West Coast Radiology Santa Ana - Patient Services Representative Resume Example

Derlsemaa Egeruitrz

XXXX X XXXXXXXX XX, Santa Ana, CA 92707

XXXXXXXXXXXXXXXXX

Ph: XXXXXXXXXX

Professional Summary

Oriented Hedis/billing with 10+ year background in the Medical field . Core competencies include, fast learner, multi-task and prioritize as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Skills

10+ years medical experience
Bilingual Spanish/English

Speak and write Spanish/ English
Medical Terminology

Microsoft Windows
Insurance verification (PPO's,HMO's,Medicaid)

CPT/ICD-10
Computer programs Experience with DOS,LIS,Quauldris, PBAR

NextGen/EMR
Credential

SurParoll
Quality Control Hedis

Experience

Hedis Coordinator/Billing/Collections Apr 2007－Current South Coast Pediatrics Santa Ana, Ca

HEDIS (Healthcare Effectiveness Data and Information Set) Keeping track of the quality and improvement of the patient's health care.
Claim processing for PPO's, HMO's, Medicaid
Reviewing EOB's
Posting patient and insurance payments.
Insurance verification.
Experience with insurance denials and appeals.
Aging Report
Handle delinquent or past-due accounts, and obtain full or partial recovery of the amount.
Create, maintain, and enter information into databases.

Set up and manage paper or electronic filing systems, recording information, updating paperwork, or maintaining documents, or other material.
Credentials

Patient Services Representative Dec 2008－Oct 2017 West Coast Radiology Santa Ana Santa Ana, CA

Greet and register patients in a friendly and services oriented manner.
Notify appropriate team member on patient arrival.
Obtain proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation.
Verify/ update changes in patient/physician/insurance to ensure proper billing.
Collect and log all co-pays and fees.
Answer/ transfer incoming phone calls.
Schedule, reschedule or cancel new or current patients, confirm appointments and notify staff of changes when necessary.
Give patients appropriate orientation for preparatory and safety protocol and provide directions to facilities if needed.
Communicate delays in appointments in a timely fashion and offer rescheduling in circumstances where delays could be significant.
Respond to patients minor questions and concern, and refer to supervisor when necessary.
Provide management with reports and logs when required.

Receptionist/Clerk Jul 2006－Apr 2007 United Medical Imaging Center (Buena Park) Buena Park, CA

Register and process patients in a timely manner.
Obtain proper insurance and patient information and ensure accuracy and completion of necessary documentation.
Verify insurance.
Schedule appointment for all modalities.
Give patients appropriate orientation for the preparatory protocols.
Confirm patient appointment for the next day.
Handle subpoenas.
Courteously answer multi-line incoming calls.

Receptionist Medical Records Sep 2004－Jul 2006 United Medical Imaging (Huntington Beach) Huntington Beach, CA

Register and process patients in a timely manner.
Obtain proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation.
Schedule appointment and give patients appropriate orientation for preparatory for exams.
Verify insurance for eligibility and benefits.
Answer / transfer incoming phone calls.
Confirm patients appointment for the next day.
Mailing films And reports on a timely manner.
Fax medical reports to referring physicians on a timely manner.
Handle subpoenas and PI cases.
Prepare billing on a daily basis.

PBX Operator / Unit Secretary May 2003－Oct 2005 Garden Grove Hospital and Medical Center Garden Grove, CA

Complete patient registration process with accuracy and timely manner.
Obtain proper insurance and patient information.
Verify insurance.
Efficiently handle PBX duties.
Answer/transfer incoming phone calls.
Maintain correct and current census.
Transcribe order accurately and legible.
Stamp central and pharmacy charge card.
Send requisition for daily labd and x-ray exams.
Call all stats orders to the appropriate department.
Made sure all charts were complete at the end of the shift.
Assemble/disassemble charts accurately.
Complete all other duties assigned daily.

Medical Assistan Front and Back office Jun 1997－Aug 2003 Dr. Marvous Saunders, MD Santa Ana, CA

Greeting and register patients.
Obtaining insurance and patient information.
Answering incoming phone calls.
Scheduling patient appointment.
Filing and maintaining patient chart.
Prepare treatment rooms for patients examinations.
Verifying insurance eligibility and benefits.
Obtaining authorization.
Mailing insurance claims.
Translate for non-english speaking patients.
Collect copays and fees.
Post patient and insurance payments.
Daily check deposit slip.

Patient Service Representative Aug 1998－Oct 1999 Coastal Communities Hospital Santa Ana, CA

Courteously register patient timely manner.
Input in information into computer with accuracy.
Obtain proper insurance and patient information.
Obtain Dr's Rx for exams.
Obtain authorization for procedure.
Perform preadmission procedure with accuracy and completeness.
Verify insunce eligibility and benefits.
Courteoulsy answers all incoming phone calls and transfer to the proper department.
Experience with DOS program.
Monitor all alarms and respond on a timely manner with appropriate measures.
Efficiently handle all PBX operator duties.
Two- way radio communication.

Education