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Patient Access Computer System

Location:
Humble, TX, 77346
Posted:
June 19, 2024

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Resume:

Jessica Bernal

Humble, TX *****

*********@*****.***

PH: 302-***-****

To obtain a position within the healthcare industry that will allow me to emphasize my clerical, organizational, and insurance eligibility skills. A company that offers the growth and flexibility to allow optimization and enhance a mutual business profile is a goal. Authorized to work in the US for any employer

Work Experience

Patient Access Representative

III

Memorial Hermann Health System ER/ OBGYN - Houston, TX March 2021 to Present

• Schedules patient’s appointments and enters required information on the computer system in an accurate and timely manner.

• Check patients in and scans apporiate id's and insurance cards

• Print all patient and Doctor schedules

• Send messages to the appropriate clinical staff.

• Obtains demographic, insurance and financial information from the patient or guarantor. Enters information in the computer system with a high degree of accuracy.

• Explains all required forms to the patient or guarantor and obtains all necessary signatures.

• Ensures medical necessity compliance by obtaining necessary data, reviewing compliance systems, communicating information to the patient or guarantor.

• Protect the financial integrity of the facility by collecting the patient liability, discussing payment options and screening for eligibility.

• Verify insurance eligibility and benefits.

• Function as a team leader in the department by ensuring daily processes are completed.

• Communication in an effective and professional manner with the physicians, care management, nursing units, office staff as well as patients families.

• Separate and scan all clinical documentation

• Other duties assigned.

Placement Specialist

Genesis HealthCare - Humble, TX

February 2020 to March 2021

• Creating Episodes for patients

• Verifying patient demographics

• Verifying patient insurance

• Entering patient demographics

• Navigate through patient information from hospital

• Emailing administrative directors

• Call lean hospitals for patients discharge dates

• Answering phone calls and making outbound phone calls

• Strong communication between administrative directors and CTN to get patients into nursing facilities as soon as possible

Patient Registration

Representative

Union Hospital - Elkton, MD

November 2017 to February 2020

• Emergency Room Registration

• Bedside Registration

• Verifying patients insurances

• Scheduling patient orders from Doctor on weekends

• In charge of patient roll overs from ED to In patient or observation

• follow established department guidelines to ensure accuracy, efficiency and timeliness of registration and integrations into the clinical process.

• Collects referral forms and co-pays

• Determines registrations status and financial clearance for upcoming patients, pre-registers accounts and determines which patients need to be seen for registration, collection of co-pay/ referral forms and/ or financial counseling

• Making sure all signatures are obtained to follow hospital protocol

• Calling codes over head

Billing Representative

Delaware Back Pain - Newark, DE

February 2015 to 2017

Manage physician's account receivables and bill rendered services Follow up with physicians, insurance payers, attorneys, and patients

• Perform other related billing and revenue cycle tasks

• Respond promptly to Insurance Payers and patients

• Verify accuracy of Electronic Health Records

• Work in multiple electronic information systems (EHR, Insurance Websites, etc.)

• Working with insurances companies to ensure payment

• Verifying insurance

Patient Service Representative

RadNet - Newark, DE

February 2012 to 2015

• Patient registration

• Insurance Verification

• Obtained Authorizations

• Patient Scheduling

• Made outbound calls to Provider's offices and Medical Managemant Patient Service Representative

Southwest Diagnostic Imaging Center - Phoenix, AZ

March 2007 to September 2012

• Posting charges from Hospital

• Assist with charge entry and related tasks as needed

• Patient registration

• Verifying Insurance

• Answer customer service calls

• Correct and Resubmit claims for accuracy

• Excel reports on insurances that don't pay

Education

Certificate

Phoenix Baptist Family Medical Center - Phoenix, AZ February 2007 to March 2007

GED

International institution of the Americas - Phoenix, AZ Skills

• Insurance Verification

• Medical Scheduling

• Medical Billing

• EMR Systems

• Medical Office Experience

• Medical Records

• Medical Terminology

• Accounts Receivable

• Patient Care

• Epic

• ICD-10

• Hospital Experience

• Transcription

• CPT Coding

• Clerical Experience

• ICD-9

• Medical Receptionist

• Anatomy Knowledge

• HIPAA

Assessments

Customer Focus & Orientation

— Highly Proficient

December 2019

Responding to customer situations with sensitivity Full results: Highly Proficient

Medical Receptionist Skills —

Highly Proficient

March 2020

Managing physician schedules and maintaining accurate patient records Full results: Highly Proficient

Call Center Customer Service

— Proficient

February 2019

Measures a candidate's ability to demonstrate customer service skills in a call center setting. Full results: Proficient

Dental Receptionist Skills —

Proficient

August 2020

Managing practitioner schedules and maintaining accurate patient records Full results: Proficient

Medical Billing — Proficient

February 2020

Understanding the procedures and forms used for medical billing. Full results: Proficient

Work Style:

Conscientiousness — Expert

August 2020

Tendency to be well-organized, rule-abiding, and hard-working Full results: Expert

Medical Billing — Proficient

October 2020

Understanding the procedures and forms used for medical billing Full results: Proficient

Medical Receptionist Skills —

Expert

October 2020

Managing physician schedules and maintaining accurate patient records Full results: Expert

Medical receptionist skills —

Expert

October 2020

Managing physician schedules and maintaining accurate patient records Full results: Expert

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.



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