Overview
Work History
Education
Skills
Timeline
Generic

Toni Montemayor

Lubbock,TX

Overview

10
10
years of professional experience

Work History

Patient Access Representative

UMC
09.2013 - Current
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Trained new staff on hospital processes and procedures.
  • Verified patient insurance eligibility and entered patient information into system.
  • Greeted and assisted patients with check-in procedures.
  • Provided excellent customer service to patients and medical staff.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Facilitated communication between patients and various departments and staff.
  • Compiled and maintained patient medical records to keep information complete and up-to-date.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
  • Delivered support to medical staff in completion of patient paperwork.
  • Trained new staff on filing, phone etiquette and other office duties.

PATIENT AUTHORIZATION REPRESENTATIVE

UMC
09.2013 - Current
  • Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.
  • Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
  • Offered patients and physician offices estimated costs for services documentation.
  • Researched missing or inaccurate information to establish insurance eligibility and patient liabilities.
  • I called all insurance companies to get authorizations for the patient during inpatient and observation stay.

Education

High School Diploma -

Lubbock High School
Lubbock, TX
05.2004

Skills

  • Medical Terminology
  • Insurance Company Knowledge
  • Till Counting
  • Patient Registration
  • Payment Processing
  • Customer Satisfaction
  • Eligibility Determinations
  • Electronic Health Records Systems
  • Team Leadership
  • Outbound Calling
  • Insurance Billing
  • Multi-Line Telephone Systems
  • Registration Coordination
  • Patient Health Information Access
  • Admitting Coordination
  • Insurance Form Processing
  • Registration Processing
  • Phone and Email Etiquette
  • Patient Contact
  • Patient Admission
  • Verbal and Written Communication
  • Billing Issue Resolution and Support
  • Organization and Time Management
  • Punctual and Hardworking
  • 50 WPM Typing Speed
  • Educate Patients
  • EMR

Timeline

Patient Access Representative

UMC
09.2013 - Current

PATIENT AUTHORIZATION REPRESENTATIVE

UMC
09.2013 - Current

High School Diploma -

Lubbock High School

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Toni Montemayor