Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rosa Mendez

Oklahoma City,OK

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

21
21
years of professional experience

Work History

Patient Access Representative

SSM St Anthony Hospital
12.2012 - Current
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Verified patient insurance eligibility and entered patient information into system.
  • Provided excellent customer service to patients and medical staff.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Delivered support to medical staff in completion of patient paperwork.

Patient Account Representative

OU Physicians
10.2011 - 10.2013
  • Received 50-60 calls a day from customer inquiries and provided detailed account information.
  • Maintained accurate records of customer accounts, payments and payment plans.
  • Responded to patient, family and external payer inquiries.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Entered client details and notes into system for interdepartmental access and review.
  • Listened to customers and negotiated solutions that met creditor and debtor needs.

Bilingual Customer Service Representative

EPBS-Intermedix
10.2003 - 02.2011
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Communicated with management when customer issues escalated and worked to find resolutions.
  • Met all call quality standards and daily quotas for first-call resolution.
  • Maintained and managed customer files and databases.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.

Education

Associate of Business Administration - Executive Assistant And Executive Secretary

Indiana Business College
Indianapolis, IN
05.1995

High School Diploma -

Arsenal Technical High School
Indianapolis, IN
05.1993

Skills

  • Medical Terminology
  • Patient Registration
  • Demographics Information
  • Customer Satisfaction
  • Payment Processing
  • Insurance Company Knowledge
  • Registration Processing
  • Insurance Verification
  • Patient Health Information Access
  • Bilingual in Spanish and English
  • Patient Rights

Timeline

Patient Access Representative

SSM St Anthony Hospital
12.2012 - Current

Patient Account Representative

OU Physicians
10.2011 - 10.2013

Bilingual Customer Service Representative

EPBS-Intermedix
10.2003 - 02.2011

Associate of Business Administration - Executive Assistant And Executive Secretary

Indiana Business College

High School Diploma -

Arsenal Technical High School
Rosa Mendez