Randy Reyna JR Resume 2023

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Randy Reyna Jr.

(956) 569-8709 [email protected]


918 W. Praline Dr. Pharr, TX. 78577

Objective Obtain a position as a team-player in a people-oriented organization where I


can maximize my experience in a challenging environment to achieve the
corporate goals.

Skills & Abilities Bilingual in English/Spanish, work well with Microsoft Office, Kronos, on-line
verification systems, i.e. TMHP, FISS, and Availity and other software’s. My
Abilities include strong communication skills, solid active listening skills,
excellent problem solving, ability to work as part of a team, good multitasking
skills, and ability to show resilience.

Experience
H&R Appliance May 2020 – Current
Warehouse manager

• Audit and report inventory while making recommendations on which items


to order and restock
• Manage warehouse associates, monitoring work and ensuring the safe use of
warehouse equipment
• Establish warehouse practices and protocols to achieve an efficient
warehouse
• Set warehouse and team goals in collaboration with executive management
and other team leads
• Monitor workplace performance and lead training initiatives to improve
employees
• Keep up to date on the latest federal and state safety regulations
• Communicate with other departments to ensure products are shipped in a
timely manner

Doctor’s Hospital at Renaissance February 2019 – February 2020


Registration Representative
§ Promotes the facility mission, vision and values by effectively
communicating them to others. Considers mission, vision and values in
developing services, standards and practices
§ Demonstrates high quality Service Excellence, positive customer service
and telephone etiquette by treating all customers with dignity and respect;
utilizing age specific skills and knowledge.
§ Ensures patient confidentiality requirements are met in accordance with
HIPAA policies and procedures.
§ Interviews patient or responsible party to obtain demographic information
required to register the patient accurately.
§ Obtains and reviews doctor’s orders for appropriate signature, date,
diagnosis and admission status prior to registration.
§ Communicates effectively with doctor’s office to obtain orders when
missing or when additional diagnosis is needed for medical necessity.
§ Reviews and confirms patient's financial information by obtaining the
insurance carrier information, benefit information, policy number, group
name and group number.
§ Ability to identify the appropriate coordination of benefits for insurance
carrier.
§ Utilizes on-line verification systems, i.e. TMHP, FISS, and Availity, etc., for
eligibility.
§ Explains rates, estimates charges for services and hospital policy regarding
up-front collections as needed.
§ Determines financial status and refers patient for financial screening as
appropriate.
§ Performs appointment scheduling functions and registers patients for
ancillary services.
§ Initiates Order Management to enter orders as needed.
§ Reviews records of any prior patient visits to determine status of any
unpaid balances.
§ Ensures referral/pre-authorization/pre-certification requirements have
been met.
§ Accurately completes the Medicare Secondary Payer (MSP) form as
appropriate.
§ Initiates Pathway Compliance Advisor to determine if an ABN will need to
be provided to patient for services identified as not medically necessary.
§ Provides patient the Important Message from Medicare for all Medicare
inpatient admissions.
§ Ensures patients are provided Conditions of Admission form and signature
is obtained.
§ Scans photo ID, insurance cards, doctor’s order in the appropriate
document type in RegAssist.
§ Utilizes Form Fast to print or reprint forms and labels.
§ Verifies and places appropriate wrist bracelet on patient with the two
required patient identifiers.
§ Completes the necessary reports and patient logs, on a daily basis.
§ Ability to assemble patient charts in the proper order for next day
schedule.
§ Effectively communicates information about scheduled case procedures to
various departments and personnel.
§ Consistently adheres to Doctors Hospital at Renaissance dress policy.
§ Other duties as assigned.
Dick’s Sporting Goods May 2018 – August
2018
Customer Service Sales Associate
§ Perform the functions of a CSA to include initiating customers, sell or
resolve problems, answer questions and provide great customer service.
§ Provide support and assistance to all departments as needed.

Education South Texas College – McAllen, TX – Associates Degree


May 2018
Associate degree in interdisciplinary studies, a High School Diploma of a 3.7
GPA, with a completion of Bilingual studies and currently enrolled at STC in
continuation for a bachelor’s degree in business management.

South Texas College – McAllen, TX – bachelor’s degree (BASOL)


May 2023

Leadership Awarded team leader as captain of the varsity football team, also awarded as
an academic team leader and able to obtain the Midwestern Conference
Football Championship Award at St. Norbert Collage in De Pere Wisconsin.

References Upon Request

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