Summary
Overview
Work History
Education
Skills
Affiliations
References
Timeline
Generic

Phylisha Ortega

Sacramento,CA

Summary

Efficient Hospital Registrar known for high productivity and ability to complete tasks swiftly. Skilled in patient registration, medical billing, and data entry management. Excel in communication, problem-solving, and multitasking, ensuring smooth operation of hospital admission processes. Committed to maintaining confidentiality and providing exceptional patient service.

Overview

9
9
years of professional experience

Work History

Hospital Registrar

R1 Rcm
Salt Lake City, UT
11.2022 - Current
  • Performed data entry of patient demographic information into the electronic health record system.
  • Assisted in resolving issues related to insurance coverage, billing, and coding.
  • Collaborated with departmental staff members to ensure timely completion of paperwork associated with admissions, discharges, transfers.
  • Verified eligibility of insurance benefits with third-party payers prior to scheduling appointments or admissions.
  • Protected medical information against unauthorized access, loss, or corruption by consistently following security protocols.
  • Provided customer service to patients by answering inquiries regarding hospital services, policies, and procedures.
  • Registered patients for diagnostic appointments, surgeries and medical consultations using electronic health record system.
  • Participated in interdepartmental meetings related to changes in regulations or processes impacting the registration area.
  • Resolved discrepancies between patients' self-reported data versus their insurance provider's records.
  • Reviewed and verified patient registration information for accuracy.
  • Utilized knowledge of ICD-10 codes when entering diagnoses into EHRs or other systems.
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Created new patient accounts and maintained existing account information.
  • Exceeded customer satisfaction by finding creative solutions to problems.
  • Utilized various software and tools to streamline processes and optimize performance.

Medical Registrar and Authorization Specialist

Sutter Health
Sacramento, CA
03.2019 - 11.2022
  • Reviewed patients' records for accuracy and completeness of information in the electronic health record system.
  • Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.
  • Evaluated patient eligibility and benefits for requested procedures and medications.
  • Provided customer service to patients and healthcare providers, answering questions related to prior authorization and insurance coverage.
  • Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.c
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Answered questions and responded to inquiries to deliver high level of service to patients.
  • Utilized medical coding knowledge to accurately process and document authorization requests.
  • Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
  • Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
  • Assisted with scheduling appointments, verifying insurance coverage, and collecting payments.
  • Checked insurance benefits, received payments and provided receipts.

Medical Billing Specialist

Sutter Health
Sacramento, CA
09.2016 - 03.2019
  • Processed credit card payments from patients in accordance with office policy.
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Maintained historical records by microfilming and filing documents.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Collaborated closely with other departments to resolve claims issues.
  • Answered customer questions to maintain high satisfaction levels.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.

Education

High School Diploma -

Natomas High School
Sacramento, CA
06-2009

Skills

  • Electronic health records
  • Insurance verification
  • Data entry
  • Prior authorization
  • Patient registration
  • Customer service
  • HIPAA compliance
  • Interdepartmental collaboration
  • Problem solving
  • Attention to detail
  • Time management
  • Communication skills
  • Conflict resolution
  • Data integrity
  • Computer literacy
  • Multi-tasking

Affiliations

  • Hiking/ working out
  • Baking(sourdough)
  • Reading

References

References available upon request.

Timeline

Hospital Registrar

R1 Rcm
11.2022 - Current

Medical Registrar and Authorization Specialist

Sutter Health
03.2019 - 11.2022

Medical Billing Specialist

Sutter Health
09.2016 - 03.2019

High School Diploma -

Natomas High School

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Phylisha Ortega