Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Antoinette Jenkins - Age

Missouri City,TX

Summary

Authorized to work in the US for any employer Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility and achieved 100% repayment rate. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Organized Patient Service Representative with 20+ years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situation.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Lead Patient Access Representative/Coordinator

Methodist Sugar Land Hospital
01.2022 - Current
  • Enhanced patient satisfaction by streamlining registration processes and ensuring timely appointments.
  • Reduced wait times for patients through efficient scheduling and coordination with clinical staff.
  • Improved revenue cycle management by verifying insurance eligibility and obtaining necessary authorizations.
  • Collaborated with interdisciplinary teams to optimize patient care, communication, and resource utilization.
  • Mentored junior Patient Access Representatives, providing guidance and support for their professional development.
  • Resolved complex billing issues, working closely with insurance companies to ensure prompt payment for services rendered.
  • Developed comprehensive training materials for new hires, leading to faster onboarding and increased employee confidence in their roles.

Patient Access Representative/ Insurance Verifier

Memorial Hermann Health System
10.2016 - 01.2022
  • Responsible for administrative work to the office and physician support tasks.
  • Also responsible to obtain accurate demographics to ensure the accuracy of patient accounts.
  • Billing and medical coding, and conducting claim examinations to all accounts.
  • Update all UB92 and HIFCA 1500 for adjudication., Managed customer accounts in regards to refunds and refunds processing for over payments.
  • HIPPA Compliance Department to maintain federal privacy regulations.
  • Maintain communications with patients, providers and billing departments.
  • Customer Services Representative answered 75-125 calls daily with FCR (first call resolution) to reduce call back rate.
  • Submitted accounts for Simple Adjustment - Coordinated Benefits on all accounts that denied for COB - Collections of Copayments, co-insurance and High Dollar Deductible Amount prior to service performed.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
  • Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.

Senior Customer Service Specialist

United Healthcare
06.2015 - 10.2016
  • Handle advance account management for members in regards to billing, eligibility, and account issues.
  • Research and resolve complex member issues; i.e., billing and eligibility discrepancies and internal issues.
  • Serve as a source of truth and advocate for member's navigation the United Healthcare network.
  • Maintain and meet expected quality and performance goals set by team leadership.

Patient Account Representative

Kelsey Seybold
01.2014 - 06.2015
  • Managed customer accounts in regards to billing issues and resolution.
  • Maintained communications with patients, providers and billing departments.
  • Routed all calls to appropriate departments for escalated issue resolution.
  • Collected all deductibles, copayments and other outstanding balance due on accounts.
  • Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
  • Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
  • Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.

Benefit Specialist

St. Luke's Episcopal Hospital
01.2013 - 01.2014
  • Prior Authorization processor - Claims Processor - Route claims for complex and simple adjustments - Review all balance billed statements - Review all EOB'S with patient and explain all remarks codes, Generated and submitted authorization and referrals for medical procedures, inpatient hospital stays, out-patient services, durable medical equipment, Home Health and other ambulatory services.
  • Created and sent out written correspondences with status of authorization.
  • Maintained and reviewed all referrals and authorizations to minimize billing issues.

Insurance Specialist

Methodist Sugar Land Hospital
01.2006 - 01.2013
  • Scheduled patients for in-patient, and out-patient procedures, ancillary test and surgeries and other services.
  • Communicated with patients via phone, email with all correspondence received.
  • Obtained authorizations on all accounts required for any diagnostic procedures and tests.
  • Communicated with other medical staff members and health insurance providers as the situation required.
  • Updated internal database which electronically stored and organized patients' medical records, billing details and registration forms.

Education

Associate's degree - Medical Assistant

Phillips Junior College
Metairie, LA

Business Administration

Southern University And A & M College
Baton Rouge, LA

Skills

  • Scheduling
  • Patient Intake
  • HIPAA Compliance
  • Patient Information Collection and Insurance Verification
  • Registration and Admissions
  • Training and Mentoring
  • Effective Problem Solving
  • Excellent Communication
  • Strong Leadership
  • Empathy and Compassion
  • Decision-Making Abilities
  • Team Collaboration
  • Patient Advocacy
  • Resourcefulness

Accomplishments

  • Collaborated with team of members to score high on Press Ganey yearly.
  • Served as an ambassador
  • Resolved product issue through consumer testing.

Certification

  • Certified Medical Administrative Assistant, Williams & Williams Medical Center -1995-2000

Timeline

Lead Patient Access Representative/Coordinator

Methodist Sugar Land Hospital
01.2022 - Current

Patient Access Representative/ Insurance Verifier

Memorial Hermann Health System
10.2016 - 01.2022

Senior Customer Service Specialist

United Healthcare
06.2015 - 10.2016

Patient Account Representative

Kelsey Seybold
01.2014 - 06.2015

Benefit Specialist

St. Luke's Episcopal Hospital
01.2013 - 01.2014

Insurance Specialist

Methodist Sugar Land Hospital
01.2006 - 01.2013

Associate's degree - Medical Assistant

Phillips Junior College

Business Administration

Southern University And A & M College

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Antoinette Jenkins - Age