Customer Service Insurance

YOLANDA RIOS ** wickham dr warwick ny *****

917-***-**** yolanda1101@gmai l .com

EXPERIENCE

Physican certifier

Englewood Hospital and Medical Center. 1/2015- present

Responsible for verifying all in-patient admissions and updating patient databases, such as patient history system (Mckesson), hospital admissions system (Horizonnet) and other various registration applications

Provided administrative support by reviewing accounts for accurate registration information, verifying insurance information, obtaining necessary benefits, pre-certification and accurately collected co-payments and deductibles from patients

Knowledgeable of health-care insurance verification systems (NaviNet and HDX), Medicare verification system (OMEGA), financial system (Sieman) and other various financial systems

Well versed in all state and federal regulations such as EMTALA and HIPPA requirements

Worked closely with all Patient Access and Revenue Cycle staff, Case Management, Nursing Services, Surgical Services, Radiology, and Emergency Department Clinical staff

Served as a Spanish speaking translator between patients and doctors

Authorizations of radiological exams

EMT

TRANSCAREEMS May 2014-Dec2014

Respond to emergency and non-emergency calls and provide efficient and immediate care to the Critically ill and injured, and transport the patient to a medical facility

Functions within the scope of care as defined by state, regional and local regulatory agencies

Drive the ambulance to address or location given,using the most expeditious route,depending on Traffic and weather conditions

Accurate documentation of patient care (pcr)

EMT

SENIORCAREEMS Aug 13-May 2014

Respond to emergency and non-emergency calls and provide efficient and immediate care to the Critically ill and injured, and transport the patient to a medical facility

Functions within the scope of care as defined by state, regional and local regulatory agencies

Drive the ambulance to address or location given,using the most expeditious route,depending on Traffic and weather conditions

Accurate documentation of patient care (pcr)

Patient Access Services Mar 12 AUG 13

Englewood Hospi tal and Medical Center - Englewood, NJ

Responsible for verifying all in-patient admissions and updating patient databases, such as patient history system (Mckesson), hospital admissions system (Horizonnet) and other various registration applications

Provided administrative support by reviewing accounts for accurate registration information, verifying insurance information, obtaining necessary benefits, pre-certification and accurately collected co-payments and deductibles from patients

Knowledgeable of health-care insurance verification systems (NaviNet and HDX), Medicare verification system (OMEGA), financial system (Sieman) and other various financial systems

Well versed in all state and federal regulations such as EMTALA and HIPPA requirements

Worked closely with all Patient Access and Revenue Cycle staff, Case Management, Nursing Services, Surgical Services, Labor and Delivery, and Emergency Department Clinical staff

Served as a Spanish speaking translator between patients and doctors Assistant Manager Apr 10 - Mar 12

Advance Medical P.C. - Bronx, NY

Performed registration, admission, reception and discharge functions for all patients

Verified patient insurance, processed Medicaid overrides, and when applicable changed PCPs (Primary Care Physician)

Provided customer service support and managed both high volume calls and schedules

Served as a Spanish speaking translator between patients and doctors

Reviewed accounts for accurate registration information, verified insurance information obtained necessary benefits and pre-certification

Obtained and accurately completed Medicare Secondary Payor (MSP) ABN forms, when applicable

Administrative Assistant Sep 08 - Jan 10

Bronx Eye Care Optometry - Bronx, NY

Provided administrative support such as reviewing accounts for accurate registration information, verifying insurance information, obtaining necessary benefits and pre- certification

Responsible for resolving customer complaints, issues and providing guidance

Managed and maintained executives schedules

Human Resource Coordinator Apr 07 - Oct 08

Academy Caregivers - Bronx, NY

Managed and maintained executives schedules

Managed client screenings, including background checks such as criminal and work history

Prepared invoices, reports, memos, letters, financial statements and other documents using word processing, spreadsheet, database, or presentation software

Assisted with workshops, departments presentations and event preparations Temporary Receptionist Jan 06 - Feb 07

Merchants Cash - New York, NY

Managed high volume of calls and resolved customer issues

Provided administrative support such as preparing correspondence, receiving visitors, arranging conference calls, and scheduling meetings EDUCATION

Associates Degree in Business Administration Sep 02 - Apr 04 Taylor Business Insti tute - New York, NY

EMT B Jan 13- May 13

CODE ONE TRAINING- Bronx NY

Associate Human Resource Assistant - Internship May 04 - Mar 05 Sears - Bronx, NY

Provided administrative support such as sales report filing, scheduling interviews and daily financial related data entry

Managed new clients and served as a day-to-day customer support

Assisted with workshop and event preparations

RELEVANT SKILLS

Microsoft office programs: Word, Excel, Powerpoint, Outlook, Internet Research

Type 40 - 45 wpm

Working knowledge of ICD-9, CPT and HIPPA regulations LANGUAGE PROFICIENCY

Spanish: fluent in speaking and writing

Contact this candidate