Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Raquel Archuleta

San Clemente,CA

Summary

Dynamic Patient Service Representative with extensive experience at CHOC Children's Hospital, excelling in HIPAA compliance and insurance verification. Recognized for enhancing patient satisfaction through exceptional customer service and effective appointment scheduling. Proven ability to manage sensitive information with confidentiality while fostering a welcoming environment. Fluent in English and Tagalog, ensuring clear communication.

Healthcare professional with wealth of experience in patient service roles, ready to contribute to dynamic team. Known for effective communication and seamless handling of patient inquiries and administrative duties. Colleagues and patients alike rely on collaborative nature and adaptability to meet diverse needs.

Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.

Overview

23
23
years of professional experience

Work History

Patient Service Representative

CHOC Children's Hospital
San Clemente, CA
02.2021 - Current
  • Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
  • Verified insurance eligibility and coverage for patients.
  • Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
  • Managed patient registration process, confirming data accuracy and completeness.
  • Used Work Que Monitor, Phreesia Dashboard, Revenue Cycle, Power Chart, Calop Optima Web Access, Teams, Gnav and Kronos to schedule appointments.
  • Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
  • Handled customer service inquiries in person, via telephone and through email.
  • Assisted patients in filling out check-in and payment paperwork.
  • Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
  • Entered patient demographic and insurance data into electronic medical record system.
  • Took copayments and compiled daily financial records.
  • Balanced deposits and credit card payments each day.
  • Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
  • Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
  • Trained new staff on filing, phone etiquette and other office duties.

Marque Urgent

Administration
Aliso Viejo, CA
05.2019 - 01.2021
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked well in a team setting, providing support and guidance.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Proved successful working within tight deadlines and a fast-paced environment.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Receptionist

Abidi Musarrat
Mission Viejo, CA
01.2003 - 09.2018
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Screened incoming telephone calls, routing to appropriate personnel.
    • Maintained file and filing, keeping sensitive information confidential
    • Assisted the executive management team in making informed decisions by providing timely and accurate administrative support.
    • Built and maintained relationships with vendors and other external contacts.
    • Maintained office inventory by assisting with supply orders.
    • Used Microsoft Office Suite to create and revise documents and presentations.
    • Scheduled and confirmed appointments for clients or customers.
    • Ordered and dispensed supplies to maintain office inventory
    • Greeted visitors or callers to handle inquiries or direct to appropriate personnel.
    • Opened, read, route, and distributed incoming mail and other materials and answer routine letters.
    • Arranged for repairs for office equipment malfunctions.
    • Answered telephones to give information to callers, take messages, or transfer calls.
    • Maintained scheduling and event calendars.
    • Established work procedures and schedules and kept track of daily work of clerical staff
  • Handled cash transactions and maintained sales and payments records accurately.
  • Optimized resource allocation by managing inventory of office supplies and reordering as necessary.

Education

High School Diploma -

Cabrillo High School
Long Beach, CA

License - Cosmetology

Marinello School of Beauty
Lake Forest
03-2009

Skills

  • Customer service
  • HIPAA compliance
  • Insurance verification
  • Insurance verifying
  • Appointment scheduling
  • Patient confidentiality
  • Patient intake
  • Payment collection
  • Scheduling appointments
  • Medical terminology
  • Patient greeting
  • Eligibility determination
  • Medical insurance
  • Office administration
  • Data entry proficiency
  • Document filing
  • Conflict resolution
  • Reception management
  • Medical billing
  • Patient education
  • Directing callers
  • FLUENT IN english and Tagalog
  • Bookkeeping support
  • System updates
  • Medicaid
  • Interpreting physician orders
  • Verbal and written communication
  • Electronic health records
  • Phone etiquette
  • Data protection
  • Workflow optimization
  • Patient follow-up
  • Queue management
  • Patient interviewing skills
  • Appointment reminders
  • Check-in coordination
  • Routing lab results
  • Medical filing
  • Recording histories
  • Patient admitting
  • Telehealth support
  • Clinical data entry
  • Appointment confirmation
  • Flexible schedule
  • Multitasking and organization
  • Patient check-in
  • EMR

Languages

English
Native or Bilingual
Spanish
Professional Working

Timeline

Patient Service Representative

CHOC Children's Hospital
02.2021 - Current

Marque Urgent

Administration
05.2019 - 01.2021

Receptionist

Abidi Musarrat
01.2003 - 09.2018

High School Diploma -

Cabrillo High School

License - Cosmetology

Marinello School of Beauty
Raquel Archuleta