Vanessa LaNeve-Florez
Tucson,AZ
Summary
Systematic Patient access representative skilled with scheduling, bookkeeping, claims research, screen for eligibility and benefits, coordinate services, data enter assessments, and medical records software. Worked in the obstetrician department, has experience working with people diagnosed with a mental illness. Friendly phone skills for outgoing and incoming calls. Reliable with organization to maintain physical files. Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality.
Overview
8
8
years of professional experience
Work History
PRE-REGISTRATION Representative
Oro Valley Hospital
Tucson , AZ
12.2021 - Current
- Responsible for pre-admission of all scheduled patient procedures done by Centralized and Surgery Scheduling departments
- Pre-registers patients for mammograms, scans and CTS
- Verifies Demos and insurance, obtaining authorizations from insurance companies for imaging
- Collects deductibles, coins and co-pays, and registers patients
- Works in fast-paced environment, able to multi-tasking, pays attention to detail
- Emphasis on excellent customer service and strong collection skills.
- Organized, checked and submitted all related paperwork
- Greeted and signed in 25 to 50 patients daily
- Provided thorough information about admissions policies, financial requirements and check-in procedures
- Collected demographic and insurance information from patients
- Verified insurance benefits, processed payments and issued receipts
- Determined appropriate appointment type and scheduled each in system
Patient Access Representative
Banner University Medical Center Tucson
Tucson , AZ
10.2019 - 12.2021
- Banner university medical center tucson main campus
- Registers patients into emergency room
- Verifies demographics and insurance with patient
- Runs estimates based on insurance copay, deductibles and co insurances
- Collects appropriate financial amounts based on insurance estimates
- Applies correct codes for newborn and NICU babies
- Can multitask while completing admissions and releases in NICU
- Has knowledge of appropriate policies, and procedures for both OB and NICU
- Completed authorizations for deliveries in NICU
- Collected payments for delivery of newborns or set up payment plans for birth of babies in OB/NICU
- Kept all accounts up to date and accurate
- Monitors open accounts until paid in full
- Checked in 20 -30 patients in and out of unit
- Runs reports and double checks for accuracy
- Reviews patient bills for accuracy and completeness
- Cross trained to assist and complete task for inpatient verifiers.
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
Scheduler
BANNER UNIVERSITY MEDICAL CENTER, NORTH CAMPUS CAN
Tucson, AZ
04.2019 - 10.2019
- Banner university medical center, north campus cancer center
- Scheduler for Gastroenterology Surgical team
- Scheduling for any referrals, and surgery team follow ups
- Obtaining medical records
- Coordinating patient care between providers.
- Scheduled consultations for 35 potential customers daily
- Completed logs and reports detailing production data such as volume, materials used and quality assurance results, helping management make accurate operational decisions
PATIENT FINANCIAL SERVICES; SENIOR PATIENT FINANCI
BANNER UNIVERSITY MEDICAL CENTER TUCSON
Tucson, AZ
01.2016 - 08.2018
- Banner university medical center tucson main campus, banner desert medical center. Patient financial services; senior patient financial services
- Registers patients into emergency room
- Verifies demographics and insurance with patient
- Runs estimates based on insurance copay, deductibles and co insurances
- Collects appropriate amounts based on insurance estimates
- Team leader in OB Labor and Delivery department
- Applies correct codes for newborn and NICU babies
- Can multitask while completing admissions and releases in NICU
- Has knowledge of appropriate policies, and procedures for both OB and NICU
- Completed authorizations for deliveries in NICU
- Collected payments for delivery of newborns or set up payment plans for birth of babies in OB/NICU
- Kept all accounts up to date and accurate
- Monitors open accounts until paid in full
- Checks patients in and out of unit
- Runs reports and double checks for accuracy
- Reviews patient bills for accuracy and completeness.
- Handled 20 plus calls per day to address customer inquiries and concerns
Front Office
ACCLIVITY HEALTHCARE TUCSON PULMONOLOGY
Tucson , AZ
04.2013 - 10.2015
- Arizona community physicians tucson family medicine and el dorado internal and family medicine
- Scheduling patient appointments, obtaining medical records, answering phones, patient registration, customer service.
Front Office
ARIZONA COMMUNITY PHYSICIANS
Tucson, AZ
12.2012 - 01.2013
- Externship arizona community physicians la cholla office
- Scheduling patient appointments, obtaining medical records, answering phones, patient registration, customer service.
- Maintained financial accuracy
- Prepared agendas and took notes at meetings to archive proceedings
Education
MBA - HEALTHCARE ADMINISTRATION
University of Phoenix
Tucson, AZ04.2018
Bachelor of Science - HEALTH CARE ADMINISTRATION
Pima Medical Institute
Tucson, AZ02.2016
Associate of Applied Science - HEALTH CARE ADMINISTRATION
Pima Medical Institute
Tucson, AZ02.2014
Skills
- Worked on decreasing hospitalizations/cost with members
- Work with providers and care teams to provide collaborative care to members
- Able to coordinate services for members
- Able to provide community referrals and supports
- Strong communication skills
- Experience in working with adult SMI, and senior population
- Ability to work with computers and necessary software typically used by department
- Ability to maintain confidentiality at all times in complex work environment
- Strong organizational/self-management and interpersonal skills
- Strong Organizational Skills
- Multitasking and Time Management
- HIPAA Guidelines
- Highly Efficient and Productive
Accomplishments
· Worked on decreasing hospitalizations/cost with members.
· Able to coordinate services for members.
· Able to provide community referrals and supports
· Strong management skills
· Strong communication skills
Timeline
PRE-REGISTRATION Representative
Oro Valley Hospital
12.2021 - Current
Patient Access Representative
Banner University Medical Center Tucson
10.2019 - 12.2021
Scheduler
BANNER UNIVERSITY MEDICAL CENTER, NORTH CAMPUS CAN
04.2019 - 10.2019
PATIENT FINANCIAL SERVICES; SENIOR PATIENT FINANCI
BANNER UNIVERSITY MEDICAL CENTER TUCSON
01.2016 - 08.2018
Front Office
ACCLIVITY HEALTHCARE TUCSON PULMONOLOGY
04.2013 - 10.2015
Front Office
ARIZONA COMMUNITY PHYSICIANS
12.2012 - 01.2013
MBA - HEALTHCARE ADMINISTRATION
University of Phoenix
Bachelor of Science - HEALTH CARE ADMINISTRATION
Pima Medical Institute
Associate of Applied Science - HEALTH CARE ADMINISTRATION
Pima Medical Institute
Similar Profiles
Antonio SotoAntonio Soto
Pharmacy Technician Supervisor at Oro Valley HospitalPharmacy Technician Supervisor at Oro Valley Hospital
Sandra MelhadoSandra Melhado
Licensed Practical Nurse- Preceptorship at Oro Valley HospitalLicensed Practical Nurse- Preceptorship at Oro Valley Hospital
Sydney GonzalezSydney Gonzalez
Registered Nurse, Medical-Surgical Unit at Oro Valley HospitalRegistered Nurse, Medical-Surgical Unit at Oro Valley Hospital
VINZ CHRISTIAN ANGCHANGCOVINZ CHRISTIAN ANGCHANGCO
Certified Nursing Assistant at Northwest Medical Center - Oro Valley HospitalCertified Nursing Assistant at Northwest Medical Center - Oro Valley Hospital
Saul GonzalezSaul Gonzalez
Server at Soho HouseServer at Soho House