Sylvia Gonzalez
Houston,TX
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility and achieved 90% repayment rate. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.
Overview
10
10
years of professional experience
Work History
Patient Access Representative
Family First Emergency Center
Atascosa, TX-Baytown Tx
05.2023 - Current
- Greet and assist patients with check-in procedures.
- Verify patient insurance eligibility and entered patient information into system.
- Enhanced patient experience, ensuring welcoming environment from first point of contact.
- Ensure compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Enhance overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Adapt quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Stay calm under pressure to and successfully dealt with difficult situations.
- Provide excellent customer service to patients and medical staff.
- Deliver support to medical staff in completion of patient paperwork.
- Train new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Organized patient records and database to facilitate information storage and retrieval.
- Contributed to revenue cycle improvements by identifying and rectifying billing discrepancies.
Patient Access Representative Manager
Texas Emergency Care Center
Pearland, TX
01.2020 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collect and enter patient demographic and insurance data into computer database to establish patient's medical record.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Explain estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
- Collect copays and compiled daily financial records
- Prepare work schedule for all front office staff
- Monthly Reports-Responsible in performing Lab and STO patients Audits
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Train new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Contribute to revenue cycle improvements by identifying and rectifying billing discrepancies.
- Skilled at working independently and collaboratively in a team environment.
- Managed time efficiently in order to complete all tasks within deadlines.
- Proved successful working within tight deadlines and a fast-paced environment.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Recruit, interview and hire employees and implement mentoring program to promote positive feedback and engagement.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
- Successfully managed budgets and allocated resources to maximize productivity and profitability.
Patient Access Coordinator
Ally Medical Emergency Room
Houston, TX
12.2017 - Current
- Greet and assist patients with check-in procedures.
- Obtain patient's insurance information and determined eligibility for benefits for specific services rendered.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Contributed to a positive work environment by providing support and assistance to colleagues during peak periods or staff shortages.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Balanced deposits and credit card payments each day.
- Collect copays and compiled daily financial records.
- Explained plans for treatment and payment options.
- Assisted patients in filling out check-in and payment paperwork.
- Reduced errors in billing processes by meticulously reviewing and verifying patient demographics and insurance information.
- Maintained high standards of confidentiality and privacy, strictly adhering to HIPAA regulations.
- Skilled at working independently and collaboratively in a team environment.
- Managed time efficiently in order to complete all tasks within deadlines.
- Worked flexible hours across night, weekend, and holiday shifts.
Patient Access Representative
First Choice Emergency Room
Friendswood, TX
10.2014 - 06.2020
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
- Assisted patients in filling out check-in and payment paperwork.
- Balanced deposits and credit card payments each day.
- Took co payments and compiled daily financial records.
Skills
- Insurance Billing
- Insurance Knowledge
- HIPAA Compliance
- Medical Records Management
- Patient Information Collection
- Payment Collection
- Patient Contact
- Bilingual
- Appointment Scheduling
- Scheduling
- HIPAA Regulations
- Appointment Setting
- Patient Information Verification
- Patient Privacy
- Patient Admission
Timeline
Patient Access Representative
Family First Emergency Center
05.2023 - Current
Patient Access Representative Manager
Texas Emergency Care Center
01.2020 - Current
Patient Access Coordinator
Ally Medical Emergency Room
12.2017 - Current
Patient Access Representative
First Choice Emergency Room
10.2014 - 06.2020