Ayah Saleh
Harvey,LA
Summary
Capable patient representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring over 10 years of relevant work experience to your team. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Patient Access Representative
Kroger Specialty Pharmacy
01.2022 - Current
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Managed over 50 customer calls per day.
Revenue Cycle Specialist
Ochsner Medical Center
06.2015 - 08.2021
- Balanced and reconciled accounts.
- Managed over 50 customer calls per day.
- Identified and resolved payment issues between patients and providers.
- Reached out to insurance companies to verify coverage.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Posted payments to accounts and maintained records.
Pharmacy Clerk
Walgreens
02.2008 - 11.2015
- Enhanced customer satisfaction by providing efficient and accurate prescription processing.
- Streamlined pharmacy operations by maintaining a clean and organized work environment.
- Reduced wait times for customers with prompt prescription filling and effective communication between pharmacists and patients.
- Assisted in inventory management, ensuring adequate stock levels for high-demand medications.
- Contributed to increased sales by recommending appropriate over-the-counter products based on customer needs.
Education
No Degree - Medical Assisting
Eastern College of Health Vocations
New Orleans, LASkills
Insurance Verification
- Medical terminology
- EMR
- Eligibility Determination
- Fee Collection
- Information Collection
- ICD 10 Coding understanding
- Medical insurance
- System updates
- Payment collection
- Problem-Solving
- Pre-Admission Requests
- Patient Education
- Registration and Admissions
- Customer Service
- Quality Assurance
- HIPAA Compliance
Languages
Arabic
Native or Bilingual
Timeline
Patient Access Representative
Kroger Specialty Pharmacy
01.2022 - Current
Revenue Cycle Specialist
Ochsner Medical Center
06.2015 - 08.2021
Pharmacy Clerk
Walgreens
02.2008 - 11.2015
No Degree - Medical Assisting
Eastern College of Health Vocations