Sumai Acuna
Ponca City,OK
Summary
Patient-focused, detail-oriented medical administrative professional with 6+ years of experience supporting front-desk operations, insurance verification, scheduling, and HIPAA compliance across OB/GYN, primary care, dental, and multi-specialty medical environments. Bilingual in English and Spanish with a proven ability to train new Patient Services Representatives and support clinic onboarding. Highly organized and known for excellent communication, accuracy, and the ability to manage high-volume workflows while consistently delivering exceptional patient care.
Overview
7
7
years of professional experience
Work History
Patient Services Sr. Representative
INTEGRIS Health Ob/ Gyn
12.2023 - Current
- Serve as the primary point of contact for patient access and front-office operations.
- Answer, screen, and manage a high volume of inbound calls daily.
- Verify insurance eligibility and benefits for procedures and visits.
- Collect and process co-payments, deductibles, and other patient payments.
- Scan, upload, and file patient documents into the EHR.
- Train, Support, and mentor new Patient Services Representatives, new hires, and support clinic onboarding adhering to organization policies and procedures.
- Coordinate administrative operations, including ordering office supplies and submitting IT and maintenance requests.
- Mentored junior representatives, enhancing team performance and service quality.
Medical Receptionist (Patient Access Lead)
TREND Healthcare
02.2022 - 07.2023
- Answered, screened, and managed, a high volume of inbound calls.
- Verified patient insurance eligibility and benefits (EOBs) for appointments and procedures.
- Requested and obtained patient medical records as needed.
- Trained new staff on front-office procedures, insurance workflows, and clinic flows.
- Ensured strict compliance with HIPAA guidelines.
- Supported patients across Primary Care, Department of Labor, Motor Vehicle Accidents, Workers’ Compensation, WellMed, and Physical Therapy & Rehabilitation Services.
- Promoted to Patient Access Lead; acted as a key liaison between physicians, clinical staff, and patients to ensure workflow and timely resolution of concerns.
Medical Center Specialist (Lead)
Health Services of North Texas
10.2019 - 01.2022
- Answer, screened, and processed a high volume of inbound calls daily.
- Collected and processed cash and card payments.
- Verified patient insurance eligibility and benefits (EOBs) for appointments and procedures.
- Supported patients across Primary Care, Pediatrics, Infectious Disease, Women’s Care, and Telemedicine Services.
- Promoted to Lead Receptionist and assisted with daily clinic operations and workflow management.
- Supervised and supported two Medical Center Specialists, providing guidance and coverage as needed.
- Reported directly to clinic management and communicated operational updates and concerns.
- Trained and mentored new staff on operational protocols and patient interaction procedures.
Call Center Representative
Community Dental Partners
09.2018 - 10.2019
- Met or exceeded call speed, accuracy, and volume benchmarks.
- Managed high-volume inbound and outbound calls.
- Scheduled, confirmed, and followed up on patient appointments.
- Collected and processed patient payments and maintained accurate records.
- Documented patient interactions and resolutions in patient files.
- Maintained strict compliance with HIPAA confidentiality requirements.
- Promoted based on consistent performance meeting call speed, accuracy, and volume benchmarks.
- Followed up on patient leads to ensure appointment conversion and daily performance goals were met.
Education
High School Diploma -
Gale/ Excel High School
Minnetonka, MN04-2025
Skills
- Fluent in English and Spanish
- Leadership, Training, Onboarding, and Mentorship
- Front-Office Workflow Coordination
- Patient Access and Front Office Lead
- Administrative & Clinic Support
- Medical Scheduling and Patient Intake
- Insurance Verification and Eligibility (EOBs)
- HIPAA Compliance
- Knowledge of Medical Terminology
- Availity, NaviNet
- Cigna, UnitedHealthCare, Optum
- Oscar, TMHP, OHCA, and Tricare
- ECW, AdvancedMD, Open Dental
- Athena, EPIC, and MyChart
- Microsoft Office 365 (Word, Excel, and Outlook)
- Typing Speed of 55 WPM
Timeline
Patient Services Sr. Representative
INTEGRIS Health Ob/ Gyn
12.2023 - Current
Medical Receptionist (Patient Access Lead)
TREND Healthcare
02.2022 - 07.2023
Medical Center Specialist (Lead)
Health Services of North Texas
10.2019 - 01.2022
Call Center Representative
Community Dental Partners
09.2018 - 10.2019
High School Diploma -
Gale/ Excel High School