Adept at enhancing patient satisfaction and streamlining pre-authorization processes. I excel in customer service and HIPAA compliance. My proactive approach in financial assistance and conflict resolution has fostered significant improvements in patient care and administrative efficiency. With a talent for electronic health records and empathetic communication, I strive for positive outcomes in healthcare settings.
Overview
6
6
years of professional experience
Work History
Patient Service Representative
Erlanger Western Carolina Hospital
11.2021 - 03.2024
Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.
Strengthened communication between clinical staff and patients by addressing inquiries and concerns promptly.
Nurtured relationships with referring providers to maintain continuity of care for patients transitioning between services.
Fostered a culture of professionalism within the department, ensuring consistent adherence to established guidelines and policies.
Assisted in training new hires on departmental protocols, contributing to a more efficient workforce.
Often asked to attend the interview process with potential new hires.
Coordinated interpreter services when necessary to eliminate language barriers between staff and patients.
Facilitated timely appointment scheduling for improved patient access to healthcare services.
Improved patient satisfaction by efficiently registering patients and verifying insurance information.
Utilized electronic health record systems proficiently, contributing to overall efficiency in documentation management.
Alleviated administrative burdens on clinical staff by managing incoming calls, messages, and faxes effectively.
Supported hospital charity programs by screening eligible patients for financial assistance options, assisting patients with financial applications.
Streamlined pre-authorization requirements for various tests or procedures, reducing delays in treatment plans.
Director of Social Services
Valley View Care Center
02.2018 - 11.2021
Updated resident documentation for accurate, compliant and current records.
Developed and maintained strong relationships with community resources for successful referrals.
Helped resident develop new coping mechanisms and techniques to drive behavior modification.
Advocated for resident'' rights, navigating complex systems to secure necessary resources and benefits.
Developed and facilitated support groups, promoting healthy coping skills and fostering peer connections among participants.
Helped residents with recognizing and managing mental health concerns through evidence-based interventions.
Enhanced community outreach efforts for better service accessibility and increased program enrollment.
Increased resident engagement in treatment plans by building trusting relationships through empathetic listening and consistent support.
Monitored progress and adapted treatment plans to meet changing needs.
Supported resident and families with empathy and compassion during difficult times.
Improved resident well-being by conducting comprehensive assessments and developing tailored intervention plans.
Administered assessments to identify needs and establish treatment plans.
Participated in interdisciplinary team meetings to coordinate care for clients.
Evaluated social, emotional and psychological needs to create treatment plans.
Collaborated with other professionals to plan and coordinate care for each resident to ensure their needs are met.
Assisted in developing and setting realistic goals to promote positive change.
Maintained regular contact with clients by calling and visiting resident' homes.
Interviewed resident, families, or groups to assess situations, limitations and issues and implement services to address needs.
Promoted a culture of self-care and professional development among colleagues, fostering a supportive work environment that encouraged ongoing growth and learning.
Evaluated program effectiveness using data-driven approaches, identifying areas of improvement and implementing changes accordingly.
Assisted clients in navigating the legal system, attending court hearings as needed and providing support throughout the process.
Conducted home visits prior to resident discharge to assess living environment and facilitate access to necessary resources.
Implemented evidence-based therapeutic interventions for clients struggling with mental health challenges or behavioral concerns.
Supervised new hires or junior staff members, providing direction on best practices in social work and contributing to their professional growth.
Assisted residents with navigating and accessing social services such as housing and medical care prior to discharge from facility.
De-escalated stressful situations through individual and family crisis interventions.
Facilitated group therapy sessions to build supportive, communicative client networks.
Collaborated with multidisciplinary teams to ensure appropriate care coordination and resource allocation for clients.
Receptionist
Valley View Care Center
11.2017 - 02.2018
Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors.
Adhered to strict HIPAA guidelines to protect resident privacy.
Managed office bookkeeping with insurance billing and patient payments.
Completed clerical duties and tasks for clinic administration.
Helped residents/families complete necessary medical forms and documentation.
Supported office staff and operational requirements with administrative tasks.
Fielded concerns surrounding resident and care, liaising between physician, resident and staff.
Verified and updated demographic and other personal information for residents with respect to personal boundaries when asking for important details.
Provided emotional support to residents and their families, establishing trust and maintaining open lines of communication.
Enhanced comfort by providing compassionate care and addressing individual needs.
Maintained a safe and clean environment by adhering to infection control protocols and performing routine cleaning tasks.
Contributed to a positive working environment through effective teamwork and collaboration with colleagues across various departments.
Participated in ongoing training programs to stay current on industry best practices, enhancing care delivery for nursing home residents.
Provided end-of-life care, offering comfort and support for resident and their families during difficult times.
Facilitated recreational activities for residents, fostering socialization and mental stimulation.
Demonstrated strong time management skills while attending multiple patient needs simultaneously during busy shifts.
Assisted residents with daily living activities, promoting their independence and wellbeing.
Maintained confidentiality at all times, ensuring compliance with HIPAA regulations and upholding ethical standards.
Improved resident quality of life by creating personalized care plans tailored to their specific needs.
Responded to requests for supplies and personal comfort items such as extra blankets.
Upheld infection control and prevention policies across different resident-facing areas.
Prevented cross-contamination by cleaning and sterilizing equipment.
Supported needs of 76 residents under long-term care.
Collaborated with interdisciplinary teams to optimize resident care outcomes and promote a holistic approach to healthcare.
Enhanced staff morale and retention through regular team meetings, professional development opportunities, and open communication channels.
Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Education
Master of Arts - Cosmetology
Tri County Community College
Murphy, NC
01-2018
Skills
Customer service
HIPAA compliance
Insurance verification
Insurance verifying
Appointment scheduling
Patient confidentiality
Payment collection
Medical insurance
Conflict resolution
Verbal and written communication
Phone etiquette
Electronic health records
Patient follow-up
Appointment reminders
Financial needs determination
Appointment confirmation
Telehealth support
Problem-solving
Timeline
Patient Service Representative
Erlanger Western Carolina Hospital
11.2021 - 03.2024
Director of Social Services
Valley View Care Center
02.2018 - 11.2021
Receptionist
Valley View Care Center
11.2017 - 02.2018
Master of Arts - Cosmetology
Tri County Community College
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