Cordial Patient Access Specialist with demonstrated customer service skills in all interactions, with both external and internal customers. Social and communicative with high regard for sensitive and confidential information. Clear understanding of HIPAA rules and insurance protocols.
Overview
20
20
years of professional experience
Work History
Patient Access Specialist
NOA, OUHC/University Hospital & Clinics
Lafayette, LA
12.2015 - Current
Verify insurance and start pre-cert on patients who are having procedures and admits
I was assigned to the patient lists of GI Lab, Cath Lab, Sleep Lab, and Inpatient/Observation patients through the ER
I first verify the insurance and then call in for prior authorizations if needed
I deal with all commercial, Medicare, Medicare Advantage plans, Medicaid and their offspring insurance (called the Bayou Health plans), Self-pay and Indigent care (which is funded by the government)
As of February 2017, I have personally train all 9 of UHC Clinics on how to do prior authorizations and I am still a backup for if they have questions or need help
This all happen after being part of the Lean Sigma Six Event to get the process worked out for the clinics.
Unit Secretary
LGH/Lafayette General Medical Center
Lafayette, LA
04.2015 - 12.2015
Admit and discharge patients on the orthopedic floor, print labels, and order supplies for patients and floor stock
Set up rooms, order office supplies
Call in consults, page doctors, schedule appts., and get blood from lab and any other clerical duties.
Billing Specialist I
Total Safety Inc, S
03.2014 - 02.2015
Perform data entry of invoices for multiple companies we dealt with, such as; sales orders, manual invoicing of contracts and cycle bills for rentals, work orders and equipment sales
Issued credits that would come across my desk
Handled the Stallion Offshore account that has over 200 contracts for billing
Always with professionalism and accuracy.
Main Office Receptionist & Clinic's Office Secretary
Masoud Yazdi
, M.D
01.2010 - 09.2012
Answered multi-phone lines, filed medical records, refilled prescriptions with doctor's approval, filled out disability forms, pre-authorization for medications
Check-in and check-out patients
Collections and Office visit payments
Verify insurances and scheduled appointments at other specialists, MRI's, EKG's, Ultrasounds and etc.
Direct Service Worker
P&L Medical Services
01.2006 - 01.2012
Job Duties consist of assisting patient with daily livings, such as; bathing, dressing, ambulating, preparing food, cleaning living space, grocery shopping, laundry and accompanying to medical appointments
Attended mandatory meetings to be updated on new rules and regulations to follow based on the state approval
CPR and First Aid certified
Maintain a daily log of all needs and cares of patient for state to review at any time
Paperwork turn in every Monday correctly and accurately.
Medical Secretary/Receptionist
Bryan A, APMC
01.2006 - 01.2009
Check In patients at front desk
Check Out patients at back desk
Collect Co-pays or deductibles at time of visit
Answer a four-line phone system
Make notes in patient's charts, file, and prepare medical records
Refill prescriptions
Pre-certs for patients who needed to get certain testing done
Schedule appointments with specialists and hospitals
Crossed train to do in-house testing, such as; DEXA Scans, ABI Doppler's, and EKG's
If needed was able to triage patients for doctor before they entered into their private room.
Education
Bachelor of Science - Psychology
Liberty University
2014
Diploma - undefined
Carencro High School
1995
Skills
ADDITIONAL INFORMATION
Computer Skills/Medical Systems
Windows XP, Mac, Access, PowerPoint, Word, Excel, QuickBooks, AS400, Comdata, EDI systems for the oilfield, Mysis, IMED, Powerchart, Kronos, Responder, CPM, PM Office, Surgerinet, 3M Coder, eCare Next/Passport
Learns new software applications quickly
Types 45 WPM and 10 key calculator skills
Insurance Information Collection
Patient Confidentiality and Data Security
Patient Health Information Access
Resolving Problems
Verifying Eligibility
Knowledge of Community Services and Programs
Pre-Admission Requests
Timeline
Patient Access Specialist
NOA, OUHC/University Hospital & Clinics
12.2015 - Current
Unit Secretary
LGH/Lafayette General Medical Center
04.2015 - 12.2015
Billing Specialist I
Total Safety Inc, S
03.2014 - 02.2015
Main Office Receptionist & Clinic's Office Secretary
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