Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Olivia Ochoa

Mission,TX

Summary

Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. 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. Self-motivated insurance verification specialist proudly offering several years' experience building an understanding of medical terminology while tracking patient coverage. A poised professional with benefits explanation and administration expertise. Offering time management and interpersonal skills. Skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues. Detail-oriented medical receptionist with several-year background performing basic clerical tasks to keep office running smoothly. Organized and meticulous individual with outstanding phone demeanor and etiquette paired with deep knowledge of medical terminology. Collaborative team player dedicated to helping patients and staff. Experienced and dependable general worker with a proven track record of efficiently completing tasks in various settings. Skilled in manual labor, equipment operation, and maintaining a clean and organized workspace. Safety-conscious with a strong work ethic and the ability to adapt to different environments. Ready to contribute to a dynamic team and make a positive impact.

Overview

18
18
years of professional experience

Work History

Insurance Verification Specialist Front Desk Coord

My Care medical
Mission, TX
03.2013 - Current
  • Greeted patients, verified insurance information and collected copays.
  • Scheduled appointments, managed patient records and updated medical histories.
  • Prepared and maintained accurate medical charts for each patient visit.
  • Answered incoming calls, addressed inquiries and routed messages to appropriate personnel.
  • Verified patient demographics, entered data into electronic health record system and provided support to hysicians.
  • Ensured compliance with HIPAA regulations by maintaining confidentiality of all patient information.
  • Maintained a clean reception area by restocking supplies, cleaning furniture surfaces.
  • Monitored appointment schedules to ensure timely arrival of patients for their scheduled visits.
  • Created new patient files upon request while adhering to organizational policies regarding file maintenance.
  • Assisted with scheduling tests or other procedures as requested by physicians or other healthcare providers.
  • Checked-in patients when they arrived at the front desk; obtained necessary paperwork from them prior to check-in process.
  • Handled incoming mail including sorting letters according to departmental guidelines.
  • Coordinated with insurance companies regarding payment verification processes prior to delivering treatment plans.
  • Managed multiple tasks simultaneously while providing excellent customer service in a busy office environment.
  • Called patients to confirm scheduled appointments and obtain additional details.
  • Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
  • Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
  • Checked patients in and out for appointments and collected co-payments.
  • Handled correspondence, managed files and performed other clerical duties for office staff.
  • Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
  • Answered multi-line phone system and directed callers to requested personnel and departments.
  • Informed patients of financial responsibilities prior to rendering services.
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Took messages from patients and promptly relayed to appropriate staff.
  • Entered insurance, demographics and health history into patient database.
  • Delivered high-quality administrative and customer service to sustain patient and work flows.
  • Routed laboratory or diagnostic results to appropriate staff.
  • Completed relevant insurance and other claim forms.
  • Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Communicated with patients with compassion while keeping medical information private.
  • Scheduled and confirmed patient appointments and consultations.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Processed patient payments and scanned identification and insurance cards.
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
  • Responded promptly to customer inquiries regarding their benefits and eligibility status.
  • Updated patient and insurance data and input changes into company computer system.
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
  • Contacted patients to confirm demographic information and communicate financial responsibilities.
  • Navigated through multiple online systems to obtain documentation.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Resolved insurance-related issues and discrepancies to prevent claim denials.
  • Responded to patient inquiries regarding insurance coverage and billing issues.
  • Developed and maintained professional relationships with insurance representatives.
  • Assisted in training new staff on insurance verification procedures and best practices.
  • Updated patient accounts with insurance verification information to ensure accurate billing.
  • Educated patients on their insurance benefits and coverage limitations.
  • Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
  • Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
  • Managed multiple tasks and priorities in a high-volume, fast-paced environment.
  • Monitored and tracked the status of pending insurance verifications and authorizations.

Patient Registration Representative

Mission Regional Medical center
Mission, TX
09.2006 - 01.2012
  • Greeted patients and answered questions regarding registration process.
  • Collected patient demographic information, verified insurance coverage, and updated records as necessary.
  • Processed payments for services rendered in a timely manner.
  • Assisted with scheduling appointments, verifying benefits and authorizations for procedures.
  • Entered patient data into electronic medical record system accurately and efficiently.
  • Responded to inquiries from patients, families, physicians, and other healthcare personnel.
  • Performed quality assurance checks on all registrations to ensure accuracy of data entry.
  • Provided support to the clinical staff with registration issues or concerns.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Verified insurance eligibility through online portals or by phone calls.
  • Resolved discrepancies between billing systems and patient accounts quickly and accurately.
  • Handled incoming faxes related to admissions, discharges, transfers, pre-certifications, authorizations.
  • Managed high volume of incoming calls while maintaining professional demeanor.
  • Answered general questions about hospital policies and services provided.
  • Assisted patients with completion of forms needed for admission process.
  • Updated patient information in database regularly to ensure accuracy of records.
  • Followed up on outstanding balances due from insurance companies or patients.
  • Worked collaboratively with other departments within the organization to ensure seamless operations.
  • Provided assistance to nursing staff during peak times at front desk area.
  • Educated patients on their rights as well as hospital policies related to care delivery.
  • Verified insurance and collected critical data elements to properly identify and bill patients.
  • Interpreted physician orders to coordinate appropriate tests and verify compliance with admission criteria.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Screened patients before and during admissions processes.

Education

Certificate - Medical Office Specialist

San Antonio Medica And Dental Assitances
McAllen, TX
02-2006

High School Diploma -

La Joya High School
La Joya, TX
05-2003

Skills

  • Billing support
  • HIPAA Compliance
  • Paperwork coordination
  • Patient Relations
  • Insurance Verification
  • Mail Management
  • Patient Registration
  • Microsoft Office
  • Call handling
  • Information documentation
  • Documentation
  • Payment Collection
  • Appointment management
  • Patient Scheduling
  • Schedule Coordination
  • Check-in management
  • Intake form processing
  • Insurance Coverage Verification
  • Medical Terminology
  • Insurance knowledge
  • Patient Communication
  • Financial Counseling
  • Insurance terminology

Languages

Spanish
Professional
English
Professional

Timeline

Insurance Verification Specialist Front Desk Coord

My Care medical
03.2013 - Current

Patient Registration Representative

Mission Regional Medical center
09.2006 - 01.2012

Certificate - Medical Office Specialist

San Antonio Medica And Dental Assitances

High School Diploma -

La Joya High School
Olivia Ochoa