Capable Administrative Professional dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
8
8
years of professional experience
Work History
Patient Access Representative
American Health Connection
01.2022 - Current
Working for a high-volume centralized medical call center with several contracted accounts
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Facilitated communication between patients and various departments and staff.
Patient Access Specialist
Genesis Primecare
01.2021 - 04.2022
Working in a busy clinic as a float for any provider or position that needed assistance
Collected and validated patient demographics and insurance information.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Admissions Specialist
Wadley Regional Medical Center
12.2019 - 03.2021
WADLEY rEGIONAL mEDICAL cENTER, TEXARKANA
Working in a busy hospital to provide professional check-in and registration for patients and their families
Provide full range of services, include insurance verification, coding input and corrections, proper physician placement, audit assistance, completion of charts to prepare for billing, collections of copays and outstanding balances, communicating with multiple insurance companies to resolve outstanding claims, general billing and updating accounts
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Collected and validated patient demographics and insurance information.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Prepared patient identification band and completed admissions papers.
Performed patient pre-admission, admission, transfer and discharge activities.
Success Examples:
Lead collections specialist for 8/12 months- ranked top 5 other months
Top Meddata referrals multiple months
Company switched servers from Cerner to Meditech, and I quickly learned the system and became the first phone call to resolve confusion and errors from physicians, nurses and supervisors, hospitalwide during the transition
Office Manager
Kelton Home Healthcare, Inc.
11.2015 - 11.2019
Maintained computer and physical filing systems.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Coached new hires on company processes while managing employees to achieve maximum production.
Coordinated special projects and managed schedules.
Developed standard operating procedures for all administrative employees.
Arranged corporate and office conferences for company employees and guests.
Oversaw quality control and productivity rates to increase revenue and production times.
For a small office home health care agency
Answered multiline phones, taking and relaying message from physicians or therapists or specialists and relayed to appropriate nurse or administrator, interacting with patients or their families, creating weekly schedule for nurses, payroll, checking time, and mileage and submitting to accountant to sign and print checks, scanning documents to charts, creating invoices for billing, filing, mailing orders and other important documents, insurance verification and coverage verify, vendor payment confirmation, create and operate company facebook page
Education
Bachelor of Science - Healthcare Management
Walden University
Minneapolis, MN
05.2023
Skills
Process Improvement
Insurance Company Knowledge
Medical Terminology
Electronic Health Records Systems
Team Leadership
Insurance Billing
Verbal and Written Communication
Claims Handling and Coverage Verification
Informed Consent
Business Management Principles
Timeline
Patient Access Representative
American Health Connection
01.2022 - Current
Patient Access Specialist
Genesis Primecare
01.2021 - 04.2022
Admissions Specialist
Wadley Regional Medical Center
12.2019 - 03.2021
Office Manager
Kelton Home Healthcare, Inc.
11.2015 - 11.2019
Bachelor of Science - Healthcare Management
Walden University
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