Patient Access Computer System

Elena E. Uresti 281-***-****

**** ***** ***** **. *******, TX 77088

Career Objective

My Career objective is to obtain and enhance my professional skills with an opportunity to have hands-on work experience for future growth and the ability to use techniques that ensures the expectations that is required in the position.

Work Experience

UT Physicians, Houston, Texas Nov 2022

Senior Patient Access Representative

Ruiz Department of Ophthalmology and Visual Science/ Pediatric Ophthalmology Robert Cizik

•Register patients in Epic system by obtaining demographics, insurance and financial information from patient or guarantor.

•Enters information in computer system with a high degree of accuracy.

•Explains all required forms and obtains the necessary signatures.

•Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements discussing payment options.

•Post payments in the computer system and generates the appropriate patient receipts.

•Daily reconciliation of cash and credit card payments report

•Schedule follow up appointments and enters required information in the computer system in an accurate and timely manner.

•Prepares for the next day by calling patients to remind of their appointment.

•Monitored and work on On Base (electronic fax messages) for different departments, companies and physicians.

•Monitored daily the In Basket and Teams system for calls from patients and call center.

Memorial Hermann Hospital, Houston, Texas July 2003- May-2022

Patient Access Rep III/ Main lobby Admissions /Day Surgery

•Register patients by obtaining demographics,insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.

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

•Ensures medical necessity compliance by obtaining necessary data, reviewing compliance system, communicating information to patient/guarantor and obtaining necessary signatures

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

•Prepares next day schedule to ensure insurance is verified for all procedures/surgeries are approved and authorization is on file. Calls patients over the phone to pre-register for next day surgeries. Collect payments over the phone and post them in the computer system and generates the appropriate receipts.

•Function as a team leader in the department by ensuring daily process are complete. Providing answers to employee’s questions and assisting in new employee training

•Communicates in an effective and professional manner with physician’s ancillary departments, nursing units, physician’s office staff, as well as patients and families.

•Communicate with Bed management for direct admit patients to coordinate bed requests, assigns bed/room numbers for all admissions and transfers in the hospital. Ensure there is detailed admitting orders/ documentation to support all bed placements and bed holds.

•Cover other areas when staff is out, i.e. anesthesia clinic, pediatric day surgery, cath-lab, heart center and main lobby admissions (Cullen pavilion.)

Baylor College of Medicine, Houston, Texas February 2002- September 2002

Insurance Authorization Verification Specialist/ Cashier Neurology Department

•Verifies insurance policy benefits for new and returning patients

•Assures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information. Document information given or received to support actions taken on insurance charges or referral issues.

•Provide estimates to patients and/or physicians as requested

•Contact patients by telephone in a professional manner to ensure collection of cost shares prior to the service

•Strong interpersonal communication and problem-solving ability

•Schedules patient’s procedures with various hospitals and departments. Instructs patients on the preparation needed for tests.

•Provide coverage for receptionist

•Performed other job-related duties as assigned

Baylor College of Medicine, Houston, Texas September 2000- February 2002

Front Desk Specialist II/ Ophthalmology Department

•Greets and registers patients by obtains demographics, financial and insurance information. Explains all required forms and obtains the necessary signatures.

•Calculates and collects patient time-of-service payments in accordance with departmental cash collection and control procedures.

•Manages patient appointments and schedule follow up visits. Answers any questions received at the front desk

•Informs patients of any visit delays.

•Acts as liaison between patient, physician, and billing office regarding billing and collection issues.

•Answers telephone and routes calls to the appropriate individual.

•Interacts appropriately and effectively with all patients, managers, physicians and technicians.

Education

John H Reagan High School, Houston, Texas

General Skills

•Customer Service & Listening Skills, Excellent Communication Skills

•Fast Learner

•Multi-tasking, Flexible

•Office Supports

•Bilingual Spanish

•Strong work ethic

•Team player with a positive attitude

•Mentor/trainer to new employees

•Experience in the following HER/EMR Systems: EPIC, Health Quest, Citrix, Sovera

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

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