Monica Flores
Visalia,CA
Summary
I am a highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. I am a hardworking employee with customer service, multitasking and time management abilities. I am devoted to giving every customer a positive and memorable experience.
Overview
11
11
years of professional experience
Work History
Patient Access Representative
Adevtist Health
Hanford, CA
02.2024 - Current
- Greeted patients and visitors in a courteous and professional manner.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Ensured accuracy of all data entered into computer system.
- Scanned documents into electronic medical records system.
- Answered phones promptly in a professional manner.
- Collaborated with other departments to ensure quality customer service was delivered.
- Applied HIPAA privacy and security regulations while handling patient information.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Communicated financial obligations to patients and collected fees at time of service.
Caregiver
IHSS In Home Support Services
Hanford, CA
03.2013 - 07.2022
- Prepared meals according to dietary requirements and assisted with feeding when necessary.
- Administered prescribed medications on a timely basis following care plan instructions.
- Assisted with ambulation by providing support during transfers from bed to chair or wheelchair.
- Helped maintain the safety of the client's environment by removing hazards such as rugs or furniture that could cause falls.
- Provided emotional support for clients who were experiencing depression or anxiety due to their illness or disability.
- Performed light housekeeping tasks related to the client's care such as laundry and changing linens.
- Supported bathing, dressing and personal care needs.
- Improved patient outlook and daily living through compassionate care.
- Drove clients to shop for groceries, attend doctor appointments and run errands.
- Aided with mobility and independence for disabled individuals and continually monitored safety.
Referral Coordinator
Aria Community Health Center
Lemoore, CA
08.2021 - 02.2022
- Coordinated with external agencies to ensure timely processing of referrals.
- Collaborated with internal departments to ensure smooth transitions for referred patients.
- Performed data entry related to referrals into electronic health record systems.
- Communicated regularly with patients regarding their care plans following a referral.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Reviewed data obtained from referring physicians for completeness and accuracy.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Answered questions and resolved concerns raised by both patients and specialists.
- Submitted prior authorization requests to insurance companies when necessary.
- Verified insurance coverage and eligibility for services using computer software.
Referral Coordinator
Adventist Health System
Hanford, CA
07.2018 - 07.2019
- Maintained accurate records of all referrals, including contact information and follow-up activities.
- Coordinated with external agencies to ensure timely processing of referrals.
- Collaborated with internal departments to ensure smooth transitions for referred patients.
- Performed data entry related to referrals into electronic health record systems.
- Ensured compliance with applicable laws and regulations regarding referrals.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
- Answered questions and resolved concerns raised by both patients and specialists.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Communicated with patients with compassion while keeping medical information private.
Education
Certificate - Medical Assisting
San Joaquin Valley College
Visalia, CA11-2016
Skills
- Multitasking and Organization
- Insurance Verification
- Customer Service
- HIPAA Compliance
- Patient Registration
- Medical Terminology
- Information Collection
- Problem-Solving
- Quality Assurance
References
References available upon request.
Timeline
Patient Access Representative
Adevtist Health
02.2024 - Current
Referral Coordinator
Aria Community Health Center
08.2021 - 02.2022
Referral Coordinator
Adventist Health System
07.2018 - 07.2019
Caregiver
IHSS In Home Support Services
03.2013 - 07.2022
Certificate - Medical Assisting
San Joaquin Valley College