Denise Cristina Gallegos
Greeley
Summary
Dedicated Patient Service Specialist skilled in effective communication, appointment scheduling, and insurance verification. Committed to maintaining HIPAA compliance and ensuring patient confidentiality.
Overview
30
30
years of professional experience
Work History
Patient Service Specialist
Sunrise Community Health Center
Greeley
01.2023 - 12.2024
- Greeted patients warmly and managed front desk operations.
- Scheduled appointments and coordinated patient flow efficiently.
- Verified insurance information and collected necessary documentation.
- Provided clear instructions to patients regarding forms and procedures.
- Responded to patient inquiries with professionalism and empathy.
- Maintained a clean and organized reception area for optimal service.
- Collaborated with team members to improve patient experience consistently.
- Answered incoming calls and responded to inquiries in a timely manner.
- Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
- Processed payments from patients, including cash, check, or credit card transactions.
- Greeted patients upon arrival and verified patient information.
- Maintained strict confidentiality when dealing with sensitive information.
- Scheduled appointments and managed patient records using electronic health record software.
- Verified patient coverage prior to appointment scheduling.
- Maintained knowledge of current insurance requirements for billing purposes.
- Prepared daily deposits for processing and reconciled accounts receivable.
- Collected co-pays at time of visit according to office policy.
- Ensured compliance with HIPAA regulations when handling confidential patient information.
- Applied HIPAA privacy and security regulations while handling patient information.
- 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.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
- Stayed current on community-based resources and services useful to patients.
Eligibility Specialist
Denver Human Services
Denver
12.1994 - 12.2019
- Assessed client eligibility for various assistance programs and services.
- Reviewed and verified documentation for accuracy and compliance with regulations.
- Coordinated with clients to gather necessary information for application processing.
- Maintained accurate records of client interactions and eligibility assessments.
- Resolved client inquiries regarding application status and program benefits promptly.
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Processed client applications in accordance with established guidelines.
- Assisted clients with completing forms required for processing applications.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
- Contacted client references and employers to determine legitimacy of applicant information.
- Monitored client accounts for any changes that could impact eligibility requirements.
- Assessed potential fraud cases by conducting investigations into suspicious activities.
- Maintained positive working relationship with fellow staff and management.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Education
GED
Emily Griffith Opportunity School
Denver, CO07-1984
Skills
- Appointment scheduling
- Insurance verification
- Electronic health records
- Payment processing
- HIPAA compliance
- Customer service
- Effective communication
- Team collaboration
- Professionalism and ethics
- Patient confidentiality
- Privacy regulations knowledge
- Patient check-in
- Money handling
- Spanish fluency
- Phone and email etiquette
- Registration management
- Friendly and outgoing
- Patient identity verification
- Appointment reminders
- Excellent communication
References
References available upon request.
Timeline
Patient Service Specialist
Sunrise Community Health Center
01.2023 - 12.2024
Eligibility Specialist
Denver Human Services
12.1994 - 12.2019
GED
Emily Griffith Opportunity School