Breandra Parish
Houston,TX
Summary
Driven by a commitment to excellence, I leveraged my HIPAA compliance expertise and exceptional customer service skills at Advocate Aurora Health Care to enhance patient satisfaction and streamline insurance processes. My proactive approach in coordinating care and managing claims at WPS significantly boosted efficiency, showcasing my ability to deliver results in fast-paced healthcare environments.
Overview
10
10
years of professional experience
Work History
Patient Service Representative
Advocate Aurora Health Care
Milwaukee, WI
01.2021 - 02.2022
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Used Software to schedule appointments.
- Managed patient registration process, confirming data accuracy and completeness.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Handled customer service inquiries in person, via telephone and through email.
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Actively participated in team meetings focused on improving workflows and enhancing overall practice performance.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Developed and implemented customer service policies and procedures.
Insurance Claims Specialist
Wisconsin Physician Service Health Insurance, WPS
Madison, WI
06.2020 - 02.2021
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Evaluated and settled complex insurance claims in strict timeframes.
- Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
- Followed up with customers on unresolved issues.
- Expedited claim resolutions through effective negotiation with clients, adjusters, and other stakeholders involved in the process.
- Boosted company reputation by delivering exceptional customer service during claim investigations and settlements.
- Developed a strong knowledge of various insurance products to provide comprehensive guidance during the claims process for diverse clientele.
- Generated, posted and attached information to claim files.
- Checked documentation for accuracy and validity on updated systems.
- Calculated adjustments, premiums and refunds.
- Verified client information by analyzing existing evidence on file.
Patient Caregiver
Oak Crest Villa
Greenfield, WI
01.2012 - 08.2012
- Assisted clients with activities of daily living, promoting independence and quality of life.
- Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
- Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
- Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
- Built strong relationships with clients to deliver emotional support and companionship.
- Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Assisted patients with self-administered medications.
- Contributed to a positive atmosphere for patients by using effective communication and active listening skills.
- Provided safe mobility support to help patients move around personal and public spaces.
- Administered medications as prescribed, ensuring accurate dosage and timely administration for maximum efficacy.
Education
High School Diploma - High School Studies
Alexander Hamilton High School
Milwaukee, WI06.2008
Skills
- Customer Service
- HIPAA Compliance
- Insurance Verification
- Medical terminology knowledge
- Epic Trained
Timeline
Patient Service Representative
Advocate Aurora Health Care
01.2021 - 02.2022
Insurance Claims Specialist
Wisconsin Physician Service Health Insurance, WPS
06.2020 - 02.2021
Patient Caregiver
Oak Crest Villa
01.2012 - 08.2012
High School Diploma - High School Studies
Alexander Hamilton High School