Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Perla Guzman

124 Ivy St Henderson,NV

Summary

Skilled Patient Care Representative offering 12 years of healthcare experience. Dedicated to efficient and effective collaboration between care teams, patients and families. Outgoing professional with collaborative and flexible approach to reaching mutually beneficial resolutions.

Overview

12
12
years of professional experience

Work History

Patient Auth & Referral Representative

Providence Infusion Pharmacy & Services
11.2019 - 06.2023

• Submitting authorization requests for new pt’s, existing pt’s, and renewals

• Authorization tracking, and communication via email with team members

• Contacting insurance companies for status in authorizations, submission, and appeals

• Experience in major insurance website: One Health Port, Availity, United Health Care, including additional insurances

• PDF Creator, CPR+, Excel, Right Fax, Fax Que, SharePoint, EPIC, Outlook, Kronos

• Trained new employees in ENT authorizations

• Trained and mentored new hires

Patient Care Representative

Providence Pacific Neuroscience Institute
03.2018 - 11.2019

• Specialized in ENT, audiology, ophthalmology, and cosmetics.

• Epic experience in – chart review, cadence training, and work queues.

• Office Hours, CPR+, NextGen system experience.

• Scheduled appointments, verified insurances, collected co-payments, received/initiated multiple telephone calls, greeted patients, managed wait times.

• Filing of patient charts, scan documents into database, and coordinated referrals.

• Handled a variety of customer service, administrative tasks and resolving patient issues with expediency.

• Stepped in for managers to assist as needed and covered when out of the office.

• Guided and trained other employees in daily operations and functions within the office.

• Demonstrated knowledge of HIPAA privacy and security regulations by appropriately handling the patient information.

• Filtering, and sending out faxes to appropriate receivers

Receptionist/ Scheduler

Shepherd Eye Center
03.2015 - 02.2018

• Responsible for promptly & positively greeting patients and families while assuring an efficient check in process and telephone encounter; all according to pre-established practice guidelines.

• Assisted front desk operations, checking in and checking out patients, accepting co payments, collected and registered insurance information.

• Trained multiple coworkers to ensure that front desk policy procedures were well understood, and followed.

• Used root-cause-analysis method to help calm upset patients and rebuild trust.

Caregiver

Ohana Group Home
01.2011 - 02.2015

• Assisted with providing quality care for both elderly and disabled.

• Perform personal care tasks such as hygiene, ambulation, eating, dressing, toileting, and shaving.

• Ensured and monitored safety of patients during any daily activities. Maintained daily, thorough reviews and reports of each patients progress, and overall health.

• Transported patients to their medical appointments and treatments, remained on-call during appointments, and assisted in transporting each client back home or to the facilities where they resided.

• Observe, measure, record data, including intake, outtake, weight, and vital signs.

• Adept at multitasking and completing assignments in fast paced and high pressure settings.

Education

High School Diploma -

Las Vegas High School
Las Vegas, NV
06.2013

Skills

  • Management Training
  • Customer Service
  • Team Leadership
  • Complaint & Resolution
  • Effective Communication
  • Efficient Multi-tasker
  • Compassionate and caring
  • Highly Organized
  • Detail Oriented

References

Grace Fielder -Authorization Lead at Providence Infusion Pharmacy & Services

(425) 525-9936

Grace.fielder@providence.org


Jessica Zabel -Accounts Receivable at Providence Infusion Pharmacy & Services

(425) 525-9936

Jessica.zabel@providence.org


Janette Martin -Office Lead at Pacific Neuroscience Institute

(702) 727-7557

Janettemartin1020@gmail.com


Efren Pakingan -ENT Supervisor at Pacific Neuroscience Institute

(310) 997-6029

Efren.pakingan@providence.org

Timeline

Patient Auth & Referral Representative

Providence Infusion Pharmacy & Services
11.2019 - 06.2023

Patient Care Representative

Providence Pacific Neuroscience Institute
03.2018 - 11.2019

Receptionist/ Scheduler

Shepherd Eye Center
03.2015 - 02.2018

Caregiver

Ohana Group Home
01.2011 - 02.2015

High School Diploma -

Las Vegas High School
Perla Guzman