Rachel Santelices
Murrieta,CA
Summary
Proven ability to collaborate effectively with professionals and the public. Expertise in MS Office applications, including Word, Excel, PowerPoint, and Outlook. Extensive experience with various insurance companies (HMO, PPO) and knowledgeable in ICD-10 and CPT coding across multiple disciplines, including Dermatology and Therapy services. Demonstrates calmness under pressure and fluency in Spanish, with a strong capacity for independent work and template management in Developmental Services.
Overview
39
39
years of professional experience
Work History
Patient Access Rep III
Rady Children's Hospital and Health Center
01.2006 - Current
- Responsible for maintaining therapists schedules, creating templates for new providers, worked with leadership on informing them when our business was increasing to allow for additional staff.
- Obtained authorizations for HMO's and obtaining benefit information for PPO's, and then communicates this information to the parents.
- Knowledge of registration, billing through EPIC system, deliver and receive information effectively.
- Team player, check in patients, schedule appointments, collect co-pays, able to help with the billing side of patients bills.
- Within my role I lead daily operations of a center with minimal supervision.
Receptionist
Dr William L. Heimer II
01.2003 - 01.2006
- Check in and out patients schedule and confirm appointments.
- Prepare charts for 3 providers, Verify insurance online, collect copays and deductible amounts.
- Use Medisoft program to register patients, input CPT charges and ICD-9 codes, create and submit claims, familiar with global periods, and dermatology coding.
Receptionist
North County Neurology Associates
01.2002 - 01.2003
- Answer multi-line telephone systems, greet patients, obtain insurance and patient demographics, patient scheduling using Medical manager system, collect co pays, check in and out patients, expedite lab and radiology orders, familiar of chartless system, scan patient chart information into computer.
Administrative Partner
California Bank & Trust
01.1998 - 01.2002
- Prepared commercial credit applications, ordered related property searches, credit reports for clients.
- Obtained Title Insurance, Assisted lenders with signing of loan documents, Assisted clients with line of credit advances and pay downs.
- Answer, screen and appropriately direct incoming calls.
- Assisted customers regarding their accounts.
- Open new accounts, answer inquiries regarding bank-related products, sold products as appropriate.
- Back up Teller
Administrative Partner
Palomar Medical Center
01.1987 - 01.1998
- Billing of Professional Accounts (Capitated Billing) for both Hospitals, prepared month-end Income Statements for all departments, prepared financial statements for our Board of Directors.
- Provide secretarial assistance to the Laboratory Manager, Medical Technologist.
- Typed policies and procedures for Inspections for the College of American Pathologists.
Education
Associates of Arts Degree - Accounting/Computer Programming
Heald Kelsey-Jenney
01.1987
Skills
- EPIC charting
- Insurance verification
- HMO authorization
- Patient scheduling
- Medical coding
- Customer relationship management
- Appointment confirmation
- Data entry accuracy
- Cash handling
- Compliance adherence
- Problem solving
- Effective communication
- Team collaboration
- Attention to detail
- Time management
- Quality assurance
- Multi-channel communication
- Patient check-in
- Verbal and written communication
- Empathy and rapport building
- Policy understanding
- Eligibility determination
- Appointment reminders
- Patient registration
Timeline
Patient Access Rep III
Rady Children's Hospital and Health Center
01.2006 - Current
Receptionist
Dr William L. Heimer II
01.2003 - 01.2006
Receptionist
North County Neurology Associates
01.2002 - 01.2003
Administrative Partner
California Bank & Trust
01.1998 - 01.2002
Administrative Partner
Palomar Medical Center
01.1987 - 01.1998
Associates of Arts Degree - Accounting/Computer Programming
Heald Kelsey-Jenney
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