Yvonne Rivera
McAllen,TX
Summary
Patient Access Representative with background in managing patient admissions, insurance verification, and scheduling appointments. Possess strong communication skills to professionally interact with patients, families, and healthcare professionals. Demonstrated ability to maintain confidentiality while providing high-quality customer service. Notable contributions include improving workflow efficiency and reducing patient wait times.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Patient Access Representative
Driscoll Children's Hospital
Edinburg, TX
02.2024 - Current
- Patient registration in day surgery, ER, and admitting departments.
- Process insurance verifications and authorizations to ensure coverage of services.
- Answer phones promptly, in a professional manner.
- Handle a high volume of incoming calls, providing exceptional customer service to patients and families.
- Create new patient accounts in the EMR system as needed.
- Collaborates with other departments to ensure that quality customer service is delivered.
- Explained policies, procedures and services to patients.
- Supported emergency department registration during peak times, ensuring rapid patient processing.
- Assist with scheduling outpatient appointments.
- Register patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Instruct patients on policies and required actions for different types of appointments and procedures.
- Verified demographics and insurance information to register patients in computer system.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Utilized hospital systems to update patient records, ensuring accuracy and completeness.
- Contributed to team meetings, sharing insights and strategies for improving patient access services.
- Coordinate with clinical staff to manage patient flow, reducing wait times, and improving satisfaction.
- Assisted in the implementation of new technologies and processes to improve patient access service
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
- Guided patients through the completion of consent and other required medical forms.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Ensured accuracy of all data entered into computer system.
- Greeted patients and visitors in a courteous and professional manner.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Scanned documents into electronic medical records system.
- Provided assistance to internal departments when needed.
- Assembled registration paperwork and placed identification bands on patient.
- Participated in training sessions to stay updated on healthcare policies and registration software.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Managed incoming faxes related to patient registration processes.
- Assisted with customer requests and answered questions to improve satisfaction.
Coding Support Specialist
South Texas Health System
Edinburg, TX
01.2023 - 02.2024
- My tasks include providing support to our coders in acquiring the following:
- Physician orders (from registration and doctor's offices)
- Dx on Orders
- Correcting Invalid Dx on the Orders
- Charge Corrections (Correcting charges in patient's charts that needing to be added or credited; I contact the department needed and work in providing cpt/cdm codes that need to be corrected)
- Send out Registration errors and review charts to make sure corrections were made
- With Coding Support I also assist in running a report every single morning that provides an overall percentage and documents that are pending corrections and or documents that needed to be Coded and released. This report consists of information covering all of our facilities throughout texas.
- I also take care of other several reports that need data from our facilities to be added and sent to our CFO.
- I also provide assistance in correcting ER charges that need to be reviewed in order to allow the account to be released.
- I also provide assistance to the Health Information Management team at the hospital.
- I help with prepping charts when needed, Scanning prepped charts into batch manager and providing quality control of charts being electronically submitted into Cerner and validating charts with correction information to the correct patient and accounts.
- I am certified in birth registration but currently only work in transmitting birth registration information into Tx Ever to have baby information ready to be sent to the state in order to receive birth certificate.
- I am efficient in Cerner to view patient information/documentation, SMS to view patient charges.
- I also utilize virtual desktop to access information that is designed to be used by all the facilities within the hospital.
- I have mastered in learning how to use 3M Health Data Management that is utilized by coders to code accounts; I use this tool in order to add my comments from the departments regarding the status of the account whether its pending orders or charges to be corrected and then its used by coders to finalize the account.
Medical Records Specialist
Doctors Hospital At Renaissance
Edinburg, TX
01.2016 - 12.2022
- I currently am a specialist II at doctors hospital at renaissance, which means I carry a little more duties in my job.
- My duties include but not limited too the following:
- Doing rounds (picking up medical records throughout the hospital and the many clinics DHR has around for Renaissance Medical Foundation)
- Prepping paperwork ( I take off staples and making sure each paperwork stays with the correct patient and making sure I add the correct cover pages to where paper work need to be sent to ex: physician's orders, administrative documents, misc, history and physical and so on.)
- Scanning (scanning each patients charts (paperwork) into our system.
- Quality and control/ and validation (this is where once paperwork has been prepped, scanned, I then check the patients charts for quality making sure it has poor quality stamp if needed and re scanning anything that looks blurry and double checking the correct patients paper work is being processed.
- I then validate all the patients charts into their correct accounts and matching the patients information.
- I work with cerner which is where we have our patients records scanned into.
- I also help cover for medical records throughout our department.
- I have recently been added a task of reviewing NICU charts to make sure they are up to date with history and physical, progress notes and discharge summaries for the time being in the hospital.
- If something is missing I reach out to nurse practitioner or to the director of NICU department over at the women's hospital.
- While working for medical records at DHR, I have received many certificates stating doing a 95% and above in my work area.
- I currently received a High Five within the hospital which means my director chooses someone who has done above and beyond within the department. I received it for being compassionate.
Provider
Texas Visiting Nurse Service
McAllen, TX
01.2015 - 12.2015
- My duties included grooming, bathing, cleaning, meal preparations, laundry, medication reminders, and ambulating the patient.
Provider
Health Care Unlimited, Inc.
McAllen, TX
01.2014 - 12.2015
- My duties included: Grooming, bathing, cleaning, meal preparations, laundry, medication reminders, and ambulating the patient.
Medical Records Specialist
HealthCare Partners
Edinburg, TX
01.2010 - 12.2013
- Duties included:
- Keeping medical records up to date (within a 30 day period)
- Making sure all documents were in the correct patients chart
- Making sure doctor and nurses signatures were on the documents
- Keeping physician's orders current
- Keeping patients information current
- Faxing proper documentation to doctors offices
- Runner (driving to doctors offices throughout the Rio grande valley to pick up and drop off doctors orders)
- Helping staff with typing up information needed for the charts
- Making excel spreadsheets and using a lot of Microsoft word
Education
Associate's degree - Associates of Applied Science (cybersecurity)
South Texas College
McAllen, TX05.2023
License - Nursing
South Texas College
McAllen, TX07.2015
Certificate - Patient Care
South Texas College
McAllen, TX05.2014
Certificate - Nursing Assistant
New Start School
McAllen, TX06.2009
High school or equivalent -
Mcallen Memorial High School
McAllen, TX06.2009
Skills
- Hospital Experience
- Training
- Anatomy Knowledge
- Employee Orientation
- Records Management
- 3M HDM
- SMS
- Outlook
- Medical Terminology
- Microsoft Office
- EHR systems
- Cerner
- Typing
- Administrative Experience
- Medical Records
- Microsoft Excel
- Clerical
- Filing
- Computer networking
- Excel
- Word
- Customer Service
- EMR
- Data entry
- Patient registration
- Insurance verification
- Customer service
- Appointment scheduling
- HIPAA compliance
- Data entry accuracy
- Problem solving
- Communication skills
- Attention to detail
- Time management
- Patient check-in
- Multitasking and organization
- Phone and email etiquette
Certification
Non-CDL Class C
Awards
Hospital guide for new employees, 09/01/21, Chosen by my department director to be our department's guide in training any new employees.
Additional Information - Special Skills
- Responsible
- Punctual
- Organizational skills
- Perfectionists
- Computer/Electronic skills
- Microsoft Word
- Microsoft Excel
- Power Point
- Type 80-90 wpm
- Communication skills
- Bilingual/ some sign language
- Great in groups and or independent
Timeline
Patient Access Representative
Driscoll Children's Hospital
02.2024 - Current
Coding Support Specialist
South Texas Health System
01.2023 - 02.2024
Medical Records Specialist
Doctors Hospital At Renaissance
01.2016 - 12.2022
Provider
Texas Visiting Nurse Service
01.2015 - 12.2015
Provider
Health Care Unlimited, Inc.
01.2014 - 12.2015
Medical Records Specialist
HealthCare Partners
01.2010 - 12.2013
Associate's degree - Associates of Applied Science (cybersecurity)
South Texas College
License - Nursing
South Texas College
Certificate - Patient Care
South Texas College
Certificate - Nursing Assistant
New Start School
High school or equivalent -
Mcallen Memorial High School