Regulatory Compliance Customer Service
Resume:
H
Tiffany
Hernandez
tiffanyloca**7@gmail.c
om
Phoenix, AZ 85029
SUMMARY
Capable patient representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Dependable employee serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease everyday stressors and de-escalate potential conflicts. Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring years of relevant work experience to your team.
Dependable serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Reliable employee seeking a open position. Offering excellent communication and good judgment.
Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of my job and all training Motivated to learn, grow and excel in the medical field.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Flexible hard worker ready to learn and contribute to team success. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.
SKILLS
Providing Information and Resources
Insurance Information Collection
50 WPM Typing Speed
Reliability and Dedication
Database Search and Data Entry Skills
Verifying Eligibility
Multitasking and Organization
Documenting and Recording
Information
Patient Needs Assessment and Referral
Quality Standards and Protocols
Registration and Admissions
Gathering Information From Patients
Calm and Effective Under Pressure
Diagnostic Codes
Patient Identification
Customer Satisfaction
Patient Confidentiality and Data
Security
Pre-Admission Requests
Customer Service
Resolving Problems
Administrative and Office Support
Knowledge of Community Services and
Programs
Explaining Policy and Procedures
Demographics Information
Caring and Empathetic
Communicating to Patients and
Families
Quality Assurance
Insurance Company Knowledge
Scheduling Diagnostic Procedures
Patient Contact
Process Improvement
Patient Health Information Access
Medical Services Administration
Insurance Coordination
Benefits Explanations
Claims Handling and Coverage
Verification
Insurance Authorizations
Medical Histories and Vital Statistics
Deductible Collection
Eligibility Requirements
Vital Statistics Documentation
Medical History Documentation
Program Eligibility
Punctual and Hardworking
Informed Consent
Patient check-in
Patient identity verification
Registration management
Admitting coordination
Customer service
Intake assessment
Team collaboration
Customer follow-up
Patient admitting
Stress management
Payment calculation
Time management abilities
Effective communication
Patient documentation
Appointment confirmation
Self motivation
Patient interviewing skills
Explaining policy and procedures
Patient intake
Payment collection
Emotional Intelligence
Strategic Planning
Patient Rights
Multitasking Abilities
Patient interviewing
Teamwork
Improve patient care
Insurance verifying
Patient needs assessment and referral
Schedule coordination
Professionalism
Document filing
EXPERIENCE
Patient Access Representative
Tucson, AZ
Northwest Medical Center / Jan 2022 to Jan 2023
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy. Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
Facilitated communication between patients and various departments and staff. Followed document protocols to safeguard confidentiality of patient records. Applied administrative knowledge and courtesy to explain procedures and services to patients.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Greeted patients and visitors in a courteous and professional manner. Processed patient admissions, registrations, transfers, and discharges according to established procedures.
Verified insurance coverage for services provided by the facility. Collected co-pays and other payments from patients at time of service. Assisted with scheduling outpatient appointments.
Responded to patient inquiries regarding billing or financial matters. Ensured accuracy of all data entered into computer system. Scanned documents into electronic medical records system. Created new patient accounts in EMR system as needed. Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments. Assisted with preparing daily cash reports for accounting department. Maintained confidentiality of all patient information in accordance with HIPAA regulations.
Resolved discrepancies between hospital systems and third party payers. Provided assistance to internal departments when needed. Answered phones promptly in a professional manner. Followed up on unpaid claims in a timely manner.
Facilitated communication between patients, staff members, and third party payers. Actively participated in team meetings and training sessions. Managed incoming faxes related to patient registration processes. Reviewed account receivables for accuracy prior to sending out statements. Verified demographics and insurance information to register patients in computer system.
Applied HIPAA privacy and security regulations while handling patient information. Collaborated with other departments to ensure quality customer service was delivered. Organized and maintained records by updating and obtaining both personal and financial information from patients.
Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
Obtained necessary signatures for privacy laws and consent for treatment. Assembled registration paperwork and placed identification bands on patient. Communicated financial obligations to patients and collected fees at time of service. Explained various admission forms and policies, acquiring signatures for consent. Processed patient responsibility estimate determined by insurance at pre-registration. Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans. Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
Reviewed eligibility responses to assess patient benefit level and prepare estimates. Facilitated patient registration, verifying all required documentation is collected and filed properly.
Contributed to team meetings, sharing insights and strategies for improving patient access services.
Utilized hospital systems to update patient records, ensuring accuracy and completeness.
Guided patients through the completion of consent and other required medical forms. Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
Assisted in the implementation of new technologies and processes to improve patient access services.
Supported emergency department registration during peak times, ensuring rapid patient processing.
Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
Participated in training sessions to stay updated on healthcare policies and registration software.
Implemented patient satisfaction surveys to identify areas for improvement. Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
Prepared daily reports on registration activities, highlighting areas for improvement. Provided directions and information to patients and families, enhancing their hospital experience.
Handled high volume of incoming calls, providing exceptional customer service to patients and families.
Coordinated scheduling of appointments across multiple departments to optimize patient care.
Processed insurance verifications and authorizations to ensure coverage of services. Conducted financial counseling for patients, explaining payment options and assistance programs.
Verified patients' insurance and payment methods during admissions or check-in processes.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Explained policies, procedures and services to patients. Obtained informed consent and payment documentation from patients and filed in system.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Counselled patients on potential financial liabilities and payment requirements. Instructed patients on policies and required actions for different types of appointments and procedures.
Screened patients for eligibility for state, local and federal assistance programs. Compiled information from patients and caregivers or family members to identify care concerns.
Documented patient counters in hospital system and initiated follow-up actions. Accessed programs and set up correct payment strategies based on patient means and needs.
Initiated application processes to add patients to assistance programs at bedside and followed through until completion.
Dental Assistant
Tucson, AZ
Dr. Ronald Walker / Sep 2007 to Feb 2009
Cleaned and sanitized dental tools and equipment, straightened treatment rooms and restocked supplies to prep for next patient and maintain health and safety practices. Performed general chair-side duties for general dentistry, endo procedures and oral surgery.
Sanitized trays, instruments and surfaces for clean dental office setting and patient safety.
Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies.
Successfully assisted dentist by performing four-handed dentistry and other chair-side duties.
Sterilized rooms and prepped equipment and instruments for all procedures daily. Recorded patients' health histories, documented current symptoms and pulled up records from prior visits for dentists to view and evaluate. Explained treatment procedures and instructed patients on home care guidelines. Assisted dentists, hygienists and other personnel by handing appropriate tools and supplies needed for procedures.
Prepared and arranged instruments, medications and required materials for dental procedures.
Prepared patient X-rays and images by for review by dentist. Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges and other dental prosthetics. Prepared rooms for patient treatment by cleaning and sterilizing tools and equipment. Assisted dentists by passing instruments, suctioning intraoral fluids, adding water and mixing materials for fillings, casts and impressions. Documented patient dental health information, medical history and vital signs for future reference.
Staged tray for procedures by arranging dental instruments and equipment. Educated patients by giving oral hygiene, plaque control and postoperative instructions.
Prepared comprehensive radiological images, allowing supervisory dental staff to spot cavities, tooth decay and areas needing treatment. Scheduled appointments, prepared bills and received payment for dental services by completing insurance forms, verifying insurance information and maintaining records. Helped dentists restore teeth by applying permanent and temporary fillings and crowns.
Educated patients on dental hygiene, pre-surgical instructions and post-surgical care. Used dental software to document and maintain patient information and health background.
Typed patient data into computer system using dental software while following privacy laws and maintaining high level of accuracy.
Supported dentists during procedures to restore teeth, like dental fillings, permanent and temporary crowns.
Educated patients on postoperative care and best practices for protecting dental work and boosting healing process.
Took dental images following strict patient protection rules by mentioning risks during pregnancy,and applying lead aprons.
Administered desensitizing agents by applying numbing gel to prepare patients for anesthetic injections.
Prepared and positioned patients for procedures and clipping dental napkins and placing patient safety devices.
Assisted dentist in management of medical or dental emergencies. Helped complete routine and advanced procedures by preparing patients and instruments for expected needs.
Escrow Assistant
Tucson/Phoenix, AZ
Lawyers Title Company/ May 1999 to May 2004
Obtained documents such as proof of insurance and HOA statements. Maintained open communication with lenders, brokers and borrowers. Scheduled signings and gathered required paperwork. Prepared estimated closing statements for buyer and seller. Studied and clarified buyer, seller and lender instructions to determine escrow requirements.
Checked signatures and legal descriptions for accuracy and integrity. Opened incoming orders and set up escrow files within hours of receiving purchase agreement.
Communicated requirements and title exception information to clients. Followed industry standard escrow procedures and maintained awareness of regulations governing escrow process.
Prepared documents for closing and handled complete disbursement and follow up of escrow transactions.
Set up escrow transactions, processed deposits and mailed out forms and preliminary title reports for review.
Returned executed loan packages to lender for review and approval in accordance with lender instructions.
Scheduled closing appointments for seller and buyer or arranged for delivery of documents for out of area closings.
Managed real estate closing process in compliance with applicable standards and legal requirements.
Prepared and delivered projected HUD-1 settlement statements to lender upon request.
Examined purchase and sale agreement for potential items of concern and addressed immediately.
Forwarded title clearing documentation to title officer for approval. EDUCATION AND TRAINING
High School Diploma
Amphitheater High School May 1998
Tucson, AZ
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