Summary
Overview
Work History
Education
Skills
Timeline
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Amber Garman

Toronto,United States

Summary

Dynamic healthcare leader with extensive experience at East Ohio Regional Hospital, specializing in patient access and medical records. Highly knowledgeable with insurance verification, prior authorizations, CMS guidelines and Medicaid presumptive eligibility. Proven track record in enhancing revenue cycle management and driving process improvements. Skilled in employee development and effective communication, ensuring high-quality patient care and operational efficiency. Committed to maintaining compliance and confidentiality in all operations.

Overview

22
22
years of professional experience

Work History

Director of Patient Access and Medical Records

East Ohio Regional Hospital
11.2020 - Current
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Implemented performance metrics to track department productivity, identifying areas for improvement and driving overall efficiency gains.
  • Improved revenue cycle management by overseeing accurate insurance verification processes, reducing billing errors, and ensuring prompt payment collection from patients.
  • Served as a liaison between patients, physicians, and administrative staff to address concerns or questions related to registration or billing issues effectively.
  • Maintained strict confidentiality of sensitive patient information, adhering to HIPAA regulations and institutional policies.
  • Developed and implemented departmental protocols for efficient records management, ensuring accuracy and organized storage of medical data.

Referral and Authorization Coordinator

WMC, Physician Practices, Inc.
07.2018 - 11.2020
  • Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
  • Submitted for prior authorization with required documentation to appropriate funding source.
  • Maintained consistent follow-up on status of prior authorization requests.
  • Acted as a resource for clinical staff, providing guidance on insurance requirements and authorization protocols.
  • Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.

Admissions Manager

Life Line Hospital
12.2009 - 07.2018
  • Maintained a high level of customer service with patients, families, and visitors by consistently displaying empathy, professionalism, and excellence in communication skills.
  • Increased satisfaction rates by promptly addressing concerns raised by patients or their families during the admissions process.
  • Ensured compliance with hospital regulations and accreditation standards through thorough knowledge of admission requirements and guidelines.
  • Managed high call volumes to schedule appointments, verify insurance coverage, and address patient inquiries professionally.
  • Confirmed all insurance benefits met standards of admissions as dictated by policy.
  • Compiled and analyzed data to track admissions trends and make recommendations for improvements.

Registration Clerk

Weirton Medical Center
05.2003 - 12.2009
  • Completed registration paperwork, verifying accurate patient information.
  • Provided training to new registration clerks on policies, procedures, and best practices for maintaining an efficient workflow within the department.
  • Managed high call volumes while accurately scheduling appointments and directing calls to appropriate departments as needed.
  • Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
  • Assisted other clerks with front desk duties, answering questions and accurately using reservation system.
  • Expedited emergency department admissions by quickly gathering necessary information while maintaining a calm demeanor under pressure.
  • Reduced errors in insurance verification, ensuring accurate billing and timely payments from insurance companies.
  • Enhanced patient satisfaction by providing prompt and courteous service during the registration process.

Education

Health Information Management

Jefferson Community College
Steubenville, OH

Skills

  • Verbal and written communication
  • Decision-making
  • Project coordination
  • Employee development
  • Staff management
  • Hiring and retention
  • Multitasking and organization
  • Customer service
  • Process improvements
  • Rules and regulations
  • Fundraising events
  • Performance improvement
  • HIPAA Compliance

Timeline

Director of Patient Access and Medical Records

East Ohio Regional Hospital
11.2020 - Current

Referral and Authorization Coordinator

WMC, Physician Practices, Inc.
07.2018 - 11.2020

Admissions Manager

Life Line Hospital
12.2009 - 07.2018

Registration Clerk

Weirton Medical Center
05.2003 - 12.2009

Health Information Management

Jefferson Community College

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