problem-solving skills, ensuring optimal patient care and streamlined processes.
Overview
9
9
years of professional experience
Work History
Patient Access Supervisor
University of Miami Health System
Hollywood, Florida
09.2024 - Current
Conducted training sessions for new hires and existing staff members on proper registration techniques.
Responsible for supervising and leading staff in the patient access department to ensure excellent customer service and accurate registration.
Processed insurance verifications and authorizations to ensure coverage of services.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Maintained a safe environment by enforcing safety regulations at all times.
Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
Utilized hospital systems to update patient records, ensuring accuracy and completeness.
Implemented patient satisfaction surveys to identify areas for improvement.
Coordinated scheduling of appointments across multiple departments to optimize patient care.
Prepared monthly summary reports highlighting key metrics within the department.
Assisted with resolving any issues that arose during the registration process.
Monitored employee performance and provided feedback on areas of improvement.
Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
Assisted in the implementation of new technologies and processes to improve patient access services.
Patient Access Specialist
University of Miami Health System
04.2022 - Current
Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts
Contacts patients’ families or physicians’ offices to obtain missing insurance information
Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility
Collaborates with scheduling departments to identify add-on patients
Obtains necessary authorizations, pre-certifications, and referrals
Notifies patients of liabilities prior to date of service and collects funds
Maintains appropriate records, files, and accurate documentation in the system of record
Serves as a lead resource for lower-level Patient Services staff
Recommends new approaches to management for enhancing performance and productivity
Deploys critical thinking while responding to a variety of technical issues from patients, physicians and employees via phone, email, web messages, fax, or email
Works independently and deals effectively with stress, due to heavy workload and the handling of complex patient inquiries
Serves as a role model, facilitator, and coach in developing a culture of compassion and caring through building healthy relationships among staff, patients, and families
Projects a professional appearance and pleasant demeanor creating a welcoming atmosphere
Adheres to University and unit-level policies and procedures and safeguards University assets.
Attend Huddles daily to go over clinic flow for the day
Attend monthly meetings with Hollywood site to go over any site updates and changes.
Senior Patient Access Representative
University of Miami Health System
Aventura, FL
06.2021 - 04.2022
Serve As Patient Advocate and Service Ambassador by Providing A Favorable First Impression And Proactive Attention To Internal And External Customers In Order To Meet Or Exceed Expectations, Address Concerns, And Optimize Experience
Enter And/or Update All Pertinent Data Including Demographics, Financial, And Referring Physician Information. · Interact With Patients and Collaborate with Providers and Clinicians to Appropriately Schedule Appointments Considering Scheduling Guidelines Per Division/Specialty/Provider, Resource Availability, Special Needs, Timeframes, Medical Necessity, And Payer and Contractual Guidelines.
Determine Appointment Type and Utilize Analytical Skills to Determine Appropriate Slot Utilization and Instances When Overbooking Is Appropriate.
Communicate To Patient the Place of Service Where Each Appointment Will Take Place (pos 22) And How It May Impact His/her Financial Responsibility.
Obtain Legal Photo Identification, Insurance Card, And Validate Patient Identity and Coverage (If Applicable) Prior To Services Being Rendered Thereby Ensuring Patient Safety and Financial Reimbursement.
Scan Id, Insurance Card, Advance Directives, Share of Cost Letters, And Any Other Pertinent Documents. Obtain And/or Verify That All Demographic, Financial, And Insurance Coverage Information Is Accurate, Up to Date and Complete, And That Financial Clearance Has Been Obtained Inclusive of All Required Referrals/Authorizations.
Explain All Applicable Forms (I.E. Consent for Medical Treatment and Conditions of Admission, Acknowledgement of Receipt of Privacy Practices, Questionnaires, Important Message from Medicare, Advance Directives Checklist, And Answer Any Questions Patients’ May Have Pertaining to Form and Established Policies.
Obtain And Witness All Patient/Guarantor Signatures on All Applicable Consents and Forms and Ensure That All Initial and Signature Areas Required Have Been Completed and Forms Have Been Dated, Timed and Labeled.
Print Out Labels And/or Any Forms Required by Treatment Area. Complete Check-In and Registration Process as Rapidly as Possible (Without Compromising Quality or Service Level) In Order to Minimize the Time Patients Must Wait for Treatment to Begin.
Patient Access Representative 1
University of miami
, fl
11.2020 - 06.2021
Print Out Labels And/or Any Forms Required by Treatment Area
Complete Check-In and Registration Process as Rapidly as Possible (Without Compromising Quality or Service Level) In Order to Minimize the Time Patients Must Wait for Treatment to Begin
Responsible for independently coordinating and performing all the functions related to On-site Patient Access and Ancillary/Clinic Support Services for both POS 11 and 22 multi-specialty clinics, and hospital departments across the UHealth system
This position supports UHealth’s vision, mission, goals and objectives by providing efficient patient centric on-site patient access and ancillary/clinical support services and demonstrating a commitment to service excellence
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Commitment to Service Excellence
Serve as Patient Advocate and Service Ambassador by providing a favorable first impression and proactive attention to internal and external customers in order to meet or exceed expectations, address concerns, and optimize experience
Project a professional appearance and demeanor including appropriate body language and vocal tone
Immediately recognize and acknowledge internal and external customers in a welcoming, courteous and professional manner
Respect the privacy, dignity and confidentiality of our patients and be responsive to their needs by showing concern, empathy, patience and respect
Maintain composure during stressful situations and use sound judgment
Provide immediate service recovery by taking ownership of any problems that may arise and resolving them utilizing appropriate rationale
Provide patients with and interpret Patient Rights and Responsibilities
Scheduling
Coordinate scheduling of all walk-ins, add on, and follow up appointments in accordance with established guidelines and in multiple systems.
Front Desk Medical Receptionist
Jose M Torres Internal medicine
Pembroke Pines, MD, FL
03.2019 - 08.2020
Provide administrative support to the doctor's office, welcome patients and visitors in person and handle telephone call inquiries, messages and direct phone calls
Responsible for assuring readiness that the reception area is fully operational for the start of the business day
Optimize patient satisfaction, schedule appointments, confirm upcoming appointments and call in prescriptions to pharmacies and do follow up calls or questions as requested by the doctor
Verify insurance to obtain pre-authorization for patient services and obtain deductible amounts and collect money due
Maintain patient records and accounts and data entry for new patients
Transmit correspondence and medical records as requested.
Human Resource Expert/cash office/ Guest Services
TARGET
Hialeah, FL
01.2017 - 02.2019
Deliver an exceptional guest experience by engaging the guest and prioritizing the guest’s needs over task
Wide knowledge about the business and the products in the store
Handle guest exchanges, returns, and complaints with ease
Identify problems and offer further solutions
Support store HR/leaders to lead and execute hourly staffing plans; use selection and assessment tools to partner with leaders to hire the right talent in all areas to deliver the desired experience for our guests
Provide support, as needed, to ensure schedules reflect adherence to workload, special events and guest traffic patterns as well as coordinate team member needs (time-off approvals, availability)
Support the store HR/leaders to execute pay practices, including the annual pay and performance process, performance review ratings and payroll process
Foster a learning environment; support store HR/leaders to facilitate training
Support store HR/leaders to drive a recognition culture that rewards team members for meeting outcomes desired
Respond to all team member questions and concerns promptly and courteously, directing them to appropriate leaders and resources as needed, as well as providing education and encouraging team members
Model a culture of compliance to protect Target's reputation and team; maintain routines that satisfy federal, state and local laws and regulations and follow company procedures and policies related to HR processes and handling of confidential information
Stay current on all available resources, including company communication, to deliver an exceptional guest and team member experience
Foster a sales and service culture to deliver an exceptional guest experience and drive business growth.
Engagement
TARGET
HIALEAH, FL
07.2016 - 01.2017
Greet every guest with eye contact and make them feel welcome
Complete transactions accurately and efficiently while engaging guests in appropriate conversation
Comply with all cash handling and safety related procedures (Safe counting)
Ask every guest if they found everything, they needed to ensure they are making the most of their trip
If a problem arises always be friendly and apologetic about any inconvenience and call for help immediately and apologize for the delay
Be knowledgeable about what is happening in the store (sales, events, etc.) to help guests get what they need and grow sales
Keep the workspace clean, check lanes for merchandise and that nearby departments are clean and organized and maintain the highest level of presentation
Support guests at self-checkout by offering to ring their transactions, teaching guests or calling for back-up to staff a lane for customers
Responsible for counting safes before the store opens and getting money ready for the registers.
Education
High School Diploma -
Miami Springs Senior High
Miami
06.2016
Associate of Arts - Health Services Management
Miami Dade College
Miami, FL
Skills
Excellent communication skills
Microsoft Office (Excel, Word, Publisher, PowerPoint)
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