Alyshia Chestnut
Cedar Bluff,AL
Summary
Accommodating Patient Service Representative and Medical Assistant offers account management, data entry and patient triage paired with proficiency in Microsoft Word, Excel, EMR systems, and medical billing and coding. Greets and checks in patients and verifies correct patient information. Communicates with customers in courteous, respectful manner.
Overview
11
11
years of professional experience
Work History
Healthcare Customer Service Representative
Arise Solutions
Remote, AL
04.2023 - Current
- Take calls back-to-back while toggling through several applications on multiple screens
- Active listening and remaining customer-focused to meet tailored needs, providing positive outcomes for clients well-being
- Registering, updating, and verifying members information in system
- Scheduling appropriate appointments for Patients
- Collecting co-pay and private pay
- Handling crisis calls appropriately to ensure patients safety and safety of others around them
- Resolve customer complaints through independent problem-solving skills, resource utilization and one-call resolution
- Explain to patients their health benefits coverage for different types of services
Medical Call Center Representative
Tribeca Pediatrics
Remote, AL
07.2022 - 02.2023
- Schedule, Move, Cancel and Confirm Appointments
- Answer general questions about practice in courteous manner
- Fill out and send out any school and medical forms
- Forward messages to RN/Providers as needed
- Entered patient demographic and insurance data into electronic medical record system
- Handled customer service inquiries in person, via telephone and through email
- Call in and fax prescriptions
- Process fax transmissions and emails through Salesforce appropriately
- Investigated insurance claims denials and appeals
Medical Assistant/Administrative Assistant
Dr. Miniyars Pediatrics
Rome, GA
06.2020 - 07.2022
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care
- Oriented and trained new staff on proper procedures and policies
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability
- Increased Patient satisfaction by implementing better check in procedures
- Scheduling
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Prior Authorizations, referrals for medications, diagnostic imaging, doctor visits
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Oversaw proper distribution of patient's medication
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation
- Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
- Filed insurance claims forms in accordance with applicable regulations.
Front Desk Customer Service Representative
Anniston Medical Clinic
Anniston, AL
07.2019 - 04.2020
- Schedule, cancel, and change patient appointments
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process
- Completes daily review of, and completes follow-up actions for, active/pending consults,no-shows, wait list
- Checked patients in and out using EMR system, verifying demographics,insurance and updating patient profiles
- Receives and responds to incoming phone calls and online patient portal messages
- Maintains office supplies inventory by checking stock, anticipating needs, placing, and expediting orders
- Collect all co-pays and deductibles
- Assist with patient portal accounts
- Trained new staff members
- Accurately handled large amounts of money
- Informing patients on their insurance coverage for visits
Patient Access Specialist
Regional Medical Center
Anniston, AL
12.2012 - 05.2017
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
- Review and check procedure codes and diagnosis codes to make sure orders match
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
- Completing prior authorizations
- Maintains office supplies inventory
- Work with call center for direct admissions
- Trained new staff on hospital processes and procedures
- Contacted insurance companies for patient medical billing operations
- Educated patients on insurance coverage
- Increased copay and past due collections by 25%
Education
Certificate - Medical Coding And Billing
Core Medical Training Center
Oxford, AL12-2023
Certificate - Certified Nurse Assistant
NHC
Anniston, AL08.2009
Skills
- Office Administration
- Microsoft Office
- EMR Systems
- Customer Support
- Efficient and Detail Oriented
- Customer Resolution
- Collecting Payments
- Patient Intakes
- Medical Insurance
- Billing Adjustments and Refunds
- Medical Terminology Knowledge
- Insurance Verifying
- Coding understanding
- Medical Coding
- Claims Processing
Timeline
Healthcare Customer Service Representative
Arise Solutions
04.2023 - Current
Medical Call Center Representative
Tribeca Pediatrics
07.2022 - 02.2023
Medical Assistant/Administrative Assistant
Dr. Miniyars Pediatrics
06.2020 - 07.2022
Front Desk Customer Service Representative
Anniston Medical Clinic
07.2019 - 04.2020
Patient Access Specialist
Regional Medical Center
12.2012 - 05.2017
Certificate - Medical Coding And Billing
Core Medical Training Center
Certificate - Certified Nurse Assistant
NHC
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