Results driven professional. Known for strong problem-solving skills and meticulous attention to detail. Adept at managing patient accounts and ensuring compliance, ready to leverage expertise to enhance operational efficiency and patient care.
Overview
7
7
years of professional experience
Work History
Medical Receptionist
Spectrum Eye Physicians
Los Gatos
03.2025 - Current
Deliver the highest level of Patient Care.
Facilitated appointment scheduling, improving patient access and overall satisfaction.
Responded to incoming calls on multi-line phone system, directing inquiries to appropriate staff.
Conducted insurance verification and secured authorizations for HMO covered patients, ensuring seamless patient care.
Manage/Audit Patient Accounts and Records.
Reviewed surgery pre-op paperwork with patients and collected surgery-related fees, streamlining the pre-operative process.
Route all faxes including, but not limited to: Medical Record requests, Pathology/Lab reports, Insurance Approvals/Denials (surgery and medication),Incoming/ Outgoing Referrals, etc.
Work with all Major Medical Insurances and groups: UHC, All Blue Plans, Aetna, Meritian Health, Cigna, VHP, Sccipa,
First and Last point in the Patient Experience.
Health Services Rep/E.R. Dept
Valley Medical Hospital
San Jose
07.2024 - 11.2024
Interview patients to obtain demos/ins, to determine eligibility and admissions.
Facilitated access to alternative services and insurance coverage, enhancing patient support.
Compiled documents for emergency medical admissions.
Prepared insurance billing forms including Medi-Cal and Medicare.
Supported staffing needs in sub-provisional role, ensuring continuity of care.
Used card writing/imprinter to prepare id cards for billing purposes, or issue receipts.
Worked with Law enforcement agencies, and ambulance personnel, regarding emergency admittance.
Conducted document retrieval from victims and law enforcement while positioned in the trauma ward.
Coordinated patient transportation via taxi, Uber, Lyft, or Outreach, ensuring timely access to care.
Senior Payment Review Representive
Abbott Laboratories, Rapid Diagnostics Division
Livermore
10.2019 - 07.2022
Collaborated with legal offices and major medical insurance companies, including Medicare, to secure timely refunds.
Oversaw resolution of all patient overpayment issues.
Researched, audited, and recorded patient accounts to identify and resolve overpayments.
Developed and maintained Excel spreadsheets to ensure accurate record-keeping.
Submitted records to finance department to ensure timely payment issuance.
Worked with counterparts in Manila, daily, to be briefed on all patient insurance and Legal payments.
Education
High School Diploma -
Dublin High School
Dublin, CA
06-1997
Some College (No Degree) - Information Technology
Las Positas College
Livermore, CA
Some College (No Degree) - Information And Communication Technology
Ohlone College
Fremont, CA
Skills
Patient registration
Appointment scheduling
Patient communication
Insurance verification
Front desk operations
Records management
HIPAA compliance
HIPAA training
Medical terminology
Referral management
Attention to detail
Time management
Problem solving
HIPAA compliance
Trained in EPIC, ADVANCED MD, NEXTECH P
Timeline
Medical Receptionist
Spectrum Eye Physicians
03.2025 - Current
Health Services Rep/E.R. Dept
Valley Medical Hospital
07.2024 - 11.2024
Senior Payment Review Representive
Abbott Laboratories, Rapid Diagnostics Division
10.2019 - 07.2022
High School Diploma -
Dublin High School
Some College (No Degree) - Information Technology
Las Positas College
Some College (No Degree) - Information And Communication Technology