Rosalba Alvarado Nunez
Crescent City,CA
Summary
Experienced Healthcare Patient Access Representative with 10 years of experience in hospital and outpatient healthcare settings, including patient access, admissions, urgent care, wound care, and workers’ compensation. Strong knowledge of patient registration, insurance verification, prior authorizations, scheduling, medical terminology, CPT codes, referrals, Extensive experience using Epic and other electronic healthcare systems. Known for providing professional and compassionate patient service while maintaining accuracy, confidentiality, and efficient front-office operations. Proven ability to work independently with minimal supervision while managing daily responsibilities prioritizing tasks, and meeting deadlines.
Overview
1
1
Language
11
11
years of professional experience
Work History
Patient Access Representative
Sutter Coast Hospital
Crescent City, California
01.2016 - Current
- • Provide patient access and front-office support in a busy healthcare environment. • Register patients accurately and verify demographic, insurance, and contact information. • Schedule and coordinate patient appointments while ensuring appropriate appointment types and provider availability. • Obtain and process insurance authorizations and referrals for medical services. • Review authorization requirements and use CPT codes to assist with authorization and referral processing. • Communicated with insurance companies, provider offices, patients, and clinical staff to facilitate authorizations, referrals, and appointments. • Utilized Epic extensively for registration, scheduling, documentation, referrals, authorizations, and patient information. • Apply knowledge of medical terminology to accurately communicate and process healthcare information. • Maintain accurate patient records while protecting confidential and sensitive information. • Managed numerous patient interactions efficiently in a fast-paced environment while maintaining professionalism, accuracy, and attention to detail. Coordinated with clinical teams to schedule and prepare patients for their visits. • Assisted with administrative duties, organized office operations, managed supplies, and supported daily workflow.
- Coordinated with clinical teams to schedule and prepare patients for their visits.
- • Assisted with administrative duties, organized office operations, managed supplies, and supported daily workflow.
- Communicated with patients regarding financial responsibilities and payment options.
Education
High School Diploma -
Castle Rock High School
Crescent City, CA06-2003
Skills
- Patient Access and Registration
Hospital Admissions
Insurance Verification
Prior Authorizations
CPT Codes and Authorization Requirements
Referral Processing
Patient Scheduling
Medical Terminology
Epic Electronic Health Record System
Urgent Care Registration
Workers’ Compensation
Wound Care Department Operations
Patient Check-In and Check-Out
Medical Records
Appointment Management
RightFax centralized software send, receive, and manage faxes electronically
Patient Communication
Provider and Insurance Coordination
HIPAA and Patient Confidentiality
Data Entry and Documentation
Multitasking in High-Volume Environments - patient registration
- Epic charting
- insurance verification
Languages
Spanish
Full Professional
Additional Qualifications
• 10 years of healthcare patient access experience
• Extensive Epic experience
• Strong knowledge of medical terminology
• Experienced working in hospital and outpatient environments
• Experienced working with patients, providers, insurance companies, and referring offices
• Strong organizational, communication, and customer service skills
• Able to manage multiple priorities in fast-paced healthcare settings
• Bilingual
• Quickly learn and adapt to new systems, process
• Experiencedin out going and incoming referral process
Timeline
Patient Access Representative
Sutter Coast Hospital
01.2016 - Current
High School Diploma -
Castle Rock High School