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  • PATIENT ACCESS REPRESENTATIVE III
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PATIENT ACCESS REPRESENTATIVE III Resume Example

Resume Score: 90%

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PATIENT ACCESS REPRESENTATIVE III
Professional Background

Responsibility of collecting patients' demographic, employer's and health insurance information. Verification of health insurance eligibility and coverage. Ensuring the collection and scanning of patients' documents. Searching for patients' medical group as well as primary care physicians for previous medical history and relevance to the patients' visit. For workmen's compensation patients, employer is contacted via telephone to obtain employer's demographics, workmen's compensation insurance information and release work status of the patient upon request.


Preparing patients' pertinent information for transferring facilities and ensure accurate accepting facility and location. Ensure that correct information is collected for trauma patients and expedite the same for surgical operating room and hospitalization. Collect emergency room co-payments and deposits whenever applicable.


Responsible for processing pre-admissions for urgent hospitalization referred by physicians or near by urgent care facilities, maternity, surgery, and timely notification to bed coordinator for room assignments by phone or tele-tracking system. Also the processing of ancillary services such as: laboratory specimens; x-rays; computer tomography scans and magnetic resonance imaging.


Ensure correct data entry information for hospitalized patients such as admitting and attending physicians to have priviledge to treat at the hospital; patients are admitted with the correct diagnoses; correct medical type and services; ensure to scan and send physician's orders to the appropriate unit.


Responsible for prompt notification of hospitalization of patients' to medical group to obtain HMO authorization, Notification of physicians' to admit and attending; and notification to corresponding health insurance of patients' hospitalization via telephone and facsimile.


Assist physicians, nurses, social workers as Spanish - English interpreter whenever needed.

Skill Highlights
  • Strong Work Ethics.

  • Participated in Policy Development and Implementation.

  • Staff Training, Motivation and Development.

  • Oversee Task Completions.
  • Independent and Self-Motivated.

  • Fluent in Spanish (Written and Spoken).

  • Strong Customer Service.

  • Dependable.
Accomplishments

Customer Care:


* Explain in detail to Spanish speaking patients of their health insurance eligibilities, coverage and restrictions, and assist them when they require information of their health status, hospitalization and after care instructions.


Policy Development:


* Helped by flow charting and helped implementing a scheduling system for higher number of patient treated, and better quality time for each patient with physician.


Implementation:


* Implemented a better system which reduced scheduling time and registration. Implemented an out-patient registration system and procedure.


Compliance:


* Maintained compliance with regulatory standards indicated in the Policy and Procedure Manual.

Professional Experience
HUNGTINGTON MEMORIAL HOSPITALPASADENA, CAPATIENT ACCESS REPRESENTATIVE III01/2004 to 01/2014

Collect patients' demographic and insurance information. Verify insurance eligibility and coverage. Ensure to collect and scan patients' documentation. Obtain or search for patients' medical group and primary care physicians. Collect patients' pertinent information for transferring facilities and ensure health insurance eligibility for prompt billing. Obtain or follow-up in collecting correct information for trauma patients and expedite the same for surgical operating room and hospitalization. Expedite the admission process for patients referred by physicians or nearby urgent cares for hospitalization, ancillary and surgical procedures. Notify hospital bed coordinator of incoming admission via teletracking, and upon patient's arrival, promptly notify the admitting physician of patient's arrival to the corresponding medical unit.

Pre-admit maternity patients and upon admission, immediately pre-admit newborn. English - Spanish translations for patients, nurses and physicians upon request.

CEDARS-SINAI MEDICAL CENTERLOS ANGELES, CAPATIENT ACCESS REPRESENTATIVE III08/1999 to 01/2004

Obtained demographic, employer, and insurance information from patients in the emergency room. Collected co-payments for emergency out-patient services and deposits for hospitalization when applicable. Admitted patients for emergency hospitalizations. Notified and requested emergency hospitalization authorizations for HMO patients. Expedited documentation for patients' transfers to designated hospital upon HMO gatekeeper request. Collected deposit from International self-pay patients. Implemented Registration-Admission coordination for prompt access to medical treatment or preparation. Collaborated in the implementation of out-patient registration procedure in the Steven Spielberg building. English-Spanish translation for physicians, nurses and patients upon request.

CHILDREN'S HOSPITAL LOS ANGELESLOS ANGELES, CAPATIENT ACCESS REPRESENTATIVE III01/1997 to 08/1999

Collected patients' demographic, parent's information as well as employer's. Collected and verified health insurance information and eligibility. Collected medical services co-payment as indicated by health insurance. Expedited HMO authorization request for emergency treatment.


Improved registration by coordinating the access of patients' health screening and prompt communication with HMO Primary Care Physician for all emergency registrations. Implemented a better access to pertinent patients information for medical screening and prompt registration and medical treatment. English-Spanish translation for parents, nurses, physicians and social workers upon request.

SANTA CLARA COUNTY MEDICAL CENTERSANTA CLARA, CAMEDICAL REGISTRATION CLERK11/1995 to 01/1997

Collected patient's demographic, employer and health insurance information. Front office registration and back office discharge. Scheduled following visits. Implemented a better method of scheduling which increased physician to patient quality time. Implemented registration process which accelerated scheduling and registration process.

Education and Training
Associate of Science:COMPUTER OPERATIONS AND MANAGEMENT1988COMPUTER LEARNING CENTER LOS ANGELES, LOS ANGELES, CA, USA

COMPUTER OPERATING SYSTEMS


OPERATIONAL SKILLS:

DOSVSE with POWER; VMSP; VMDOS; CMS; MPE V.0.


HARDWARE:

Console Memorex 3278; HP 300; Disk Drive IBM 3350;

Tape Drive IBM 34; Card Reader IBM 2540; CPU IBM 4341;

Printer IBM 103; HP 1000; Xerox Copy Machines; Scanners and Facsimile Machines.


SOFTWARE: DOSCSE Concepts; POWER JECL; DOS JCL and

OS JCL Utilities; JES2JES3; CICS Applications



MEDICAL RECORDS AND TRANSCRIPTION 1984ABRAM FRIEDMAN OCCUPATIONAL CENTER, LOS ANGELES, CA, USA

Coursework in Medical Records and Medical Transcription.

Associate of Science:LOWER DIVISION CHEMICAL ENGINEERINGLOS ANGELES CITY COLLEGE, LOS ANGELES, CA, USA

Coursework in Chemistry, Physics and Mathematics.

Focus in completing pre-requisite to transfer to a higher learning institution.

Certifications

Medical Records and Medical Transcription - Diploma

Computer Operation and Management - Diploma

Affiliations

None

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Resume Overview

Companies Worked For:

  • HUNGTINGTON MEMORIAL HOSPITAL
  • CEDARS-SINAI MEDICAL CENTER
  • CHILDREN'S HOSPITAL LOS ANGELES
  • SANTA CLARA COUNTY MEDICAL CENTER

School Attended

  • COMPUTER LEARNING CENTER LOS ANGELES
  • ABRAM FRIEDMAN OCCUPATIONAL CENTER
  • LOS ANGELES CITY COLLEGE

Job Titles Held:

  • PATIENT ACCESS REPRESENTATIVE III
  • MEDICAL REGISTRATION CLERK

Degrees

  • Associate of Science : COMPUTER OPERATIONS AND MANAGEMENT 1988
    MEDICAL RECORDS AND TRANSCRIPTION 1984
    Associate of Science : LOWER DIVISION CHEMICAL ENGINEERING

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