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Data Entry Access Representative

Location:
San Diego, CA
Posted:
October 02, 2023

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Resume:

Michelle Monge

San Diego CA ***** 619-***-**** adz34j@r.postjobfree.com

Experience:

Patient Access Representative

Scripps Clinic Carmel Valley

November 2022 to April 2023

Provide a full range of administrative data management and coordination of reporting and project duties for the department.

Expertise with bookkeeping, as well as increasingly responsible with clerical related experience.

Perform clerical, administrative and general office duties involving typing, recording and file maintenance document creation, and mail distribution.

Patient check-in and check-out process from start to finish verify demographic information.

Discuss payment arrangement options for self-pay patients including price estimates and payment plans.

Ability to give clear instructions and guidelines, analyze and provide feedback and evaluation.

Proficient in medical terminology and clinical setting.

Scheduling, and or re-scheduling patient’s appointments on Epic.

Experience with insurance and authorization verification (Medi-Cal, TAR, Medicare, and HMO).

Administrative Coordinator – Business/Customer Service Department

Scripps Health Plan Services-

July 2022 to October 2022

Provide a full range of administrative data management and coordination of reporting and project duties for the department.

Perform Clerical, administrative and general office duties involving typing, record and file maintenance document creation, mail distribution, mailing out, and reception.

Knowledge, understanding and ability to analyze/coordinate policies and procedures as they relate to a variety of administrative functions, along with ability to perform work according to established protocols.

Placed outgoing calls on an every day basis and made sure to re-send returned mail to appropriate address. Sorted the daily mail. Updated the Physician’s address, as well as members of all returned mail.

MRI/Radiology Department

Patient Access Representative, MEG Coordinator, and Referral Authorization Representative/Personal Assistant

UCSD- UC San Diego Health- San Diego, CA

October 2021 to July 2022

Demonstrated experience providing high-level administrative support in a large, complex organization, either in Academia or Industry.

Effective interpersonal skills (verbal and written). Ability to communicate and interact effectively with faculty, staff, graduate students, visitors and the general public using diplomacy, tact and flexibility in a variety of circumstances. Skill to effectively facilitate and resolve interpersonal staff conflicts.

Knowledge of ICD-10 and CPT coding guidelines within all Outpatient Radiology Departments.

Completion of Medical Terminology course within UCSD Medical Center.

Strong interpersonal and communication skills incorporating tact, diplomacy and flexibility when dealing with faculty, students, staff, visitors of various cultures and background, industrial visitors, etc.

Knowledge, understanding and ability to analyze/coordinate policies and procedures as they relate to a variety of administrative functions, along with ability to perform work according to established protocols.

Ability to learn new material quickly and with a high degree of accurate recall.

Excellent PC-computer skills and well versed with a variety of software packages for word processing, spreadsheets and database management (Word, Excel, Access, etc.). Knowledge of e-mail systems as a primary form of communication; accomplished skill at navigating the Internet for information retrieval.

In constant contact with the MEG Director and Chief Medical Officer of the Radiology Department, who was MD Roland Lee. I had to make sure that all of our cases at UCSD Health Department Radiology and MEG Department were efficiently. being successfully being completed in a timely manner.

Ability to analyze complex situations and data, and develop clear and concise written/oral reports or recommendations, especially when no clear directives are provided and/or there are many possible solutions

Demonstrated ability to exercise good judgment for problem solving, analytical skills and ability to anticipate problems. Recommend solutions and implement action.

Ability to establish new procedures for faculty and department operations. Ability to analyze diverse needs, material and/or issues to facilitate ordering the elements into logical and organizational structural processes and procedures.

Ability to give clear instructions and guidelines, analyze and provide feedback and evaluation

Proficient in medical terminology and clinical setting

Traveled to different radiology outpatient clinics including: Hillcrest Outpatient Pavilion and La Jolla Radiology and HCOP.

Experience with insurance and authorization verification (Medi-Cal, TAR, Medicare, and HMO).

Proficient in UCSD scheduling system: patient retrieval using MRN and data entry

Answer multiple phone lines and transfer calls to appropriate departments

Obtain consent forms (financial responsibility, sedation form and release of medical information).

Explain treatment procedures to patients

Assist Chief Technologist in MRI scan room

Discuss payment arrangement options for self-pay patients including price estimates and payment plans

Patient check-in and check-out process from start to finish verify demographic information

Children’s Primary Care Medical Group- San Diego, CA

April 2021 to October 2021

Patient Access Representative

Ability to establish new procedures for faculty and department operations. Ability to analyze diverse needs, material and/or issues to facilitate ordering the elements into logical and organizational structural processes and procedures.

Patient check-in and check-out process from start to finish verify demographic information.

Discuss payment arrangement options for self-pay patients including price estimates and payment plans.

Ability to give clear instructions and guidelines, analyze and provide feedback and evaluation.

Proficient in medical terminology and clinical setting.

Experience with insurance and authorization verification (Medi-Cal, TAR, Medicare, and HMO).

Rady Children's Hospital San Diego- San Diego CA 858-***-****

July 2015 to April 2021

IT- Telemanagement Department

Communications Representative/Dispatcher

Worked Morning, afternoon shifts, nights/graveyards. Overhead codes, process new pagers, answer patient families’ calls.

Responsible in answering incoming calls in a fastly manner, but transferring them to the desired and correct destination. Forward after hour incoming parent calls, and page the physicians in a timely manner.

Updating on-call schedules of the surgeon on-call

Education

Bachelor of Science in Psychology

Arizona State University- Present

Imperial Valley College- 06/2005 to 08/2016 Associate Degree to be completed

Southwest High School- 01/2001- 6/2005 Achieved High School Diploma

Abilities and skills

EPIC in healthcare environment

Bilingual Spanish and English

Experience in acute care environment

Analyzing information

Quality Focus

Computer Literacy

oMicrosoft: word, Powerpoint, Outlook and Excel

oFax/scan documents within Hospitals, or outside offices.

Resolving Conflict

Professional communication skills

Traveled to different Radiology Outpatient Clinics including: Hillcrest Outpatient Pavilion, Radiology Imaging Laboratory, CTIPM and ACTRI.

Experience with insurance and authorization verification (Medical, Medicare, etc)

Proficient in UCSD Scheduling System: Patient Retrieval using medical record number and data entry.

Answer multiple phone lines and transfer calls to appropriate departments.

Obtain consent forms (financial responsibility, sedation form and release of medical information.

Explain treatment procedures to patients.

-Assist Chief Technologist in MRI scan room.

Discuss payment arrangement options for self-pay patients including estimates and payment plans.

Patient check-in and check-out process from start to finish. Verify demographic information.

Medical terminology both in English and in Spanish.

Experience in acute care environment

Analyzing information

Quality Focus

Computer Literacy

Microsoft: word, Powerpoint, Outlook

Fax/scan documents to outside Physician’s offices

Resolving Conflict

Professional communication skills

Fluent Spanish (speak, write, and read), moderate in ASL and knowledge of French and Italian as well.

References

Berenice Lucero- Rady Children’s Hospital - Supervisor

Contact phone number- 619-***-****

Email- adz34j@r.postjobfree.com

Melinda Tili- Rady Children’s Hospital - Supervisor

Contact phone number- 619-***-****

Email- adz34j@r.postjobfree.com

Angela Scott- UC San Diego Health- Supervisor

Contact phone number- 619-***-****

Email- adz34j@r.postjobfree.com

Jeannie Cruz- UC San Diego Health- Supervisor

Contact phone number- 760-***-****

Email- adz34j@r.postjobfree.com

Linda Carreto- UC San Diego Health- Department of Radiology

-Hospital Assistant

-Years Known- 2 years

-Contact phone number- 619-***-****

Abigail Acevedo- Rady Children’s Hospital- Department of PBX

-Communications Representative and PBX Access Representative

-Years known- 8 years

-Contact phone number- 619-***-****

-Email: adz34j@r.postjobfree.com

Martha Vazquez- Rady Children’s Hospital- Department of PBX

-Communications Representative and PBX Access Representative

-Contact phone number- 619-***-****

Martha Valdez- Rady Children’s Hospital- Department of PBX

-Communications Representative and PBX Access Representative

-Contact phone number- 619-***-****

Karina Gavino- Rady Children’s Hospital

-Department of Business and Finance

-Contact phone number- 773-***-****



Contact this candidate