Patricia Puentes
************@*****.***
Hammond, IN
Profile
Senior Patient Access Representative experience with billing, collections, insurance verification, and medical records. Ability to understand and become knowledgeable of Release of Information standards, policies and procedures, and HIPAA regulations. Exhibits strong leadership, analytical, decision making, and organizational skills, with a proven ability to work efficiently and professionally under pressure in a fast-paced, team oriented or self-directed environment and demonstrates the ability and willing. Skills
● Schedule Appointments
● Multi-Line Phone System
● Medical Terminology
● Knowledge HIPPA Compliance
● Communications, Problem Resolution
Professional Experience
Patient Access Representative, Community Care Network Inc. -Neurology, Munster, IN June 2013 – September 2023
● Scheduling patient appointments and entering the required information in the computer system in an accurate and timely manner.
● Obtaining demographic, insurance and financial information from patient or guarantor.
● Explaining all required forms to the patient or guarantor and obtains the necessary signatures.
● Ensuring medical necessity compliance by obtaining necessary data, reviewing compliance system, communicating information to patient or guarantor and obtaining necessary signatures
● Protecting the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
● Verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required time frames.
● Monitoring, reviewing and resolving patient account issues on assigned reports. Education
Health Information Technology, Associate’s Degree
Davenport University, Merrillville IN, August 2008 – May 2010