Pedro Tortolero

SR PATIENT ACCESS REPRESENTATIVE at St Joseph Health Care
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Contact Information
us****@****om
(386) 825-5501
Location
Anaheim, California, United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • SR PATIENT ACCESS REPRESENTATIVE
      • Oct 2012 - Present

      • Manage daily admission census and identify authorization requirements • Obtain authorization for in patient admission • Coordinate with case management to deliver medical reviews • Review and update accounts for proper insurance coding • Identify patient liability for collection • Manage daily admission census and identify authorization requirements • Obtain authorization for in patient admission • Coordinate with case management to deliver medical reviews • Review and update accounts for proper insurance coding • Identify patient liability for collection

    • United States
    • Higher Education
    • Patient Account Specialist
      • Feb 2004 - Oct 2012

       Audit insurance account data  Manage patient account information  Perform inpatient hospital admissions  Serve as liaison between case management and physicians  Confirm and document insurance eligibility and coverage benefits  Obtain authorizations pre-certification for services  Notify patient of their liabilities and collect copayments and deductibles  Maintain good communication with other departments to resolve any issues  Manage and complete daily break schedule Show less

Education

  • Orange Coast College
    general education
    2004 - 2006

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