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, TX05.2004
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