Brandy Moser
Benbrook ,TX
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility and achieved 100% repayment rate. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. 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 2 years of relevant work experience to your team.
Overview
4
4
years of professional experience
Work History
Work Comp Verification
Texas Health Resources
04.2022 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked flexible hours across night, weekend, and holiday shifts.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Learned and adapted quickly to new technology and software applications.
- Proved successful working within tight deadlines and a fast-paced environment.
- Enhanced claim processing efficiency by conducting thorough investigations and maintaining accurate documentation.
- Identified fraudulent activities by analyzing patterns, trends, and discrepancies in medical claims data.
- Collaborated with healthcare providers to obtain necessary medical records, ensuring timely and accurate claim adjudication.
- Streamlined workflow for faster resolution of medical claims through effective prioritization and organization.
- Negotiated fair settlements with healthcare providers to minimize financial risk while ensuring adequate compensation for services rendered.
- Continuously sought opportunities for process improvement, contributing innovative ideas to enhance overall departmental efficiency and effectiveness.
- Reduced errors in claim submissions by meticulously reviewing patient information and verifying insurance eligibility.
- Kept up-to-date on current industry practices, attending workshops and training sessions to continuously improve professional skills.
- Maintained compliance with industry regulations and company policies while evaluating medical claims for accuracy and legitimacy.
- Managed large volume of medical claims on daily basis.
- Identified and resolved discrepancies between patient information and claims data.
- Monitored and updated claims status in claims processing system.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Researched and resolved complex medical claims issues to support timely processing.
- Verified patient insurance coverage and benefits for medical claims.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Responded to correspondence from insurance companies.
- Followed up on denied claims to verify timely patient payment and resolution.
- Examined claims forms and other records to determine insurance coverage.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
Patient Access Representative
Texas Health Resources Arlington Memorial Hospital
03.2020 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- 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.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Providing excellent customer service by promptly answering patient inquiries.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
- Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
- Demonstrated excellent problem-solving skills by identifying potential bottlenecks within the registration process and implementing effective solutions to address them.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
- Resolved patient billing issues in line with established guidelines.
- Enhanced departmental collaboration by regularly liaising with medical, nursing, and administrative staff on pertinent patient matters.
- Participated in ongoing professional development opportunities to stay current with industry trends and best practices in patient access services.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Increased efficiency in managing high call volumes by developing effective phone triage techniques for prioritizing urgent matters.
- Trained new staff on hospital processes and procedures.
- Educated patients on importance of preventive health care and insurance coverage.
- Reduced financial loss through diligent monitoring of outstanding balances and proactive collection efforts with patients and insurers.
- Coordinated patient's care by facilitating caregiver access to medical home providers and resources to meet patient needs.
- Greeted and assisted patients with check-in procedures.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Followed document protocols to safeguard confidentiality of patient records.
- Answered incoming calls, scheduled appointments and filed medical records.
- Engaged with patients to provide critical information.
- Responded to inquiries by directing calls to appropriate personnel.
Education
Certificate -
Texas School of Phlebotomy
Fort Worth, TX12.2020
GED -
Region Sixteen
Amarillo, TX06.2001
Skills
- Friendly, Positive Attitude
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Insurance Verification
- HIPAA Compliance
- Patient Registration
- Patient check-in
- Multitasking and Organization
- Appointment Scheduling
- Registration and Admissions
- Phone and Email Etiquette
- Medical Terminology
- Healthcare systems navigation
- Strong empathy
- EMR
- Team Collaboration
- Money Handling
- Quality Assurance
- Relationship Building
- Flexible Schedule
- Insurance Billing
- Eligibility Determination
- Payment Processing
- Patient Education
- Information Collection
- Registration management
- Call Screening
- Team Leadership
- Referral Coordination
- Pre-Admission Requests
- EMR Updating
- Scheduling Diagnostic Procedures
- Post-Discharge Care Coordination
- Medical Billing
- Training Coordination
- Financial Procedures Adherence
- Process Improvement
- Registration and Scheduling
- Attention to Detail
- Medical insurance
- Calm and Effective Under Pressure
- Insurance Authorizations
- Punctual and Hardworking
- Patient documentation
- Insurance verifying
- Administrative and Office Support
- Patient interviewing
- Gathering Information from Patients
- Insurance Forms Processing
- Patient Confidentiality and Data Security
- Clerical and Filing Support
- Payment Collection
Timeline
Work Comp Verification
Texas Health Resources
04.2022 - Current
Patient Access Representative
Texas Health Resources Arlington Memorial Hospital
03.2020 - Current
Certificate -
Texas School of Phlebotomy
GED -
Region Sixteen
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