Amanda Moose
Galax,United States
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Access Manager
Twin County Regional Hospital
Galax, VA
03.2022 - Current
- Conducted onboarding staff training to ensure compliance with established protocols.
- Maintains positive relationships with facility management, physicians, and physician office staff.
- Offered constructive feedback and suggestions to enhance employee efficiency and productivity.
- Created reports on AHIQA to track wait times for radiology and error rate per registrar.
- Assisted in managing staffing schedules for six modalities to meet fluctuating demands.
- Identified opportunities to increase operational efficiencies through process changes or technological solutions.
- Verified patient insurance eligibility and benefits through audits of registration documents, ensuring accuracy.
- Managed customer service concerns about patient access and scheduling problems while articulating patient obligations, charges, services, and coverage details.
- Optimized patient experience by facilitating seamless communication across various departments among technicians, nurses, and registrars.
- Established a Central Scheduling department to boost census and deliver precise estimations, authorizations, and orders preemptively.
- Managed and updated the upfront collections log, ensuring accurate estimates provided by registrars.
- Informed staff of changes and requirements of various payers.
- Worked Denial Prevention tool to correct authorizations for procedures, to decrease insurance denials.
- Report to PSFD any registration errors that would affect billing and assist in correcting to ensure submitting a clean claim.
- Resolved unbilled queries on accounts.
Patient Access Team Lead
Twin County Regional Hospital
Galax, VA
07.2021 - 03.2022
- Managed patient registration activities, including verifying insurance eligibility, collecting co-pays and deductibles, and pre-registering scheduled appointments for radiology and surgical services.
- Coordinated, monitored, and evaluated the daily operations of the department.
- Addressed patient inquiries and concerns, resolving issues promptly and empathetically.
- Prepared daily reports on registration activities, highlighting areas for improvement.
- Managed patient check-in process, ensuring accurate data entry of demographics and insurance information.
- Conducted financial counseling for patients, explaining payment options and assistance programs.
- Coordinated with patient access manager to manage patient flow, reduce wait times, and improve patient satisfaction.
- Supported emergency department registration during peak times, ensuring rapid patient processing.
Medical Coder
Twin County Regional Hospital
Galax, VA
02.2021 - 07.2021
- Coded diagnoses and procedures from patient medical records using ICD-10 and CPT codes.
- Verified the accuracy of procedure codes to ensure proper reimbursement levels.
- Researched discrepancies between documentation and billing information to resolve any issues before submission.
- Validated accuracy of diagnosis codes and modifiers used on claims before final submission to payer and insurance companies.
- Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Read through patient health data, histories, physician diagnoses, and treatments to gain an understanding of coding purposes.
Patient Financial Counselor
Twin County Regional Hospital
Galax, VA
03.2018 - 02.2021
- Analyzed patient responsibility and determined payment options based on propensity to pay, or worked with providers to determine if the procedure was considered stat or urgent.
- Assisted patients in understanding the details of their bills, including deductibles and co-pays.
- Performed follow-up calls to collect outstanding balances from patients who could not make payments at the time of service.
- Researched discrepancies between charges and payments received from insurance companies or other sources.
- Documented all interactions with patients regarding billing issues in a timely manner.
- Processed credit card payments accurately and securely.
- Created monthly reports summarizing collections activity and billing trends for admissions and elective services.
- Provided assistance in resolving coding errors that resulted in inaccurate billings.
- Verified authorizations by correct CPTs to ensure payment from insurance companies and accurately documented in EMR.
- Counseled patients on financial obligations associated with their medical care.
- Provided screenings for Medicaid eligibility and alternative programs like Charity Care for uninsured patients. Or provided discount on services rendered.
Patient Access Representative
Twin County Regional Hospital
Galax, VA
02.2015 - 03.2018
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at the time of service.
- Scanned documents into Paragon, an electronic medical records system.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Assisted with preparing daily cash reports for the accounting department.
- Maintained confidentiality of all patient information, following HIPAA regulations.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Handled a high volume of incoming calls, providing exceptional customer service to patients and families.
- Contributed to team meetings, sharing insights and strategies for improving patient access services.
- Cultivated positive relationships with patients to help the facility meet satisfaction scores and obtain the best possible care.
Education
Associate of Arts - Business Administration
Wytheville Community College
Wytheville, VA05-2024
Associate of Science - Health Information Management
Wytheville Community College
Wytheville, VA05-2022
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UTSkills
- Healthcare knowledge
- Team Management
- Interdepartmental Functions Coordination
- Multidisciplinary team collaboration
- Process Improvement
- Excellent Communication
- Goal attainment
- Effective problem solving
Certification
- CPC - Certified Professional Coder
- CBCS - Certified Billing and Coding Specialist
Timeline
Patient Access Manager
Twin County Regional Hospital
03.2022 - Current
Patient Access Team Lead
Twin County Regional Hospital
07.2021 - 03.2022
Medical Coder
Twin County Regional Hospital
02.2021 - 07.2021
Patient Financial Counselor
Twin County Regional Hospital
03.2018 - 02.2021
Patient Access Representative
Twin County Regional Hospital
02.2015 - 03.2018
Associate of Arts - Business Administration
Wytheville Community College
Associate of Science - Health Information Management
Wytheville Community College
Bachelor of Science - Health Information Management
Western Governors University
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