Menliza Rivera
Philadelphia,PA
Summary
Patient Representative with 23 years of relevant industry experience. Enjoy serving as an advocate on behalf of patients. Strong knowledge of hospital administration and billing process. Excellent communication skills including bilingual(English/Spanish) communication abilities.
Overview
23
23
years of professional experience
Work History
Call Center Team Lead
Bora HomeCare
01.2021 - Current
- Utilized time management strategies effectively while working remotely, balancing workload demands with personal responsibilities at home.
- Handled escalated calls calmly, finding resolutions that satisfied both the company and the customer''s needs.
Patient Registration Representative
Temple Hospital
11.2000 - Current
- Ensured accurate billing practices by verifying insurance information and processing claims in a timely manner.
- Expedited referral management by diligently tracking pending referrals, obtaining necessary authorizations, and following up on appointment confirmations.
- Contributed to optimal resource utilization by monitoring inventory levels of office supplies regularly ordering stock as needed.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Updated patient information and insurance details for accurate electronic medical records.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Improved interdepartmental communication by effectively liaising between patients, providers, and other healthcare professionals.
- Maintained current knowledge of insurance guidelines and requirements for various medical services, enabling successful pre-authorization submissions for outpatient procedures.
- Assisted in training new registration clerks, ensuring they were well-equipped to provide excellent service to patients and staff alike.
Education
High School Diploma -
Thomas Alva Edison High School
Philadelphia, PA06.1994
Skills
- Knowledge database understanding
- Call Center Customer Service
- Team Management
- Escalation Handling
- EPIC
- Exceptional customer service
- Strong Work Ethic
- Payment Collection
- Medical Terminology
- Insurance Coverage Verification
- Team Player
Timeline
Call Center Team Lead
Bora HomeCare
01.2021 - Current
Patient Registration Representative
Temple Hospital
11.2000 - Current
High School Diploma -
Thomas Alva Edison High School