Dynamic professional with a proven track record at PQC in enhancing referral management processes and patient access services. Expert in medical software navigation and healthcare systems, coupled with exceptional customer service skills. Achieved significant improvements in patient data accuracy and efficiency. Skilled in office management and adept at leading teams to exceed healthcare service standards.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Referral Management Clerk
PQC
07.2023 - Current
Process referrals, upload records, process claims
Entered referral data into a computer database system.
Served as a resource person for colleagues seeking assistance with complex cases involving multiple referrals.
Tracked referral request progress and resolved issues to maintain smooth processing.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Communicated effectively with internal staff members regarding referral status updates.
Reviewed and analyzed patient referrals for accuracy and completeness.
Entered confidential patient information and updated electronic records in database.
Assisted patients by answering questions and providing information regarding referrals.
Assisted patients in understanding the referral process, including eligibility requirements and procedure codes.
Greeted patients, determined purpose of visit and directed to appropriate staff.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Lead Electrophysiology Patient Access Specialist II - Floor Lead
Monument Health Heart and Vascular Institute
Rapid City, SD
11.2020 - 07.2023
Company Overview: (PLEASE DO NOT CONTACT)
Coordinate and schedule all appointment for Electrophysiology Department
Supervise and monitor caregivers
Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
Applied HIPAA privacy and security regulations while handling patient information.
Contributed to team meetings, sharing insights and strategies for improving patient access services.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
Verified demographics and insurance information to register patients in computer system.
Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
Maintained accurate records of patient registration information in electronic health record system.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Participated in training sessions to stay updated on healthcare policies and registration software.
Handled high volume of incoming calls, providing exceptional customer service to patients and families.
Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
Assisted with scheduling appointments, pre-registration activities, verifying demographics and insurance information.
Obtained necessary signatures for privacy laws and consent for treatment.
Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
Verified patient insurance coverage, collected copays and other payments, processed credit card transactions.
Greeted patients and visitors in person or on the telephone; answered inquiries, provided directions and instructions.
Collaborated with clinical staff to ensure timely processing of orders for tests, treatments and procedures.
Personal Assistant to Broker
Exit Success Reality
Spring Hill, FL
02.2017 - 01.2017
Filing, answering phones and directing calls to the appropriate agent
Prepared and edited correspondence, reports, and presentations to support business operations.
Checked personal and professional activities to remind employer of priority tasks and deadlines.
Processed invoices related to business expenses incurred by the executive team.
Scheduled and confirmed appointments, preventing scheduling conflicts and optimizing time management.
Screened telephone calls and inquiries and directed as appropriate.
Maintained confidential files related to personnel records or other sensitive information.
Managed special projects, contributing to team efforts and meeting project deadlines.
Submitted reports to and reviewed reports with supervisor.
Arranged conference calls with remote employees or clients located outside of local area.
Scanned documents into electronic format for storage in a secure database system.
Implemented and maintained organizational systems to increase office efficiency.
Answered incoming calls and emails promptly while managing the executive's schedule accordingly.
Front Desk Guest Relations Manager Trainee
Hampton Inn
Spearfish, SD
06.2015 - 08.2015
Guest reservations, filing, reconciling, check in/out, set up, serve, and breakdown breakfast bar
Resolved escalated customer complaints professionally and efficiently.
Answered guest inquiries regarding hotel offerings and services.
Maintained client accounts by obtaining, recording and updating personal and financial information.
Assisted guests with inquiries regarding hotel amenities, local attractions, transportation options.
Inspected rooms, building exterior and parking lot to identify and report needed repairs.
Made and changed room assignments according to guest requirements.
Delegated work to staff, setting priorities and goals.
Greeted arriving guests to provide assistance and facilitate check-ins.
Responded to guests, including email, telephone, and in-person inquiries.
Customer Service/Photo Lab
Walgreen's
Spearfish, SD
02.2015 - 04.2015
Photo Lab, cashier, stocking
Provided training and guidance on proper use of photo printing equipment.
Operated digital photo printing equipment to produce quality prints.
Provided customers with technical support for photo printing and editing software.
Assisted customers with photo printing, scanning and editing services.
Answered phone calls to assist customers with questions and orders.
Counted and balanced cashier drawers.
Collected payments and provided accurate change.
Accounting
Bruneau-Grand View School District
Bruneau, ID
08.2009 - 06.2014
Accounts receivable/payable, Responsible for ordering, distributing, production records, meal planning, meal, Preparation, quality control
Payroll/Book Keeping
Analyzed current accounting processes and recommended improvements.
Maintained accurate records of all transactions in accounting software programs such as QuickBooks or Peachtree Accounting.
Provided guidance on proper nutrition including meal planning and food preparation techniques.
Performed quality assurance checks throughout service hours to monitor food temperature, taste, presentation and more.
Created detailed instructions for kitchen staff regarding portion sizes, garnishes, plating arrangements.
Calculated recipe costs to ensure budget compliance.
Ensured that all food safety protocols were followed at all times.
Created weekly meal plans for a variety of dietary needs and restrictions.
Developed, implemented and maintained inventory control systems to ensure accurate record keeping.
Trained and developed staff on proper receiving, processing and stocking procedures.
Payroll
Denton's Ag Trans
Bruneau, ID
07.2004 - 08.2009
Payroll, accounts payable, accounts receivable
Heavy haul truck dispatch
Processed payroll using specialized software applications.
Managed accounts payable, accounts receivable and payroll.
Prepared end-of-period payroll tax returns.
Monitored accounts receivable aging reports to ensure timely payments.
Provided detailed reports and analyses to management regarding receivables status.
Received and recorded cash, checks and transfers.
Reconciled ledger to validate payments accounted for and accurately posted.
Scheduled loads according to priority and available equipment.
Assistant Manager
Shell Food Mart
Hebron, Nebraska
06.2000 - 07.2004
Reconcile Daily accounts, inventory, ordering, running front counter
Opening/Closing
Recruited and trained new employees to meet job requirements.
Maintained accurate records of sales transactions using point-of-sale systems.
Interviewed prospective employees and provided input to HR on hiring decisions.
Handled departmental scheduling to maintain proper staffing for shifts.
Developed, implemented and maintained inventory control systems to ensure accurate record keeping.
Negotiated with suppliers to secure favorable terms and improve supply chain efficiency.
Performed opening and closing procedures including counting cash drawers and preparing deposits.
Monitored customer account details for non-payments, delayed payments, and other irregularities.
Education
High school diploma -
Hebron High School
Hebron, NE
05.1991
Skills
Strong organizational skills
Exceptional customer service
Excellent multi-tasker
Time management
Energetic work attitude
Leadership
Accounts Receivable
Data entry proficiency
Medical terminology
Medical Procedures Understanding
Healthcare systems
Medical software navigation
Office management
Epic systems
Patient health information Access
Certification
CHAA
CPR Certification
References
References available upon request.
Timeline
Referral Management Clerk
PQC
07.2023 - Current
Lead Electrophysiology Patient Access Specialist II - Floor Lead
Monument Health Heart and Vascular Institute
11.2020 - 07.2023
Personal Assistant to Broker
Exit Success Reality
02.2017 - 01.2017
Front Desk Guest Relations Manager Trainee
Hampton Inn
06.2015 - 08.2015
Customer Service/Photo Lab
Walgreen's
02.2015 - 04.2015
Accounting
Bruneau-Grand View School District
08.2009 - 06.2014
Payroll
Denton's Ag Trans
07.2004 - 08.2009
Assistant Manager
Shell Food Mart
06.2000 - 07.2004
High school diploma -
Hebron High School
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