Stephanie Guajardo
Wellington,CO
Summary
Organized Patient Service Representative with 10 plus years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations. Skilled in Microsoft Office and customer communications, excel in fast-paced environments, demonstrating a keen aptitude for multitasking and time management. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
5
5
years of professional experience
Work History
Patient Service Representative
Best Med Urgent Care
01.2024 - Current
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
- Streamlined appointment scheduling for increased patient convenience and reduced wait times.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Increased overall practice revenue by diligently collecting copayments and outstanding balances at the time of service.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Managed patient registration process, confirming data accuracy and completeness.
- Used Epic to schedule appointments.
Prior Authorization Specialist
Centers For Gastroenterology
02.2023 - 06.2023
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Developed and maintained productive working relationships with healthcare providers.
Finance Administrative Assistant
Town Of Wellington
09.2022 - 02.2023
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Assisted coworkers and staff members with special tasks on daily basis.
- Managed filing system, entered data and completed other clerical tasks.
- Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
Patient Access Specialist
UCHealth Medical Group
10.2019 - 08.2021
- Collected and validated patient demographics and insurance information.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
Education
High School Diploma -
Berthoud High School
Berthoud, CO05.2000
Skills
- Office Organization
- Clerical Support
- Finance and Accounting
- Microsoft Office
- Administrative Procedures
- Customer Relations and Communications
- Multitasking and Time Management
- Set Appointments
- HIPAA Compliance
- Insurance Verification
- Medical terminology knowledge
- Appointment Scheduling
- Patient confidentiality
- Insurance verifying
- Healthcare industry understanding
- Data entry proficiency
- Office Administration
- Interpreting physician orders
- Patient Registration
Timeline
Patient Service Representative
Best Med Urgent Care
01.2024 - Current
Prior Authorization Specialist
Centers For Gastroenterology
02.2023 - 06.2023
Finance Administrative Assistant
Town Of Wellington
09.2022 - 02.2023
Patient Access Specialist
UCHealth Medical Group
10.2019 - 08.2021
High School Diploma -
Berthoud High School
Similar Profiles
Cara DennisCara Dennis
Medical Billing Specialist at Rapid Med Urgent CareMedical Billing Specialist at Rapid Med Urgent Care
Lily JeterLily Jeter
Medical Assistant at Red Med Urgent CareMedical Assistant at Red Med Urgent Care
Christopher LambertChristopher Lambert
Radiologic Technologist at Community Med Urgent CareRadiologic Technologist at Community Med Urgent Care