Santa Marquez
Summary
Proven leader in healthcare administration, excelling at Rady Children's Hospital Of San Diego by enhancing patient confidentiality and service quality. Demonstrated expertise in HIPAA compliance and insurance verification, alongside exceptional customer service and team collaboration skills. Achieved significant improvements in operational efficiency and patient satisfaction, embodying a results-driven approach without relying on numerical quantification.
Overview
23
23
years of professional experience
Work History
Patient Access Representative III
Rady Children's Hospital Of San Diego
10.2001 - Current
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Responded to inquiries by directing calls to appropriate personnel.
- Facilitated communication between patients and various departments and staff.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Prepared patient charts before visits to facilitate easy access to relevant information for healthcare providers.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Enhanced accuracy of patient records with meticulous data entry and verification tasks.
- Enhanced operational efficiency by maintaining organized records of patient registrations, admissions, and discharges.
- Enhanced communication with patients, explaining registration processes and paperwork requirements clearly.
- Obtained payments from patients and scanned identification and insurance cards.
Education
High School Diploma -
Monte Vista High School
Spring Valley, CA07.1979
Skills
- Customer Service
- Insurance Verification
- HIPAA Compliance
- Patient Registration
- Healthcare systems navigation
- Team Collaboration
- Money Handling
- Quality Assurance
- Payment Processing
- Eligibility Determination
- Team Leadership
Languages
Spanish
Native or Bilingual
Timeline
Patient Access Representative III
Rady Children's Hospital Of San Diego
10.2001 - Current
High School Diploma -
Monte Vista High School
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