**** ** **** ** *** ***, FL ***** 407-***-**** adrex8@r.postjobfree.com

Oneida Reyes

Summary of Qualifications

Achieve and maintain provider network reliability and growth for optimal access to care

High aptitude and ability for learning new implementations and acquiring new skills

Familiar with all Medicaid & Medicare Regions throughout Florida

Experience

February 2014-present

Palmetto General Hospital

Hialeah, FL

Health Plan Enrollment Representative

Certified Application Counselor

Assist patients apply for the Affordable Care Act

Interview patients to link with Medicaid

Assist patients apply for Medicaid

Assist patients apply for Medicaid and Affordable Care Act at bedside

Assist patients apply for Victims Compensation

Collect inpatient copays, Emergency room copays, and deductible

Answering phones, filing, scanning, coping, and faxing

Responsible for interviewing and assisting uninsured patient in the emergency room.

Determining if Medicaid, Medicare, or financial assistance is required.

Collecting the facility’s flat rate for services rendered

Assisting patients that do not link to government programs with payment plans

ICD-10 Training

Responsible for enrollment administration support, for seamless transition at all levels of the enrollment process

Build and maintain strong professional relationships with physicians and administrative team

Organize and maintain reports showing daily, weekly, and monthly task

August 2012/April 2013

Dr. Tai Cardiologist

Winterhaven, Fl

Referral Coordinator

Prepare patients charts for day of visit

Scheduled appointments for Nuclear stress tests, echos, pace makers checks, holter exams, and doctor new patients and following up appointments

Check patients in, check patients out with their next appointments if needed

Obtain referrals and authorizations for Nuclear stress test exams

Verified 36-50 patients insurance before time of service

Front desk duties greet all patients, give excellent customer service

Prepared and fax medical reports to primary care doctors

Coping, faxing, scanning, filing, and answering phones

Maintained credentialing database while tracking all direct provider contract data.

Performed primary and secondary source verifications of credentials to departmental policy

October 2008-Sept 2012

Child Protection Team/Healing Tree

Kissimmee, Fl

Office Coordinator

Prepared and set up the financial screening process for the Healing Tree with heavy data entry to our delicate management systems

Scheduled and confirm appointments for the therapist to meet with the families of the victim

Assist patients apply for Victims Compensation

Developed a trusting relationship with families of victims

Collected copays

Obtained referrals and authorizations

Verified insurance

Responsible for keeping inventory of thousands of encrypted files on site at the facility per year

December 2001-April 2008

Queens Diagnostic Imaging

Forrest Hills, NY

Front Desk Scheduler/Insurance Verifier

New patients scheduling

Retrieved prior authorization for MRI and CT procedures

Verified patients insurance before time of service

Obtained referrals for diagnostic testing

Maintained all daily, weekly, and monthly reports and tracking documents

Provide excellent care at all times and greet patients upon arrival

Answer phones, faxing, scanning, and filing

September 1998-November 2001 Suny Downstate Medical Center Brooklyn NY

Staff Assistant II

Interviewed and verified patients demographic and financial information

Data entry

Obtained diagnostic authorizations and referrals

Insurance verifications

Request medical records needed for patient care

Closed visits at time of service with appropriate diagnosis/procedure codes

Answer phones, faxing, filing, scanning and coping

Education

September 2008

Borough Of Manhattan Community College

New York, NY

General education

References

References are available on request.

Contact this candidate