Pamela Yvonne Guillen
San Antonio,Texas
Summary
Dynamic professional with strong interpersonal and organizational skills, adept at multitasking and adapting to changing responsibilities. Proven ability to foster teamwork and drive leadership performance to achieve team goals. Committed to contributing to organizational success through continuous learning and collaboration.
Overview
6
6
years of professional experience
Work History
Referral Coordinator, Billing, and Coding
Pediatric Urology of San Antonio
San Antonio, TX
01.2025 - Current
- Maintained accurate records of all referrals, including contact information, and follow-up activities.
- Ensured compliance with applicable laws and regulations regarding referrals.
- Accurately entered patient demographics, insurance information.
- Collaboration with Christus Children's Pediatric Urology to resolve billing issues and obtain the necessary documentation to submit for billing.
- Entered all charges for Goldsbury Center for Children and Families when our physicians would hold clinic in the Goldsbury clinic.
- Serviced multiple offices: Medical Center location, Stone Oak location, and New Braunfels.
Patient Service Representative
Pediatrix Urology of San Antonio
San Antonio, TX
10.2021 - 12.2024
- Generated charts using Nextgen from data of Doctors' hospital visits in PMD.
- Knowledge of medical terminology, ICD-10 coding, and CPT medical coding.
- Serve patients and visitors by greeting and helping them with scheduling appointments and records.
- Obtain and update financial and medical information, collect patient fees, and expedite third-party claims.
- Answering the telephone, and making referral inquires
- Protect patients’ rights by maintaining confidentiality of medical, personal, and financial information
- Schedule testing procedures for patients, as necessary
- Maintain operations by following policies and procedures, reporting needed changes
- Verify insurance information at each visit
- Meet Federal guideline and meaningful use guidelines for electronic medical records
- Identify and resolve minor patient billing complaints
- Check- in and check- out patients in a timely manner
- Maintain patient records immediately after doctor visits
- Prior authorization for radiology
Patient Care Coordinator
Dr Jane Atkins Infectious Disease
San Antonio, TX
10.2022 - 09.2024
- Principal office coordinator, exclusively working with Dr. Atkins.
- Managed concurrent operations for both Dr. Atkins and Pediatrix Urology in the same office area.
- Coordinated patient care services with the medical team to ensure quality and timely delivery of care.
- Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
- Reviewed medical records to ensure accuracy of billing information and patient data.
Patient Care Coordinator
Dr. Gross, Sheldon, MD
San Antonio, TX
10.2019 - 10.2021
- Serve patients and visitors by greeting them, helping them schedule appointments, and maintaining records.
- Obtain and update financial and medical information, collect patient fees, and expedite third-party claims.
- Answering the telephone and making referral inquiries.
- Protect patients' rights by maintaining the confidentiality of medical, personal, and financial information.
- Schedule testing procedures for patients, as necessary
- Ensured compliance with protocols to sustain efficient workflow.
- Verify insurance information at each visit
- Meet Federal guideline and meaningful use guidelines for electronic medical records
- Identify and resolve patient billing complaints
- Work closely with the doctor during telemed visits, including setting up and getting ready telemed computers
- Knowledge of medical terminology, ICD-10 coding, and CPT medical coding
- Processed patient check-ins and check-outs efficiently.
- Maintain patient records immediately after doctor visits
- Prior authorization for radiology
- Call in prescriptions for patients as doctor orders
Education
Master of Science - Counseling
Texas A & M University San Antonio
San Antonio, Texas05.2013
Master of Arts - Education Administration
Texas A & M University San Antonio
San Antonio, Texas05.2011
Bachelor of Arts - Interdisciplinary Studies
Texas A & M University-Kingsville
San Antonio, Texas12-2008
Associate of Arts -
Northwest Vista College
San Antonio, TX12.2002
High School Diploma -
Providence High School
San Antonio, Texas05.2001
Skills
- Skilled Multitasker
- Knowledge of ICD-10 coding
- Flexibility
- Professional Phone Etiquette
- Service Excellence
- Expert time management
- Detail-Oriented Coordination
- Front desk supervision
- Conflict resolution
- Medical billing
- Scheduling Skills
- Professionalism
- Quality Focus
- Electronic Health Records
- Meditech
- NextGen
- Phreesia
- Availity
- e-Clinical Works (ECW)
- Epic
- Insurance Data Management
- United Healthcare
- Cigna
- TMHP
- Community First
- Superior
- Tricare
- Microsoft Office Suite
- Digital Research Skills
Volunteer Experience
Ballet Folklorico de San Antonio, Dancer & Assistant Director, 10+ years
References
References available upon request.
Timeline
Referral Coordinator, Billing, and Coding
Pediatric Urology of San Antonio
01.2025 - Current
Patient Care Coordinator
Dr Jane Atkins Infectious Disease
10.2022 - 09.2024
Patient Service Representative
Pediatrix Urology of San Antonio
10.2021 - 12.2024
Patient Care Coordinator
Dr. Gross, Sheldon, MD
10.2019 - 10.2021
Master of Science - Counseling
Texas A & M University San Antonio
Master of Arts - Education Administration
Texas A & M University San Antonio
Bachelor of Arts - Interdisciplinary Studies
Texas A & M University-Kingsville
Associate of Arts -
Northwest Vista College
High School Diploma -
Providence High School