Customer Service Medical

Elizabeth Guerra Borchers

Email: ********@*********.***

Address:

City: Arvada

State: CO

Zip: 80003

Country: USA

Phone: 720-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

To effectively promote the mission of any Hospital by utilizing of over 10 years experience within the medical field. With extensive knowledge, background, and teamwork, I will strive to positively improve organizational and patient outcomes.

Educational Background:

High School Dipolma from Aims Community College, Greeley CO 1/2001 to 3/1998 (general)

Job History / Details:

Professional Summary

To effectively promote the mission of St Anthony's North Hospital by utilizing of over 10 years experience within the medical field. With extensive knowledge, background, and teamwork, I will strive to positively improve organizational and patient outcomes.

Experience

April 2011 to Current

Platte Valley Medical Center Brighton, CO

Patient Financial Counselor

Interview and screen patients for possible State Assistance Programs such as Colorado Indigent Colorado Program (CICP), Platte Valley Charity Program and Financial Assistance Program.

Provide friendly customer service while keeping patient/client information confidential.

Make payment plan arrangements according to hospital rules and regulations.

Approve discounts for those who would like to pay in full up to 30 percentage, any discounts or charity that has been approved I manually do the adjustment to ensure customer satisfaction.

Run Trans-Union and or Equifax credit check to ensure appropriate payment plans and programs are being offered.

Approve write offs on accounts under $1,000.00 and do the adjustment.

Work closely with registration and insurance verification staff to help gather any needed or missing information for possible assistance.

Make and take patient phone calls and return phone calls daily.

Work Aging report for un-collectible accounts and helped recommend possible charity.

May 2010 to March 2011

Denver Health Denver, CO

Revenue Cycle Specialist

Provide excellent customer service.

Ensure timely billing for State and hospital financial programs such as Colorado Indigent Care Program (CICP) and Denver Health Financial Assistance Program (DFAP).

Make outbound calls to obtain optimal payments and offer payment plans for self-pay and insured accounts.

Provide follow up on patient accounts for payments and deposits.

Manually adjust inpatient and outpatient accounts for proper billing.

Provide financial guidance on self-pay accounts.

Receive inbound calls and meet face to face with patients to discuss accounts, make pay agreements, create letters for payment plans and outstanding balances.

Provide billing answers, itemized statements, obtain insurance information for billing specialists.

Send accounts to RN audit when needed for billing review.

Help patients understand Explanation of Benefits (EOB) and hospital charges.

December 2000 to December 2009

Banner Health/ NCMC Greeley, CO

2007 to 2010

Lead Patient Access Financial Counselor

Responsibilities include: conducting intake interviews and determining eligibility for state programs, i.e.

Medicaid, Child Health Plan Plus, CICP, etc.

Informing patients of their financial responsibility, collecting financial responsibility, utilizing a variety of software applications and information systems to track applications and implement work product, providing financial counseling as needed, interpreting Banner Health policies regarding payment of bills, and supporting positive patient encounters.

Maintain supervisor responsibility when active supervisor is gone.

2004 to 2007

Responsible for accurate pre-registration/advance check-in for scheduled events, insurance verification and authorization for existing and newly admitted patients, coordinated patient transitions, registered emergent and walk-in clientele, and facilitated a positive image for the facility.

2001 to 2004

Greeley Medical Clinic Greeley, CO

Patient Account Representative

Provided patient financial services.

Strived for patient satisfaction by using critical thinking and expert knowledge in basic consumer debt collection, Workman's Compensation, VA and Psych Care.

Provided follow up to insure optimal reimbursement to hospital from insurance companies.

Scanned and archived EOBs.

Also used my skills in basic accounting, medical terminology, knowledge of the HIPAA Act and customer service experience to ensure customer needs and insurance companies were satisfied.

Front Desk/Phlebotomist- Checked in patients, verified medical insurance, separated patient's specimen, bagged and distributed the specimen to the correct laboratories.

Operated Quest CCLINK computer, CPT coding, and ICD (diagnosis) coding.

Answered phones, filed, faxed, and managed data entry.

Gained experience with pediatric blood draws, phlebotomies, and hand/foot vein draws, and facilitated translation from Spanish to English.

Education

2008 Aims Community College,

Certified Healthcare Access Associate The National Association of Healthcare Access Management

Additional Information

Strong written and verbal communication skills, problem solving and ability to work as an individual or in a team setting. Exceptional personal commitment to every work task, self motivated, and determined. Ability to prioritize work tasks and can easily adapt to change.

Contact this candidate