Raquel Fulton
Orange,CA
Summary
Dynamic professional with a proven track record at CHOC Children's Hospital, excelling in patient registration and customer service. Mastered insurance verification and eligibility determination, enhancing patient care efficiency. Demonstrated exceptional empathy and problem-solving abilities, significantly improving patient satisfaction. Skilled in EMR, showcasing a blend of technical expertise and interpersonal skills. Dependable Patient Access representative serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
8
8
years of professional experience
Work History
Patient Access Representative
CHOC Children's Hospital
07.2022 - Current
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Admitting Representative
CHOC Children's Hospital
02.2022 - 10.2022
- Provided excellent customer service to patients and their families during the registration process.
- Maintained up-to-date knowledge on insurance policies, ensuring accurate billing for patients and the healthcare facility.
- Streamlined patient admissions by accurately collecting and verifying insurance information.
- Collaborated with other departments to facilitate efficient patient transfers and discharges.
Patient Access Representative
Phoenix Children's Hospital Foundation
09.2019 - 01.2022
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Admitting Representative
CHOC Children's Hospital
08.2017 - 08.2020
- Provided excellent customer service to patients and their families during the registration process.
- Managed challenging situations involving upset or anxious patients with empathy and professionalism, ensuring their concerns were addressed appropriately.
- Assisted in training new admitting representatives, sharing best practices for successful job performance.
- Verified patient details and insurance coverage and collected co-pays.
- Registered patients for labs, surgeries and radiology.
Front Desk Receptionist
Restore Orthopedics
07.2016 - 08.2017
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Expedited check-in and check-out procedures for guests, ensuring seamless experiences during their visits.
- Collected room deposits, fees, and payments.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Education
High School Diploma -
Orange High School
Orange, CA06.1996
Skills
- Patient check-in
- Customer Service
- Problem-Solving
- HIPAA Compliance
- Multitasking and Organization
- Strong empathy
- Patient Registration
- Money Handling
- Phone and Email Etiquette
- Team Collaboration
- Flexible Schedule
- Medical Terminology
- Appointment Scheduling
- Relationship Building
- Registration management
- Payment Processing
- Information Collection
- Eligibility Determination
- Insurance Verification
- EMR
Timeline
Patient Access Representative
CHOC Children's Hospital
07.2022 - Current
Admitting Representative
CHOC Children's Hospital
02.2022 - 10.2022
Patient Access Representative
Phoenix Children's Hospital Foundation
09.2019 - 01.2022
Admitting Representative
CHOC Children's Hospital
08.2017 - 08.2020
Front Desk Receptionist
Restore Orthopedics
07.2016 - 08.2017
High School Diploma -
Orange High School
Similar Profiles
Adriana ContrerasAdriana Contreras
Respite Care Provider at CHOC Children's HospitalRespite Care Provider at CHOC Children's Hospital
Melissa LervoldMelissa Lervold
Clinical Assistant at CHOC Children's HospitalClinical Assistant at CHOC Children's Hospital
Cecily MontanezCecily Montanez
Volunteer at CHOC Children's HospitalVolunteer at CHOC Children's Hospital
Rachael PetersRachael Peters
Clinical Associate - Surgical at CHOC Children's HospitalClinical Associate - Surgical at CHOC Children's Hospital
Jaysen WhiteJaysen White
Coordinator - Environmental, Health & Safety at Irvine CompanyCoordinator - Environmental, Health & Safety at Irvine Company