Pedro Tortolero
SR PATIENT ACCESS REPRESENTATIVE at St Joseph Health Care- Claim this Profile
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Experience
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St Joseph Health Care
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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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SR PATIENT ACCESS REPRESENTATIVE
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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
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St Joseph Hospital
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United States
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Higher Education
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Patient Account Specialist
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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
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Education
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Orange Coast College
general education