RAQUEL SOLIS
Edcouch,TX
Summary
At Doctors Hospital, I excelled as a Revenue Cycle Registration Specialist, leveraging my expertise in HIPAA procedures and problem-solving abilities to enhance patient registration processes and medical documentation integrity. My proactive approach in coordinating with healthcare teams and managing patient data significantly improved registration efficiency and patient satisfaction.
Overview
18
18
years of professional experience
Work History
Revenue Cycle Registration Specialist
Doctors Hospital
Edinburg, Texas
07.2006 - Current
- Provided excellent customer service to patients and their families regarding registration process.
- Assisted in the management of patient information, including data entry and maintenance of medical records.
- Verified insurance coverage for incoming patients and ensured that all documents were accurate and up-to-date.
- Communicated with various departments to ensure timely processing of patient registrations.
- Conducted eligibility screenings for new patients according to established guidelines.
- Performed audits on patient accounts to ensure accuracy of demographic information and other data.
- Processed payments from patients or third party payers accurately and in a timely manner.
- Maintained confidentiality of all protected health information as required by HIPAA regulations.
- Resolved any discrepancies between insurance companies, physicians, hospitals, and and or other healthcare providers regarding payments or services rendered.
- Created reports related to registration activities, such as daily census reports or financial reports for billing purposes.
- Utilized multiple computer systems to access patient information, update records, verify insurance eligibility.
- Responded promptly to inquiries from staff members concerning patient accounts or payment issues.
- Identified areas where improvements could be made in the registration process and worked with management on implementing changes.
- Cross-trained other staff members on registration processes when needed.
- Prepared documents for release of medical records upon request from authorized personnel.
- Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
- Explained forms and documents to patients, guardians and family members, distributing copies and confirming comprehension.
- Greeted visitors and ascertained purpose of visit, issuing needed credentials and directing to appropriate staff or department.
- Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
- Scanned documents and insurance cards to include in patient charts.
- Protected medical information against unauthorized access, loss, or corruption by consistently following security protocols.
- Improved integrity and completeness of medical records by consulting with clinical staff to resolve coding and diagnostic mistakes.
Insurance Verification Specialist
Doctors Hospital
Edinburg, TX
03.2015 - 03.2019
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Education
Associate of Science - Nursing
South Texas College
McAllen, TXSkills
- Confidentiality
- Maintaining documents and records
- Registration data intake
- Registration management
- Admissions and registrations
- Admission support
- HIPAA procedures
- Verification and eligibility
- Cross-functional coordination
- Billing documentation
- Registration documents
- Healthcare experience
- Patient discharging
- Patient Scheduling
- Medical Documentation
- Patient Registration
- Problem-solving abilities
Timeline
Insurance Verification Specialist
Doctors Hospital
03.2015 - 03.2019
Revenue Cycle Registration Specialist
Doctors Hospital
07.2006 - Current
Associate of Science - Nursing
South Texas College
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