Priscilla Pena-Galvan
Rio Hondo,TX
Summary
Dependable and committed Advanced Medical Support Assistant who is highly motivated to lead. Ability to multitask and prioritize workloads with little or no supervision. Ready to help team achieve company goals.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Advanced Medical Support Assistant- Full Time
VA Texas Valley Coastal Bend Health Care System
12.2022 - Current
- Perform receptionist duties, customer service and other duties assigned for the proper and timely treatment of patients and maintain appointment schedules for one or more outpatient clinics
- Assist with clinic access contingency plans by adjusting appointment times, location, or dates as well as shift patients to other healthcare providers as conflict with staffing and/or coverage occurs
- Schedule appointments and utilize the Electronic Waiting List accurately in a timely manner.
- Daily review of active/pending consults, Mental Health Databases and MHTC assignments
- Generate Return To Clinic Report and VEText
- Trained in opening and closing clinics.
- Determined nature and urgency of patient requests to refer patients to appropriate medical staff.
- Interview patients to verify and update clinical and demographic records.
- Aided in training new employees to maximize team agility and performance.
- Assisted in reassigning MSA work station duties.
- Attend BHIP meetings.
- Professional Development: Selected as a primary to attend the 2024 VHA Supervisor Ready Program.
Patient Service Representative Full Time
UT Health RGV Surgical Specialty
08.2020 - 12.2022
- Provide direct, professional, and knowledgeable interactions with patients, physicians, referral sources, and the treatment team.
- Answer calls accurately and with exceptional customer service at all times.
- Perform registration and check-in/out functions.
- Ensure caller's needs are met and accurate information is obtained.
- Ensure calls are documented and triaged appropriately ensuring patient satisfaction and patient safety.
- Act as patient advocate and liaisons with various departments to meet mutual goals.
- Maintain patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail.
- Address concerns of patients, provides service recovery, and escalated issues as needed.
- Coordinated financial counseling for day surgery.
- Completed reminder calls to patients for scheduled appointments.
- Educated patient/responsible parties regarding billing process and any additional financial responsibilities including third party benefits information.
- Provided out-of pocket cost estimates to patients.
- Counseled patients about unpaid bills and may collect fees for balances due on the account.
- Obtained future appointments at time of service for clinic follow-up, referrals, and ancillary services.
- Verified, ensure eligibility, and pre-register patients by obtaining patient demographics and third party coverage(s) at every encounter
- Provided administrative support utilizing knowledge of medical terminology and procedures in a clinic or laboratory environment.
- Ensured compliance with Medicare and third party coverage.
- Communicated with patient, referral source, physician and clinical staff regarding any obstacle to access or authorization.
- Maintained high level of customer service to all internal and external customers.
- Provided coverage at other clinical sites as needed.
- Provided leadership to patient support staff.
- Trained other staff in performing needed duties.
Patient Account Registrar Full Time
Harlingen Medical Center
05.2019 - 08.2020
- Greeted patients, visitors and answered telephone in a prompt and courteous manner.
- Responded to inquiries in an informative way while adhering to hospital policy.
- Interviewed & registered patients in a professional manner.
- Accurately entered information and completed the registration process in a timely manner.
- Obtained all required signatures and distributed them appropriately.
- Accurately scanned Admitting documents and patient signature forms into the scanning systems; indexes documents correctly into the proper document types.
- Verified insurance eligibility on every patient.
- Followed established policies and collected co-payments and issued receipts for payment with 100% accuracy when patient had financial liability.
- Documented within every patients account; eligibility verification, collection efforts and all other pertinent information.
- Upheld HIPAA regulations and standards for protecting patient information.
- Demonstrated excellent customer services skills.
Dispatcher Full Time
BeavEx
10.2015 - 12.2018
- Schedule and dispatched Vendors or Independent Contractors to designated locations as per customer requests, specifications, or needs to maximize productivity, profitability and accuracy.
- Resolved customer issues in a promptly and courteous manner.
- Maintained customer satisfaction by investigating concerns, routing them to the proper staff and responding to special requirements.
- Received and inputted On Demand work orders, PODS, manifests and prepare reports required by management.
- Expedite package, freight, or product by sorting, moving, bagging, palletizing.
Data Entry Examiner Full Time
Cardone Industries
01.2012 - 10.2015
- Reconcilement of core credit returns from customers.
- Contacted customers to advise of any discrepancies found in their core, warranty, or annual stock returns.
- Input core return log numbers in AS400 menu system to create batch report for accounting.
- Maintained a quick and accurate turnaround time on all customer returns.
- Generated Daily Report for Harlingen Core Credit Department.
- Assisted in the training of new hires within the department.
- Provided leadership to office staff.
Customer Service Aide Part Time
Cameron County Health Dept
02.2011 - 01.2012
- Greeted participants either in person or via telephone.
- Answered any inquires in regards to the State WIC program.
- Scheduled appointments and maintained filing system.
- Screened participants for certification process.
- Conducted lab screenings on participants.
- Presented lessons to a small classroom size of participants.
Education
High school or equivalent -
TSTC
Harlingen, TXAssociates Degree in Business Management Technology -
Texas State Technical College - Harlingen
Harlingen, TX07.2024
Skills
- Customer Service
- Bilingual
- Clerical
- Patient Appointment Management
- EMR
- Word
- Outlook
- Medical Terminology
- Medical Office Experience
- Insurance Verification
- Medical Scheduling
- HIPAA Compliance
- Phlebotomy
- ICD-10
- Meditech
- Athenahealth
- As400
- VistaGUI
- CPRS
- Data Entry
- Critical Thinking
- Staff Training
Certification
Certified Phlebotomy Technician (CPT), 11/01/08
Additional Information
Highlights
Insurance benefits (Medicare, Medicaid, PPO, HMO etc)
VA medical benefits
Prior Authorization
Insurance Denials- Peer to peer
Hearing Benefits
Provider Portal (Availity, OneSource, Novitas, Wellmed, UHC, Cigna, Superior, Driscoll, Molina, Humana Military, Magellan, Turning Point)
Genesys
Athena
Medisoft
Languages
Spanish
English
Timeline
Advanced Medical Support Assistant- Full Time
VA Texas Valley Coastal Bend Health Care System
12.2022 - Current
Patient Service Representative Full Time
UT Health RGV Surgical Specialty
08.2020 - 12.2022
Patient Account Registrar Full Time
Harlingen Medical Center
05.2019 - 08.2020
Dispatcher Full Time
BeavEx
10.2015 - 12.2018
Data Entry Examiner Full Time
Cardone Industries
01.2012 - 10.2015
Customer Service Aide Part Time
Cameron County Health Dept
02.2011 - 01.2012
High school or equivalent -
TSTC
Associates Degree in Business Management Technology -
Texas State Technical College - Harlingen
Certified Phlebotomy Technician (CPT), 11/01/08
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