Ruth Esquilin
Kissimmee
Summary
Experienced referral specialist with 30 years of experience in streamlining referral processes and improving patient outcomes. Proven ability to enhance communication between healthcare providers, manage patient referrals, and ensure accurate medical record keeping.
Overview
36
36
years of professional experience
Work History
Patient Financial Representative II
Advent Health Orlando
06.2022 - Current
- Reviewed and obtained referrals and/or insurance authorizations for patient's office visits.
- Complete all associated documentation required for billing purposes.
- Improved patient satisfaction by providing education or information about insurance coverages and services.
Bariatric Referral Specialist
Orlando Health Bariatric Clinic
04.2021 - 06.2022
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Streamlined referral processes for increased efficiency, resulting in timely appointments for patients.
- Verified insurance benefits and eligibility for bariatric procedures.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving issues related to referrals.
- Reduced wait times for specialist appointments by diligently following up on pending insurance authorizations.
- Assisted patients in navigating insurance requirements, facilitating approval of necessary treatments.
Scheduling Specialist
Orlando Health
03.2015 - 04.2021
- Created new accounts and updated existing accounts with most current details.
- Accurately recorded and reported test results according to established procedures.
- Developed and maintained positive customer relationships through effective communication.
- Sustained financial records.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
- Managed patient's referrals daily through a multi-line telephone system.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
Front Desk Clerk
Pediatric Care Group Pa
09.2010 - 10.2016
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
- Entered patient information including insurance, demographic and health history into the system to ensure that all records were up-to-date
- Communicated with all partners throughout the practice including physicians, nursing staff, technicians and medical assistants.
- Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
- Ensured that the phone was answered by the second ring and enthusiastically greeted all callers.
- Carefully reviewed medical records for accuracy and completion as required by insurance companies
- Wrote clear and detailed clinical phone messages for physicians.
- Scheduled patient appointments.
- Completed registration quickly and cordially for all new patients.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Confirmed patient information, collected copays and verified insurance.
- Posted charges, payments and adjustments.
- Applied payments, adjustments and denials into medical manager system.
Front Desk Clerk
Central Florida Endocrine
08.2011 - 03.2015
- Created new accounts and updated existing accounts with most current details.
- Accurately recorded and reported test results according to established procedures.
- Developed and maintained positive customer relationships through effective communication.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.
- Managed patient's referrals daily through a multi-line telephone system.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
Front Desk Clerk (Floater Assistant Supervisor)
Central Florida Family Health
01.2003 - 09.2010
- Evaluated employee performance and developed improvement plans.
- Managed clerical needs of company employees, including copying, faxing and file management.
- Oversaw office inventory by restocking supplies and making purchase orders.
- Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
- Received and distributed faxes and mail in a timely manner.
Emergency Room Statistic Clerk
San Pablo del Este Hospital
02.1989 - 08.2002
- Initiated statistical analysis project that resulted in sound recommendations adopted by entire Emergency Room department.
Education
Associate of Arts - Education
Interamerican University of Puerto Rico
Fajardo, PRSkills
- Accurate documentation
- Detail-oriented
- Multitasking and prioritization
- Fully bilingual English and Spanish
- Multi-line phone proficiency
- Patient scheduling
- Customer service expert
- HIPAA compliance
- Insurance verification
- Strong analytical skills
- Patient registration
Timeline
Patient Financial Representative II
Advent Health Orlando
06.2022 - Current
Bariatric Referral Specialist
Orlando Health Bariatric Clinic
04.2021 - 06.2022
Scheduling Specialist
Orlando Health
03.2015 - 04.2021
Front Desk Clerk
Central Florida Endocrine
08.2011 - 03.2015
Front Desk Clerk
Pediatric Care Group Pa
09.2010 - 10.2016
Front Desk Clerk (Floater Assistant Supervisor)
Central Florida Family Health
01.2003 - 09.2010
Emergency Room Statistic Clerk
San Pablo del Este Hospital
02.1989 - 08.2002
Associate of Arts - Education
Interamerican University of Puerto Rico
Similar Profiles
Anna PurselleyAnna Purselley
Registered Nurse at Advent Health OrlandoRegistered Nurse at Advent Health Orlando
Melissa GutierrezMelissa Gutierrez
LICENSED PRACTICAL NURSE at Advent Health-Orlando- PCULICENSED PRACTICAL NURSE at Advent Health-Orlando- PCU
Troy Hein, MLS (ASCP)Troy Hein, MLS (ASCP)
Medical Lab Scientist II at Advent Health OrlandoMedical Lab Scientist II at Advent Health Orlando
Rebecca PerezRebecca Perez
Consumer Access Specialist at Advent Health OrlandoConsumer Access Specialist at Advent Health Orlando
Aliany LopezAliany Lopez
Bartender/Server at Miller's Ale HouseBartender/Server at Miller's Ale House