Bilingual Senior Patient Access Representative with a strong foundation in medical office environments. Proven expertise in enhancing patient flow, verifying insurance coverage, and educating patients on financial responsibilities, ensuring efficient service delivery and operational excellence.
Overview
24
24
years of professional experience
Work History
Bilingual Senior Patient Access Representative
Memorial Hermann Hospital
Houston
03.2024 - Current
Coordinated insurance verification, confirming coverage and eligibility to facilitate patient access to services.
Verified patient insurance coverage using online portals, phone calls.
Educated patients on financial responsibilities, preparing them for service costs and enhancing transparency.
Assisted patients with appointment scheduling and information inquiries efficiently.
Greeted patients and visitors professionally, providing necessary information and assistance.
Check-out patients and schedule in office testing.
Executed laboratory orders for diagnostic tests, ensuring timely processing for patient care.
Maintained confidentiality while handling sensitive patient care records and financial data.
Collaborated with healthcare teams to enhance patient flow and service delivery.
Trained new staff on hospital policies and patient access procedures thoroughly.
Bilingual Senior Patient Service Representative
Houston Methodist Primary Care Group
Houston
07.2018 - 12.2023
Patient Check-in and Check-out
Printed paperwork and labels for the days schedule
Schedule appointments and obtain proper demographics from patient in regard to insurance and billing information.
Insurance Verification
Answer phones and triage the calls
Handled refill request and forward them to proper department
Opened clinic and ensured a smooth start to operations.
Escorted patients to examination rooms and prepared them for consultations to facilitate timely medical care.
Balance all money and credit card charges for the day
Filled positions as Pharmacy Runner, Patient Care Assistant, and Unit Clerk during COVID.
Bilingual CSR III for General Pediatric/Autism Pediatric
UT Physicians - Pediatrics/Autism Dept.
Houston
01.2013 - 07.2018
Answer phones, triage the call and direct callers appropriately for Autism Center as well as various ongoing research studies with other CLI faculty outside the Autism Center
Schedule appointments and obtain proper demographics from patient in regard to insurance and billing information.
Managed referral process, authorizations, and external medical records; collected copays, performed charge entry and batch maintenance, and completed pre-certifications and daily deposits.
Checked in and out patients, ensuring accurate collection and posting of payments, including co-insurance, deductibles, and past balances.
Educated patients on financial responsibilities and provided financial counseling to support informed decision-making.
Verified patient insurance coverage to ensure eligibility for services.
Coordinated translation services for patients requiring language assistance.
Create files and maintain medical records.
Obtained vital signs and roomed patients.
Deposited daily revenue at the bank to maintain accurate financial records.
Balance all money and credit card charges for the day
Front Office
Cardiology Consultants of Houston
Houston
01.2002 - 01.2012
Managed daily front office operations and staff, assigned work responsibilities, and supported medical and administrative teams.
Check in and check out patients, ensure collection and post payments including co-insurance, co-pays, deductibles and past balances, enter office charges
Schedule procedures including catherizations, stress test, echocardiograms, labs, etc.
Schedule new patients and follow up visits, finalize and reconcile all charges at each day's end
Balanced daily cash and credit card transactions at the end of each shift.
Manage, interview and hire staff according to need
Education
High School -
Phyllis Wheatley High School
Houston, TX
Skills
Bilingual communication in Spanish and English
Computer skills in electronic medical records
ICD-9 and CPT coding
Organizational skills
Analytical thinking
Verbal and written communication
Attention to detail
Methodical approach
Accountability
Empathy for families with special needs children
Knowledge of autism spectrum disorders
Experience managing behavioral challenges in children with ASD
Team collaboration focused on ASD
Training
Epic Software
Electronic Medical Record software and data management
Medical Insurance Knowledge
Timeline
Bilingual Senior Patient Access Representative
Memorial Hermann Hospital
03.2024 - Current
Bilingual Senior Patient Service Representative
Houston Methodist Primary Care Group
07.2018 - 12.2023
Bilingual CSR III for General Pediatric/Autism Pediatric
Bilingual Patient Access Representative at Clinical Health for TransformationBilingual Patient Access Representative at Clinical Health for Transformation
Bilingual Patient Access Representative II at Dan L Duncan Neurodevelopmental ClinicBilingual Patient Access Representative II at Dan L Duncan Neurodevelopmental Clinic
Bilingual Patient Access Representative II at Dan L Duncan Neurodevelopmental ClinicBilingual Patient Access Representative II at Dan L Duncan Neurodevelopmental Clinic