Customer Service Medical
Resume:
Luz V. Medina
***********@***.***
SKILLS PROFILE:
. Speak and write Spanish fluently.
. Excellent customer service skills.
. Able to work and strive under high demand situations.
. Goal oriented, responsible person of great integrity.
. Caring, compassionate, dedicated, empathetic and tenacious.
. Team player, task and people oriented.
. Experienced in writing and delivering presentations.
WORK HISTORY:
Elmhurst Hospital Health Care Investigator
February 2014-Present
Queens, New York
. Conduct investigations to determine the eligibility of applicants
for medical assistance payment programs, or the ability of patients
and their legally responsible relatives to pay for hospital or
health care charges.
. Take the necessary actions to bill and collect for healthcare
services including enrolling the patients in Medicaid and
facilitating insurance enrollment through the New York State Health
Plan Marketplace.
. Explore alternative sources for payment of hospital or health care
services rendered.
. Verify, modify and code demographic and insurance data obtained
from source documents, and enter such data into a computerized
system.
. Perform billing and collection functions in order to obtain
maximization of the hospital's revenue.
Elmhurst Hospital Trauma Center Emergency Room Registration Supervisor
January 2006-October 2008
Queens, New York
. Implement policies and procedures for employee discipline.
. Monitor work flow of employees and evaluate performance.
. Assign work and ensure completion of scheduled assignments.
. Maintain a pleasant and orderly work environment.
. Review patient records and other information for accuracy and
consistency.
. Verify patient insurance information.
. Respond to physician demands for updated patient information.
. Coordinate employee hours and manage schedule conflicts.
. Undergo training in supervisor and management functions and
responsibilities.
. Hire and termination of employment
Elmhurst Hospital Trauma Center Emergency Room Clerk
January 2004-December 2005
Queens, New York
. Engage in customer service by assisting in patient registration and
patient orientation. Receive and direct patients and visitors
answer routine inquiries and make appropriate referral of questions
concerning patient's condition.
. File and update patient information in the computer system as
necessary.
. Schedule clinic appointments and follow-up visits for patients.
. Interpret and translate for doctors and spanish-speaking patients.
. Label blood tubes for transport to the labs.
. Receive and relay incoming and outgoing telephone and intercom
messages and assist patients with providing requisite information
and completing necessary forms.
. Respond to doctors' pages and provide support services.
. Use different computer programs such as Unity, Misys and A4 Health
System.
. Perform document imaging.
Mount Sinai Faculty Practice/Elmhurst Hospital Emergency
November 2000-August 2002
Queens, New York
. Work with medical staff upon discharge of patient to insure input
of data and information in permanent record is accurate, complete,
and meets the medical facility requirements.
. Prepare and submit claims to various insurance companies and
identify and resolve patient billing
. Medical billing and Medical coding
. Perform various collection actions including contacting patients by
phone and correcting and resubmitting claims to third party payers.
. Spanish interpreter for doctors, nurses and patients.
. Organize and maintain patient records and files and update as
necessary.
. Effectively respond to patient inquiries via phone and in-person.
EDUCATION:
Allied University August
2012-June 2013
Certificate in Medical Coding
Queens College 2005-2007
Queens, New York
Bachelor of Arts-(not completed)
Major: Psychology
Minor: Health Professions
Queens Borough Community College 2002-2005
Queens, New York
Earned Associate Degree in Liberal Arts & Sciences
INTERESTS:
. Studying and exploring.
. Learning and trying new things.
. Traveling
. Reading.
. Sharing experiences with others.
References:
Larissa Correa
Embedded DMS Facilitator & Assistant HCPPA
Abigail Dehoyos
Emergency/Admitting Assistant Director
Robert Olszweski
Emergency Registration Coordinating Manager
Contact this candidate