Summary
Overview
Work History
Education
Skills
Timeline
Generic

Austin Hyman

Monroe,NC

Summary

Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic within the Emergency Department and Outpatient Services. Managed patient-related accounts receivables at large medical facility, knowledge in medical terminology and scheduling.

Overview

5
5
years of professional experience

Work History

Patient Access Representative - Outpatient Imaging

Novant Health NHRMC
11.2022 - 04.2024


•Registration of patients in the imaging department
• Analyze insurance coverage and benefits for service to ensure timely reimbursement, obtaining all PAC and/or authorizations as appropriate.
• Facilitate payment sources for uninsured patients.
•Admit/register/pre-register patients, correcting as necessary all patient demographic and financial data.
•Determine if patient’s condition is the result of an accident, performing complete research with law enforcement, employers, etc. to determine the appropriate source of liability/payment.
•Resolve insurance claim rejections/denials and remedy expediently.
•Maintain general knowledge of CMS guidelines and third party payers, specifically, Medicare, Medicaid, Commercial insurances, HMO’s, PPO’s, POS, indemnity plans, and Worker’s Compensation, etc.
•Evaluate diagnoses to ensure compliance with the Local Coverage Determination (LCD).
•Promote and maintain excellence in customer service.

Patient Access Representative- ED Registration

WakeMed Raleigh Campus
04.2021 - 12.2022
  • Registration of patients in the Emergency Department.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.

Insurance Customer Service Representative

Fountain Roberson Anderson Insurance Agency
12.2018 - 04.2021
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Handled escalated calls, successfully deescalating situations while finding solutions to meet client expectations.
  • Managed high call volume, consistently maintaining a professional demeanor and prioritizing customers'' needs.
  • Enhanced customer satisfaction by efficiently addressing and resolving their concerns and inquiries.
  • Educated customers about available services, promotions, or discounts; up-selling products when appropriate.

Education

High School Diploma -

Tarboro High School
Tarboro, NC
06.2015

Skills

  • EPIC Software
  • Customer Service
  • Insurance Verification
  • HIPAA Compliance
  • Eligibility Determination
  • Appointment Scheduling
  • Registration and Admissions
  • Medical Terminology

Timeline

Patient Access Representative - Outpatient Imaging

Novant Health NHRMC
11.2022 - 04.2024

Patient Access Representative- ED Registration

WakeMed Raleigh Campus
04.2021 - 12.2022

Insurance Customer Service Representative

Fountain Roberson Anderson Insurance Agency
12.2018 - 04.2021

High School Diploma -

Tarboro High School
Austin Hyman