Nimsi Chocano
Lomita,CA
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
19
19
years of professional experience
Work History
Patient Access Representative
Torrance Memorial Medical Center
07.2007 - Current
- Act as liaison between patient, physician's office and ancillary departments at Medical Center
- Patient registration, understanding of PPO, HMO and EPO requirements
- Collect demographic, employment and insurance information accurately
- Monthly volume exceeding 1,000 patient appointments
- Participation in hospital improvement activities (Kaizen)
- Obtains insurance verification as needed including verification of eligibility, benefits and medical group affiliation
- Verification may be performed via telephone, RPM eligibility device, or over internet
- Demonstrates knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and other third party payors
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule
- Obtains the patient's insurance information and determined eligibility for benefits for specific services rendered.
- Receive patient deductibles and co-pay amounts and discuss options to satisfy the remainder of patient financial obligations.
- Provide excellent customer service by promptly answering patient inquiries.
- Identify insurance payment sources and listed payers in proper sequence to establish form of payment
- Train new staff on hospital processes and procedures.
- Utilize knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Performs patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Verify patient insurance eligibility and enter patient information into system.
Front Desk Coordinator
Associates In General Surgery
01.2004 - 06.2007
- Patient liaison
- Patient registration and appointment scheduling
- Greeted incoming visitors, verified credentials and purpose of visit in order to direct appropriate area or personnel.
- Complete new patient charts
- Authorization request for diagnostic test and surgeries
- Customer Service duties: customer service inquiries collected and handled money exchanges
- Inventory of surgical office supplies
- Filing and input data (such as verification of insurance benefits, and eligibility)
- Scheduled appointments in computer system.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Read and responded to emails, answered telephone calls on multi-line phone system and transferred callers.
- Verified patient demographic information, copied documentation and directed to provided information.
- Trained all staff on front desk procedures and policies.
Education
Bachelor of Science - Health Care Administration
Grand Canyon University
Phoenix08.2023
Associate of Arts - Liberal Arts And Sciences
Los Angeles Harbor College
Wilmington, CA08.2020
Skills
- Knowledge, Skills and Proficient in hospital Scheduling,
- Registration and Revenue Cycle applications
- Payment Processing
- Insurance Company Knowledge
- Electronic Health Records Systems
- Eligibility Determinations
- Team Leadership
- Medical Terminology
- Spanish Fluency
- Word Processing
- Benefits Explanations
- Demographics Information
- Ability to handle high volume of calls; multitask and work in a fast paced environment
- Train and orientate new staff to department
References
Available upon request
Timeline
Patient Access Representative
Torrance Memorial Medical Center
07.2007 - Current
Front Desk Coordinator
Associates In General Surgery
01.2004 - 06.2007
Bachelor of Science - Health Care Administration
Grand Canyon University
Associate of Arts - Liberal Arts And Sciences
Los Angeles Harbor College
Similar Profiles
Jessica GamioJessica Gamio
Patient Care Technician at Torrance Memorial Medical CenterPatient Care Technician at Torrance Memorial Medical Center
Adrienne FernandezAdrienne Fernandez
Interventional Radiologic Technologist at Torrance Memorial Medical CenterInterventional Radiologic Technologist at Torrance Memorial Medical Center
Marlen HernandezMarlen Hernandez
Patient Care Technician at Torrance Memorial Medical CenterPatient Care Technician at Torrance Memorial Medical Center
CHELSEA WILSONCHELSEA WILSON
Registered Nurse III at Torrance Memorial Medical CenterRegistered Nurse III at Torrance Memorial Medical Center
Ernie MurilloErnie Murillo
Account Manager at Biohazard Inc.Account Manager at Biohazard Inc.