Bethany Toothaker
297 Bissbeetown Road
Summary
Dynamic Patient Access Representative at Maine Health Access, specializing in insurance verification and demonstrating strong commitment to cultural sensitivity.
Overview
2
2
years of professional experience
Work History
Patient Access Representative
Maine Health Access
Norway
11.2024 - Current
- Supported emergency department registration during peak times, ensuring rapid patient processing.
- Obtained informed consent and payment documentation from patients and filed in system.
- Assembled registration paperwork and placed identification bands on patient.
- Scanned documents into electronic medical records system.
- Collected co-pays and other payments from patients at time of service.
- Documented patient counters in hospital system and initiated follow-up actions.
- Resolved discrepancies between hospital systems and third party payers.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Collaborated with clinical and administrative staff to meet patient needs.
Eligibility Specialist
OFI DHHS Sout Paris Office
South Paris
03.2023 - 11.2024
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Managed intake of new claims and performed routine follow-ups.
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Collaborated with other departments within the organization to ensure accurate processing of applications.
- Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
- Analyzed financial information provided by applicants to verify income levels.
- Conducted detailed interviews with applicants to determine their eligibility for assistance programs.
- Monitored client accounts for any changes that could impact eligibility requirements.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Assisted clients with completing forms required for processing applications.
- Prepared detailed reports outlining the reasons why an individual was denied benefits.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
- Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
- Researched case histories, court decisions, legal articles, statutes, codes, and other data pertinent to determination of eligibility.
Education
High School Diploma -
Mt Arart High School
Tosham 06-1991
Skills
- Patient registration
- Insurance verification
- Electronic medical records
- Payment processing
- Consent documentation
- Data entry
- Customer service
- Cultural sensitivity
- Regulatory compliance
- Attention to detail
- Problem solving
- Time management
- Effective communication
- Interdepartmental collaboration
- Conflict resolution
- Family assistance
- Team collaboration
- Patient education
- Self motivation
- Computer literacy
- Privacy laws
Timeline
Patient Access Representative
Maine Health Access
11.2024 - Current
Eligibility Specialist
OFI DHHS Sout Paris Office
03.2023 - 11.2024
High School Diploma -
Mt Arart High School
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