Odalis Urvina
Hopewell Junction,NY
Summary
Healthcare professional prepared for senior-level responsibilities in patient access. Proven track record in enhancing patient service processes and streamlining operations. Valued team collaborator focused on delivering results and adapting to changing needs.
Overview
18
18
years of professional experience
Work History
Senior Patient Access Representative
Northwell Health System
08.2020 - Current
- Strong interpersonal and team coordination skills.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations, protecting privacy rights at all times.
- Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
- Contributed to revenue growth by effectively managing payment collections from both insured and self-pay patients.
- Collaborated with clinical staff to ensure seamless coordination of care, resulting in improved patient outcomes.
- Assisted patients in understanding their financial responsibilities, promoting transparency and trust between the facility and its clientele.
- Trained new Patient Access Representatives, contributing to a more skilled and efficient team.
- Managed high call volumes while maintaining exceptional customer service standards for patients and healthcare providers alike.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Patient Registration Representative
Northern Westchester Hospital
02.2019 - 08.2020
- Conducts interviews to obtain demographics, insurance information etc. and enters data into hospital Patient Registration System.
- Admits patients to hospital and provides information regarding hospital regulations and policies (i.e. Patient Bill of Rights, Health Care Consent, etc.).
- Obtains appropriate signatures on medical, legal and financial forms.
- Answers and processes overflow calls.
New York Medicaid Choice Program (Maximus)
01.2017 - 01.2019
- Provide consumer with information on Medicaid health plans.
- Conduction one-on-one and group presentations to recipients and community educated them and processing enrollment.
- Provided accurate and appropriate information in response to consumer inquiries.
- Maintain positive relationship with county staff, state agencies, community groups and recipients.
- Researching cases for denial codes in different queues.
- Processed MLTC disenrollment forms for consumers.
- Worked on special project NYSOH to WMS Conversion.
- Knowledge on Microsoft Word and Excel.
- Assisting with the training of new FCSR employees.
- Possessed the knowledge on Medicaid and Medicare programs.
- Handle consumer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution.
- Follow communication procedures, guidelines and policies.
Customer Service Representative
Primerica Financial Service
03.2009 - 04.2011
- Made sure each application met federal and state guidelines before processing.
- Accurately maintained records and documentations of each application.
- Updated reports and documents for each client, agent, and new members of the team, and was fully prepared for all audits.
Receptionist
The Umbrella Company
02.2008 - 03.2011
- Answered a high volume of calls and emails, while following company policies.
- Performed both filing and faxing.
- Scheduled meetings and appointments.
- Multitasked by typing data entry into company database, while handling phone calls.
Education
Nursing Assistant Certification -
Westchester Community College
Diploma - undefined
Peekskill High School
Peekskill, NY06.2006
Skills
- HIPAA compliance
- Insurance verification
- Patient registration
- Payment processing
- EMR
- Bilingual - English and Spanish
- Teamwork and collaboration
- Time management
- Multitasking
- Adaptability and flexibility
Timeline
Senior Patient Access Representative
Northwell Health System
08.2020 - Current
Patient Registration Representative
Northern Westchester Hospital
02.2019 - 08.2020
New York Medicaid Choice Program (Maximus)
01.2017 - 01.2019
Customer Service Representative
Primerica Financial Service
03.2009 - 04.2011
Receptionist
The Umbrella Company
02.2008 - 03.2011
Diploma - undefined
Peekskill High School
Nursing Assistant Certification -
Westchester Community College
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