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Patient Financial Counselor II Resume Example

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PATIENT FINANCIAL COUNSELOR II
Professional Summary
To pursue a rewarding and challenging position in Patient Access Services that will allow me to utilize my diversified skills and experience. SUMMARY OF QUALIFICATION Soarian Financial Epic MediTech Certified Covered CA/ OneEApp Enrollment Counselor Microsoft Office Quality Control Dept Accounts Receivable SSI/SSA Processing Admitting/ Registration Collection and Billing Well soft/T-System Invision/Signature PBS Management Experience Register all patient types, high productivity in registration and Financial Counseling. Responsible for registering patients upon arrival for services, gathering financial and demographic information, entering it into the computer system accurately, and pulling medical records from recent visits and outside hospitals/clinics. Up front collections, enrolling patients into programs for medical coverage interview patient and their representatives to determine if health coverage exists and profiles the patients for applicable federal state, or county programs such as Medi-cal, Charity care, Medi-care or SSI/SSDI. Working independently and self-starter of any programs, spreadsheet and projects assigned to me. Over 12 years of impeccable experience as Financial Counselor, Registration Clerk, Eligibility Specialist and Billing/ Medical Technician. In-depth knowledge of federal, state and county health programs
Education and Training
Clinical Medical Administration Boston Reed College St. Helena CA 94574 ACMC Eligibility Academy Alameda County Medical Center Fairmont Hospital Certificate of Completion Certificated Application Assistant for Healthy Families, Soarian Financial and Medi-Cal Programs OEA/ C & C Advisors LLC Alameda County Health Care Services One-E-App Training, San Francisco CA 94104 , HealthCare/Business AdministrationUniversity of the South PacificHealthCare/Business Administration
High School DiplomaTilak High School
Skill Highlights
Microsoft Office Suite: Word, Excel, PowerPoint, Access and MS-Outlook. Massive knowledge of quick books, Account Receivable, accounting Ledgers, balance sheet and DCCL.
Professional Experience
Nov 2013 to Current
Patient Access Lead Regional Medical Center of San Jose - San Jose, CA
  • Provide management/supervision to the ED registration staff.
  • Provide 24/7 on-call support for ED registration during weekends & weekdays.
  • Maintain QA statistics (including patient wait times, etc.) and report results to Manager.
  • Schedules ED registration for operational shifts, and assigns their daily tasks.
  • Staff and order supplies according to budget guidelines and department needs.
  • Oversee the daily activities of the registration area to insure department standards are met Assists Manager in educating registration staff of any changes pertinent to their roles When appropriate, relieve staff members during employee sick/vacation time Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits and payment of services from legally responsible patients Work closely and professionally with nursing and ancillary departments in effort to maintain a teamwork approach.
  • Monitors collection of co-payment and deposits in the Emergency Department.
  • Excel in all functions performed by patient representatives Collect/request deposits and copays for Upfront Collection efforts.
  • Assume on-call responsibilities to insure adequate staffing and problem-solving Upfront Collection-making monthly goal $248K.
  • Assists in resolving patient concerns.
  • Assist Manager to insure all personnel department policies and procedures are followed Act in capacity of supervisor in his/her absence, and inform Manager of all issues upon his/her return Maintains effectiveness of patient flow with Trauma and Medical Alerts.
Patient Financial Counselor IINov 2006 to Nov 2013
Alameda County Medical Center Highland Hospital-ER/ Trauma - Oakland, CA
  • Responsible for government programs through social services and covered CA, enrolling patients into programs for medical coverage (e.g.
  • Charity Care, MediCal, or other local/governmental assistance programs.
  • Certified Application Assistor for OneEapp, great knowledge in verification/authorization various health coverage, and data entry into Medi-Tech, Soarian Financial, OasGold and OEA program.
  • Certified Application Assistant for Healthy families and Medi-Cal programs.
  • Register and Interview patients and their representatives to determine if health coverage exists and profiles the patients for applicable federal state, or county programs Responsible of the accuracy of all financial documents and doing stated funded program application through One-E-App.
  • Responsible for registering patients upon arrival for services, gathering financial and demographic information, entering it into the computer system accurately, and pulling medical records from recent visits and outside hospitals/clinics.
  • In-depth knowledge of the Invision registration system, HDX on-line insurance verification system, CALWIN welfare system and social service agency.
  • Manage 45-50 employees and super user for Highland Hospital- reporting bugs to Soarian Financial, OEA help desk, assist in the training of employees and solving problems.
  • Responsible for the department's employee's schedule, approving overtime, cash balance.
  • Efficient in emergency room and patient business services to make sure all patients are registered and financially screened in timely manner.
Patient Financial CounselorDec 2010 to Sep 2012
Telecare Corporation Villa Fairmont Mental Health Center - San Leandro, CA
  • Investigates and interprets patient's medical coverage, Commercial/ Governmental and limitations.
  • Ensure accuracy and completeness of all financial documents and application (i.e.
  • CMSP Budgets, Medi-Cal/ SSI applications) through system.
  • Doing Accounts receivable and client billing form with correct share of cost.
  • Responsible of SSI payments collections with Alameda County sub-Payee, VA, Self-payee and family payee meeting monthly Goals of $150K-$160K.
  • Account Receivable, Accounts Payable and QuickBooks.
  • Managing Clients Trust Funds balance of $20K & up and daily banking withdrawal cash from trust accounts for Clients using QuickBooks.
  • Writing out checks and making deposits into Ledgers.
  • Responsible for Accounts Receivable, Aging Collection and In-house Collection of $100K and up per month.
  • Making phones and sending out statements to clients with outstanding balance.
  • Doing SSI/SSDI application and Medi-cal application and sending it out to SSA office and Alameda county social services.
  • Accounts Receivable, Daily Cash Check Ledgers reports.
  • Posting deposits and withdrawal into QuickBooks and DCCL.
Patient Registration SpecialistApr 2001 to Nov 2006
Alameda County Medical Center Winton Wellness Center
  • Entering demographic and financial date into the Soarian Financial, invision/ OasGold and HDX systems with accuracy.
  • Documents and revise patients accounts in the hospital information system and billing folders to accurately reflect any and all payer source determinations.
  • Responsible for out-patient registration and determining patient financial eligibility based on their qualification under Health Pac, CHDP gateway, Family Pact, CDP/BCCCP, Presumptive Eligibility, Charity Care, Medicare Medi-cal and TB Medi-Cal applications.
  • Responsible for verifying patient's charge document making sure ICD-9 and CPT code are correct for inputting charges into the database.
  • Creating spreadsheets and keeping logs.
  • Medical application processing, intake and billing.
  • Responsible for sorting UNILAB monthly transaction, charges and turnovers under separate medical insurance.
  • Imputing consultation into RefTrak according to the guidelines, doing follow-ups and sending out appointments.
  • Inputting charges into the database with proper ICP-9 and CPT code.
  • Special assignment: Help developed RefTrack tracking spreadsheet using Excel to eliminate redundancy and keeping track of consultation according to specific guideline Microsoft Office suit- word processing and spreadsheet applications and data entry skills, excel, PowerPoint, Access, outlook and publisher.
Skills

Acounting, Accounts Payable, Accounts Receivable, administrative, ambulatory care, approach, agency, balance sheet, balance, banking, benefits, billing, Budgets, budget, C, CA, consultation, CPT, client, Clients, data entry, database, Financial, Funds, gateway, government, help desk, ICD-9, insurance, Managing, Medi-Tech, Access, Excel, Microsoft Office, Microsoft Office Suite, office, MS-Outlook, outlook, PowerPoint, publisher, Word, Monitors, nursing, patient flow, personnel, policies, problem-solving, QA, QuickBooks, quick books, reporting, San, social services, sorting, spreadsheets, spreadsheet, SSI, staffing, statistics, supervisor, supervision, teamwork, phones, Trauma, word processing

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Resume Overview

Companies Worked For:

  • Patient Access Lead Regional Medical Center of San Jose
  • Alameda County Medical Center Highland Hospital-ER/ Trauma
  • Telecare Corporation Villa Fairmont Mental Health Center
  • Alameda County Medical Center Winton Wellness Center

School Attended

  • University of the South Pacific
  • Tilak High School

Job Titles Held:

  • Patient Financial Counselor II
  • Patient Financial Counselor
  • Patient Registration Specialist

Degrees

  • Clinical Medical Administration Boston Reed College St. Helena CA 94574 ACMC Eligibility Academy Alameda County Medical Center Fairmont Hospital Certificate of Completion Certificated Application Assistant for Healthy Families, Soarian Financial and Medi-Cal Programs OEA/ C & C Advisors LLC Alameda County Health Care Services One-E-App Training, San Francisco CA 94104 , HealthCare/Business Administration
    High School Diploma

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