Ester Flores
Nampa,ID
Summary
Dedicated Benefit Advocate Lead with expertise in patient advocacy, financial guidance, and effective communication. Proven ability to train new hires and enhance patient access through comprehensive education on benefits.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Benefit Advocate Lead
Saint Alphonsus Medical Center Nampa
Nampa, ID
02.2023 - Current
- Educated patients on benefits and programs to enhance understanding and access.
- Guided clients in accurately completing benefit applications to ensure eligibility.
- Reviewed patient records to determine eligibility for benefits.
- Facilitated State Medicaid application process to support patient access to necessary benefits.
- Maintained up-to-date knowledge of insurance policies and regulations.
- Processed all incoming paperwork including applications for Financial Assistance.
- Provided training and support to new hires within the department.
- Trained new staff on benefit advocacy protocols and client communication strategies.
Patient Access Specialist
Saint Alphonsus Medical Center Nampa
Nampa, ID
01.2016 - 02.2023
- Facilitated patient registration processes, ensuring accuracy and compliance with healthcare regulations.
- Trained new staff on electronic health record systems and patient access protocols to ensure consistent service quality.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage.
- Ensured accurate entry of patient information into electronic health record systems.
- Explained financial obligations to patients and collected fees at time of service to ensure transparency.
- Collected health, financial, and religious information from patients during admission to facilitate comprehensive care.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Coordinated communication between patients and healthcare providers, enhancing overall patient experience and satisfaction.
- Trained new staff on software systems and best practices for effective patient access operations.
Patient Access Specialist
Emerus
Nampa, ID
10.2017 - 07.2018
- Verified demographics and insurance information to register patients in computer system.
- Interviewed patients at hospital entrance, gathered pertinent information, and entered data into electronic system to streamline admission process.
- Obtained health, financial and religious information from patients at time of admission.
- Organized and maintained patient records by updating personal and financial information to ensure compliance and accuracy.
- Secured patient signatures for privacy laws and consent for treatment.
- Responded to patient concerns and inquiries professionally and efficiently.
- Applied HIPAA privacy and security regulations while handling patient information.
Office Assistant
CDI Affiliated Services
Boise, ID
04.2015 - 01.2016
- Managed daily office operations and maintained efficient filing systems.
- Answered phone calls and welcomed visitors to the office.
- Collected payments, issued receipts and updated accounts to reflect new balances.
- Proofread and corrected correspondence and reports for error free documentation.
- Collected and coded various documents to prepare for filing, storage and processing.
- Supported office clerical functions using word processing and other software, email and office machines.
- Organized and maintained filing systems, improving document retrieval efficiency and accuracy.
- Managed office communications, ensuring timely dissemination of information and enhancing team collaboration.
Receptionist
A Plus Furniture
Brawley, CA
02.2009 - 03.2013
- Answered phone call, provided information, and connected callers to appropriate personnel to enhance customer service.
- Served visitors by greeting, welcoming and directing to appropriate personnel.
- Processed payments and updated accounts, ensuring accurate reflection of balance changes.
- Updated and recorded customer or client information to maintain accounts.
- Oversaw office inventory by restocking supplies and submitting purchase orders to maintain optimal stock levels.
- Assisted customers with inquiries, providing product information and resolving issues effectively.
PBX Operator/Registrar
El Centro Regional Medical Center
El Centro, CA
01.2004 - 03.2008
- Operated multi-line phone system to manage incoming calls efficiently.
- Provided exceptional customer service by addressing inquiries and directing calls to appropriate departments.
- Maintained accurate call logs and documentation for internal reporting purposes.
- Collaborated with medical staff to prioritize urgent communications effectively.
- Interviewed patients to complete documents, case histories, intake and insurance forms.
- Processed patient medical records requests in compliance with HIPAA guidelines.
- Registered patients for outpatient procedures and emergency services.
- Provided hands on training and coaching for staff on office policies and regulations.
- Maintained HIPAA compliance and integrity of hospital policies and procedures.
Education
Bachelor of Science -
Grand Canyon University
Phoenix, AZ05-2030
High School Diploma -
Central Union High School
El Centro, CA06-1997
Skills
- Co-payment collection
- Benefit verification
- Insurance information collection
- Patient advocacy
- Patient interviewing
- Financial guidance
- Customer service excellence
- Effective communication
- Staff training
- Problem solving
- Bilingual
- Fast learner
Certification
CRCR Certified
Timeline
Benefit Advocate Lead
Saint Alphonsus Medical Center Nampa
02.2023 - Current
Patient Access Specialist
Emerus
10.2017 - 07.2018
Patient Access Specialist
Saint Alphonsus Medical Center Nampa
01.2016 - 02.2023
Office Assistant
CDI Affiliated Services
04.2015 - 01.2016
Receptionist
A Plus Furniture
02.2009 - 03.2013
PBX Operator/Registrar
El Centro Regional Medical Center
01.2004 - 03.2008
Bachelor of Science -
Grand Canyon University
High School Diploma -
Central Union High School