Detail-oriented and accomplished medical staffing associate and Healthcare administrator with 20 + years of progressive workplace experience in clerical administrative support. Proven record of effectively communicating with providers, Insurance Representatives and patients while adhering to HIPAA and patient confidentiality requirements. Dedicated, hardworking and reliable professional who focuses on accuracy and always delivers work service.
Responsible for performing patient check in/check out functions and upcoming appointment scheduling with the communication of professionalism, concern and care
Obtain and input accurate scheduling, handles add-ons, reschedules and cancellations as needed
Accurately documents information when performing functions as insurance verification or obtaining authorizations or referrals to ensure financial objections are met
Conducts front end revenue cycle duties as directed and informed patients of their potential financial financial responsibilities
Receiving incoming calls and directing to appropriate departments and interaction with all levels of staff management, physicians, clinical team to ensure the operation of the patient's best care
Reviewed and corrected claim errors to facilitate smooth processing.
Explained plans for treatment and payment options.
Patient Service Representative
VILLAGE MEDICAL CLINIC, Dean’s Staffing Agency
Houston, Texas
08.2021 - 12.2021
Obtaining and entering accurate demographic and insurance upon arrival to the facility cashiering functions, required copay, deductibles and coinsurance
Follow up on patient portals inquiries and review referrals for completeness for any missing information if needed
Utilize time in between job duties to help other team members when needed
Reviewed and corrected claim errors to facilitate smooth processing.
Assisted patients in filling out check-in and payment paperwork.
Explained plans for treatment and payment options.
Epic Data Analyst
HARRIS COUNTY PUBLIC HEALTH, Genuent Staffing Agency
Houston, Texas
10.2019 - 10.2020
Analyze current data structure and data points in the Epic system to cleanse data, as well develop new data points for Hospital/Billing and Professional billing modules
Ensuring accurate Epic scheduling and registration cadence to implement Epic Revenue Cycle
Very analytical with professional skills for screening patients for documents for key information for clinical staff and Medical Directors
Support regulatory timelines of policies and procedures as it relates to claims payments.
Patient Access Representative
HOUSTON METHODIST HOSPITAL, WILLOWBROOK
Houston, TX
10.2015 - 04.2019
Responsible for scheduling, and registering patients for over 60+ physicians with Methodist Primary Care
Group
Utilize a computerized system and multiple software applications to complete the registration process to include software management that supports eligibility and verification
Managed 75+ incoming calls per day with physician different processes, protocols and schedule changes
Utilizes courteous and professional telephone techniques to establish and maintain rapport with patients while maintaining patient confidentiality
Verified patient demographics, eligibility as guided by scheduling protocol for each physician as needed to coordinate care
Recognize and responds appropriately to urgent/emergent situations per protocols to Triage
Senior Patient Service Representative
TEXAS CHILDREN'S HOSPITAL
Houston, TX
07.2002 - 06.2015
Provided overall scheduling, registration, follow-up appointments and canceling patients of daily operations for Texas Children’s Pediatrics in a fast-paced call center via Epic Registered computerized scheduling system
Accurately and efficiently input demographic and insurance information
Communicated with physician clinical team or front office daily for changes
Train new employees in the After Hour Clinic when hired for the call center
Initiated and manage referrals for reauthorization when Referral Management was unavailable
Assisted patients in filling out check-in and payment paperwork.
Reviewed and corrected claim errors to facilitate smooth processing.
Education
General Studies
Alvin College
Skills
Complaint Investigation
Calm and Effective Under Pressure
Building Rapport and Credibility
Evaluating Quality of Care
Patient greeting
Clerical Support
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Judge a man by his questions rather than his answers.