Organized Patient Service Representative experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
11
11
years of professional experience
Work History
Patient Service Representative
San Ysidro Health
San Diego, CA
08.2021 - Current
Assisted patients in filling out check-in and payment paperwork.
Took copayments and compiled daily financial records.
Used Nextgen to schedule appointments.
Balanced deposits and credit card payments each day.
Explained plans for treatment and payment options.
Followed document protocols to safeguard confidentiality of patient records.
Assembles all data and documents required for complete patient registration, including, insurance verifications and authorizations.
Enter current patient demographic information into NextGen system.
Provide excellent customer service and be able to communicate effectively with internal and external personal.
Assesses patient financial responsibility and collects co-pays and deductibles at time of check-in.
Obtains and documents funding information from patients and provides information on available funding resources.
Uses payer resources (RTS) and websites to explore and access eligibility; initiates referrals for varies insurance such as Medi-Cal, Medicare, Manage Care, Commercial, etc. administers and determines patient eligibility for Sliding Fee Discounts Program.
Works in collaboration with all areas of patient inquire to identify and resolve issues and/or barriers.
Enters a variety of fiscally related information into databases; maintains fiscal records and files.
Responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems.
Recognizes need for immediate and urgent services.
Provides assistance, guidance and direction to visitors and patients.
Assists in care and maintenance of department equipment and supplies.
Youth Enhancement Program
San Ysidro Health
San Ysidro, CA
01.2022 - Current
Coordinated referrals and direct support for Yes Program clients.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Completes and submits required data entry and reports in a timely manner.
Works closely with providers to identify patients who are eligible for services and in need of case management and rehabilitative services. Coordinates the preparation, review and processing of forms, consent authorizations and written documentation.
Provides outreach and collaborates with local schools to identify patients who are eligible for behavioral health services and facilitates referral process.
Assists patients with forms processing and maintains the Nextgen program.
Willow Elementary School
Teacher Aide
San Ysidro, CA
06.2019 - 07.2020
Prepared materials for lessons, assignments and assessments and evaluated, corrected and graded student performance to identify gaps in skills or knowledge and set realistic goals.
Communicated student progress, academic difficulties or behavioral concerns to parents, guardians and administration using tact and professionalism to improve student academic performance.
Worked one-on-one with students to determine strengths, weaknesses and learning patterns.
Helped students develop self-esteem and life skills by fostering healthy conflict-resolution, critical thinking and communication.
Drove student learning by establishing clear classroom plans and group objectives, as well as actionable strategies to achieve each goal.
Organized classroom supplies and decorated walls to create fun, nurturing settings and meet learning needs.
Visual Merchandising Manager
Forever 21
San Ysidro, CA
11.2005 - 08.2014
Communicated visual merchandising information and standards via in-store training and regular meetings.
Created look and feel of visual merchandising publications to better target specific audiences.
Managed merchandising standards and maintained consistency across distribution channels.
Oversaw visual merchandising for new store openings and store collateral change-outs.
Improved field teams' sales by coaching on merchandising techniques.
Monitored and replenished display inventory and restructured according to available stock.
Created visual marketing and styled window displays.
Supervised team of up to 3 merchandising employees and monitored adherence to company standards.
Restructured company merchandising standards to increase customer traffic and product exposure.
Education
Associate of Arts - Digital & Traditional Photography
Southwestern College
Chula Vista, CA
08.2007
Skills
Communicating to Patients and Families
Knowledge of Community Services and Programs
Providing Information and Resources
Verbal and Written Communication
Calm and Effective Under Pressure
Caring and Empathetic
Patient Registration
Timeline
Youth Enhancement Program
San Ysidro Health
01.2022 - Current
Patient Service Representative
San Ysidro Health
08.2021 - Current
Willow Elementary School
Teacher Aide
06.2019 - 07.2020
Visual Merchandising Manager
Forever 21
11.2005 - 08.2014
Associate of Arts - Digital & Traditional Photography
Referral/Prior Authorization Specialist at San Diego PACE, San Ysidro HealthReferral/Prior Authorization Specialist at San Diego PACE, San Ysidro Health