Mariela Alvarado
Patient Access Representative at MEMORIAL HERMANN MEDICAL GROUP- Claim this Profile
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Experience
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MEMORIAL HERMANN MEDICAL GROUP
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United States
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Medical Practices
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100 - 200 Employee
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Patient Access Representative
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Aug 2023 - Present
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UT Physicians
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Patient Access Representative
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Apr 2022 - Oct 2023
Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, and collecting financial paperwork (e.g., patient responsibility statement, etc.) and co-payment as required.Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner.Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems.If in a procedure-based department, routinely schedules appointments for all procedures educating each patient with pre-exam and if necessary, post-exam requirements withinEstablishes files, maintains information, and scans medical records in a timely and organized manner.Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls and forward queries to the appropriate staff.Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.Attends and provides feedback for departmental staff meetings.Follow the Center for Medicare & Medicare Services (CMS) requirements for checking medical necessity communicates relevant coverage/eligibility informationCompletes Medicare SecondaryRole Models the Principals of a Just Culture and Organizational Values.Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.Performs other duties as assigned on department and organizational-level.Experience in healthcare Previous admitting or clerical experience, and medical terminology Show less
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Patient Access Representative
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Apr 2022 - Oct 2023
Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, and collecting financial paperwork (e.g., patient responsibility statement, etc.) and co-payment as required.Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner.Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems.If in a procedure-based department, routinely schedules appointments for all procedures educating each patient with pre-exam and if necessary, post-exam requirements withinEstablishes files, maintains information, and scans medical records in a timely and organized manner.Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls and forward queries to the appropriate staff.Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.Attends and provides feedback for departmental staff meetings.Follow the Center for Medicare & Medicare Services (CMS) requirements for checking medical necessity communicates relevant coverage/eligibility informationCompletes Medicare SecondaryRole Models the Principals of a Just Culture and Organizational Values.Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.Performs other duties as assigned on department and organizational-level.Experience in healthcare Previous admitting or clerical experience, and medical terminology Show less
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Patient Access Representative
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Apr 2022 - Oct 2023
Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, and collecting financial paperwork (e.g., patient responsibility statement, etc.) and co-payment as required.Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner.Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems.If in a procedure-based department, routinely schedules appointments for all procedures educating each patient with pre-exam and if necessary, post-exam requirements withinEstablishes files, maintains information, and scans medical records in a timely and organized manner.Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls and forward queries to the appropriate staff.Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.Attends and provides feedback for departmental staff meetings.Follow the Center for Medicare & Medicare Services (CMS) requirements for checking medical necessity communicates relevant coverage/eligibility informationCompletes Medicare SecondaryRole Models the Principals of a Just Culture and Organizational Values.Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.Performs other duties as assigned on department and organizational-level.Experience in healthcare Previous admitting or clerical experience, and medical terminology Show less
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MD Anderson Cancer Center
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United States
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Hospitals and Health Care
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700 & Above Employee
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Medical Assistant
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Dec 2019 - Jul 2022
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Site Supervisor
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May 2020 - Sep 2020
Identify and address all issues at screening site and provide continuous support to both staff and stakeholdersEnsure all personnel are trained and troubleshoot to facilitate efficient workflowContinually explores for improvement in qualtrics survey and daily operationsEvaluate and monitor staff placement for better performance flow Respond efficiently to staff and patient concerns
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Medical Assistant
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Dec 2019 - Mar 2020
Obtaining patients vital signs and preparing patient for exams and medical proceduresEnsuring thorough cleanliness of medical bed for patients and disposing of medical wasteTransporting patients within department and assisting patients with their garmentsAssist with patient discharge procedure: removing IV's, removing ECG leads, removing blood pressure cuff, pulse ox while recovering under anesthesiaCollaborate with nursing staff ensuring patient safety and improving patient experience Tracking all medical supplies and restocking for patient care efficiency Show less
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1960 Family Practice
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Medical Assistant
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Nov 2017 - Dec 2019
Obtaining patient vital signs such as blood pressure, pulse, height, weight and temperature Manage and update patient information into hospital database utilizing Allscripts, Centricity and RIS Translating Spanish/English for the physician in the exam room Assisted with Pap smears, performing urinalysis dipstick, flu test, strep test, EKG's, spirometry Respond to all patient concerns through voicemail and email under the doctor's authority Collaborate with the physician to send prescriptions, relay exam results and patient scheduling Handling high call volumes Managing and updating referrals for each patient for specialist Triage patients phone calls Make referrals out to specialist Call patients and notify them of there lab results Scanning patients medical records Show less
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NORTH HOUSTON CARDIOLOGY PLLC
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United States
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Medical Practices
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Medical Assistant
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Aug 2014 - Dec 2017
Interview patients for updated medical history and record patient vital signs Ensuring all laboratory reports are updated in patient's file i.e. EKG's, PTINR's, X-Rays, dopplers, stress tests Triaging patient telephone calls and transmitting patient prescriptions to appropriate pharmacy Scheduling and confirming patient follow-up appointments Provide necessary supplies to support medical staff and patients Interview patients for updated medical history and record patient vital signs Ensuring all laboratory reports are updated in patient's file i.e. EKG's, PTINR's, X-Rays, dopplers, stress tests Triaging patient telephone calls and transmitting patient prescriptions to appropriate pharmacy Scheduling and confirming patient follow-up appointments Provide necessary supplies to support medical staff and patients
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Medical Assistant
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Jan 2017 - Nov 2017
Greeting incoming patients and escorting them to exam rooms Troubleshooting patient inquiries through telephone or at front desk Update patient history and extensive medical records utilizing E-Clinical Works program Obtaining patients vital signs such as blood pressure, pulse, height, weight and temperature Responsible for the cleaning and sanitation of all medical equipment Perform EKG's and following up with the doctor on report findings Setting up meetings with providers to get more clientele. front and back office Inventory of all the supplies in the practice Scheduling procedures for vein thrombosis Collecting payment Show less
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Education
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Remington College
Medical assistant, Medical/Clinical Assistant