Yesenia P. Email & Phone Number

Burleson, Tx, Us

Remote

• Verify insurance eligibility and secure authorizations for diagnostic imaging, efficiently managing a high volume of requests and calls.• Streamlined processes by researching and implementing online portal access, eliminating the need for calls out to multiple insurances.• Collaborate with patients and healthcare providers to obtain necessary clinical/medical records as needed, while adhering to HIPPA guidelines.• Contributed valuable insights that resulted in 3 major updates to the company’s standardization guide, improving authorization efficiency.• Played a key role in responding to a cyber attack on a major insurance provider by discovering and implementing alternative verification methods, ensuring continued authorization processes during system outages.

• Processed over 50 orders per day with an 90% same-day authorization completion rate, reducing wait times in patient scheduling.• Mastered the functionality of a newly introduced program and trained over 20 employees on best practices and shortcuts to maximize its use, resulting in a 40% increase in efficiency and accuracy.• Managed over 75% of all outbound/inbound calls in a team of two, consistently achieving quick turnaround times and exceeding performance targets.• Collaborated with healthcare providers to obtain necessary clinical information and ensure that authorization requests were completed in a timely manner.• Assumed supervisory responsibilities following the unexpected absence of official supervisor, providing guidance and leadership to maintain exceptional team productivity.• Effectively mediated and resolved employee conflicts within the first year of employment, resulting in a more positive and productive work environment.• Checked daily schedule for 50+ patient appointments to ensure all required authorizations were obtained prior to their visit, resulting in a 95% decrease in rescheduled appointments due to incomplete or missing authorizations.• Conducted thorough verification of patient insurance benefits and authorization requirements by utilizing various communication methods such as phone, fax, email, and online portals.• Utilized Microsoft Teams for virtual meetings and collaboration with team members

• Promoted from Admissions Representative• Worked independently to schedule follow-up doctor appointments for 70% of ER patients, producing a smooth transition to ongoing care and decreased return visits. • Collaborated with emergency department staff to facilitate follow-up care for patients by quickly identifying specialist referrals and communicating necessary medical information.• Created and maintained a comprehensive system to track and analyze patient data, and provided detailed reports to corporate levels, demonstrating excellent record-keeping and attention to detail.• Conducted thorough insurance benefit verification and network status checks, resulting in 0% scheduling errors.• Successfully addressed various patient inquiries and concerns, resulting in a measurable increase in patient satisfaction.• Initiated follow-up calls with patients to ensure attendance at scheduled appointments, resulting in a 25% increase in appointment adherence and improved patient outcomes.

Burleson, Texas, United States

• Greeted and assisted an average of 80 patients and visitors per day with registration, scheduling, and general inquiries, receiving positive feedback from 90% of scheduled patients.• Conducted efficient and accurate data entry of demographic, medical, and insurance information into electronic medical records.• Accurately calculated estimates for medical services and processed payments totaling thousands of dollars per day.• Organized and prepared patient printed charts the day before appointments, resulting in a streamlined check-in process for patients.• Trained new employees on hospital policies, procedures, and customer service skills, resulting in improved employee performance and patient satisfaction.• Updated and maintained the hospital's lab order list, including prices and codes, and developed an Excel "cheat sheet" for common lab orders, enabling the department to calculate costs 60% faster and reduce errors.• Managed patient records and ensured proper consent was obtained for medical procedures, maintaining strict confidentiality of sensitive information.• Assisted patients in understanding insurance benefits and cost breakdown of services, regularly receiving referrals from colleagues to handle complex cases and deescalate upset patients with tact and empathy.• Provided language assistance for Spanish-speaking patients, ensuring they were able to understand and communicate their healthcare needs effectively.