Robin Fernandez
Kennedale
Summary
Precertification professional with comprehensive experience in healthcare administration and insurance verification. Known for strong interpersonal skills, team collaboration, and adaptability to changing needs. Reliable, with excellent customer service skills, self-driven, and focused on achieving organizational goals.
Overview
22
22
years of professional experience
Work History
Insurance Precertification Specialist
Cook Children’s Medical Center
Fort Worth, Texas
10.2018 - Current
- I obtain insurance verification, and referral authorization. I have knowledge of all front office procedures and adhere to all policies and procedures.
- Obtain in/out of network authorizations/referrals for all office visits/procedures from proper payment source prior to the scheduled visit.
- Knowledgeable in the complexity of benefit levels, limitations and coverage issues.
- Front office knowledge-answering phones, checking families in/out for their appointments.
- Assist with training co-workers.
- Enter doctors charges from Harris Hospital.
Rehab Pt. Service Scheduler
Cook Children’s Medical Center
Fort Worth, Texas
06.2015 - 10.2018
- I was responsible for multi-site appointment scheduling, appointment rescheduling, and confirming physician orders for appointments for all Rehab locations.
- Accepts calls and faxes from families, physician offices or clinics which need to schedule new appointments or reschedule canceled appointments.
- Coordinating times/schedules with families, providers and the radiology room/radiologists.
- Assist with training co-workers.
- Answering multiple phone lines.
- Assisted with Spanish translations.
Rehab Pt. Access Specialist
Cook Children’s Medical Center
Fort Worth, Texas
06.2014 - 06.2015
- Responsible for the registration of patients by obtaining patient demographic and third party information with a high degree of accuracy. Responsible for verification of health plan coverage eligibility and collection of payment towards the patients plan, at the time of service.
- Responsible for collecting estimates, deposits and/or co-payments in accordance with the policy related to collection of co-pays and deposits.
- Schedules and pre-registers the appropriate appointment types.
- Ensures that a complete physician order has been obtained.
- Front office check in/out, while answering multiple phone lines.
- Scanning all medical records in the correct patients chart.
- Assisting with Spanish translations.
Registration Representative II
JPS Health Network
Fort Worth, Texas
07.2009 - 05.2014
- Providing Customer Service/Health Information
- Answering multiple phone lines, cash handling, assisting with opening/closing clinic.
- EPIC Electronic Medical Records System, incoming/outgoing referrals.
- Assist with Spanish translations, training co-workers, and assisting supervisor with various tasks.
Pharmacy Technician Trainee
JPS Health Network
Fort Worth, Texas
02.2004 - 07.2009
- Answer multiple phone lines for prescription refills, verify patient demographic/insurance information, cash handling, reconcile cashiers end of day procedures.
- Check/bag prescriptions for correct patients, troubleshoot for call center-eight clinics total, enter new RX’s in the system, and fill medications for pharmacist to check.
- Receive and check in stock order daily, balance and maintain controlled substance logs and stock daily.
- Assist with yearly inventory.
- Assist with Spanish translations, training co-workers, and assisting supervisor with various tasks.
Education
High school or equivalent -
Eastern Hills High School
Skills
- Prior authorization
- Strong communication skills
- HIPAA compliance awareness
- Organizational growth
Languages
Spanish
Native or Bilingual
Timeline
Insurance Precertification Specialist
Cook Children’s Medical Center
10.2018 - Current
Rehab Pt. Service Scheduler
Cook Children’s Medical Center
06.2015 - 10.2018
Rehab Pt. Access Specialist
Cook Children’s Medical Center
06.2014 - 06.2015
Registration Representative II
JPS Health Network
07.2009 - 05.2014
Pharmacy Technician Trainee
JPS Health Network
02.2004 - 07.2009
High school or equivalent -
Eastern Hills High School