Medical San Francisco

Heather Gutierres

Resides: Richmond, CA *****

510-***-**** cell

Email:*************@*******.*** 510-***-**** home

Objective: To secure a position with a well established organization with

a stable environment that will lead to a lasting relationship in the

medical field.

Relevant Clinical Experience:

Provided a pleasant atmosphere for clients and clinic personnel while

managing all incoming calls and scheduled appointments-ensuring a

functional mediation between our patients and appropriate medical

providers. Maintained accurate daily records for patient triage, referrals

and follow-ups, while controlling the verification and archiving of medical

files and medication refill requests. Operated independently and

professionally, educating patients on Health Care policies and privacy

practices. Achieved extensive experience and certification in HealthPRO

operations through NAHC training programs and previous Bryman College

curriculums. Over 9 years of experience working with the Native American

community in the Bay Area.

Work Experience:

2903 Eligibility Worker

October 2012

- Present

San Francisco General Hospital

San Francisco, Ca

94110

. Schedule and interview clients, in hospitals and various institutions

to determine new or continuing program eligibility.

. Admit and register patients for hospital care; obtain demographic

information.

. Coordinate transfers of patients between counties; inform clients of

procedures and necessary reports.

. Explain eligibility programs, qualification standards, policy and

procedure to clients; assist clients in completion of applications,

forms and reports when necessary; review and evaluate applications for

completeness and accuracy; prepare client budget to determine

eligibility.

. Apply legal criteria to determine eligibility; provide recommendations

regarding financial eligibility for assistance programs; determine

eligibility and grant amount according to established policies and

procedures; review and determine re-certification.

. Prepare case records related to client eligibility information and

financial assistance received; update case records; submit required

reports.

. Investigate statements and information received from applicant through

the use of telephone or written verifications.

. Investigate and resolve client problems involving non-receipt of

benefits.

. Review cases with supervisor in assessing the quality of the

eligibility determination process and procedure.

. Compose and prepare correspondence to clients, references, and State

agencies; gather statistical data and prepare reports as required.

. Answer questions and provide information to clients and the general

public regarding assigned program area.

. Refer clients in need of case work services to members of social

service staff; may provide limited referrals to resources within the

community on matters related to income maintenance; refer clients to

appropriate agencies according to established procedures.

Medical Receptionist

December 2003 to October 2012

Native American Health Center

San Francisco, CA 94110

. Assembled and updated charts for new and existing patients while

providing assistance to visitors, clients and company personnel such

as Billing, Records, Registration and Medical Patient Services.

. Qualified in knowledge of medical treatment procedures, chart

interpretation, terminologies, and medications.

. Familiar with patient registration protocol. Ability to process

new patients and revise registration for documented clients.

. Conduct patient financial screening to determine eligibility for

Medicare: Medical, San Francisco health Plan, Healthy Families, State

Office Of Family Planning(SOFP) and Healthy San Francisco, Gateway

(Presumptive Medical) and eligibility for all possible county and

state-funding sources and/ or sliding scale eligibility other payment

sources.

. Greet patients and visitors direct all individuals to appropriate

location and services with courteous and in a polite manner.

. Inform patients of program limitations and ensure patient

understanding the information being conveyed. Answer any questions or

concerns the patient may have regarding program limitations and

information about our policy and procedures.

. Register patients into the practice management system (i.e.,

HealthPro) in a timely manner that ensures accuracy and thoroughness.

Facilitate patient flow by answering telephone calls in a timely

manner. Update patient registration information as information

changes.

Software Experience:

Windows 9x, 2000, XP MedicalManager 9.2 HGB Hemoglobin Analyzer Meter

Oral/Auxiliary thermometer Microsoft Word HealthPRO, Gate Way

Eligibility, State Office Family Planning :SOFP, Microsoft Outlook, Healthy

San Francisco, San Francisco Health Plan Medical Eligibility

Reference Available Upon Request

Contact this candidate