Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brian Claudy

Holualoa,HI

Summary

Patient-focused professional equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Flexible hard worker ready to learn and contribute to team success.

Overview

17
17
years of professional experience

Work History

Patient Access Representative

Samaritan Health Services
Newport, OR
10.2007 - 04.2024
  • Greeted patients and visitors in a courteous and professional manner.
  • Processed patient admissions, registrations, transfers, and discharges according to established procedures.
  • Verified insurance coverage for services provided by the facility.
  • Collected co-pays and other payments from patients at time of service.
  • Assisted with scheduling outpatient appointments.
  • Responded to patient inquiries regarding billing or financial matters.
  • Ensured accuracy of all data entered into computer system.
  • Scanned documents into electronic medical records system.
  • Created new patient accounts in EMR system as needed.
  • Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
  • Maintained confidentiality of all patient information in accordance with HIPAA regulations.
  • Provided assistance to internal departments when needed.
  • Answered phones promptly in a professional manner.
  • Facilitated communication between patients, staff members, and third party payers.
  • Followed up on unpaid claims in a timely manner.
  • Reviewed account receivables for accuracy prior to sending out statements.
  • Managed incoming faxes related to patient registration processes.
  • Actively participated in team meetings and training sessions.
  • Collaborated with other departments to ensure quality customer service was delivered.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Assembled registration paperwork and placed identification bands on patient.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.
  • Implemented patient satisfaction surveys to identify areas for improvement.
  • Collaborated with insurance companies to resolve billing discrepancies and pre-certification issues.
  • Processed insurance verifications and authorizations to ensure coverage of services.
  • Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
  • Guided patients through the completion of consent and other required medical forms.
  • Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
  • Provided directions and information to patients and families, enhancing their hospital experience.
  • Assisted in the implementation of new technologies and processes to improve patient access services.
  • Supported emergency department registration during peak times, ensuring rapid patient processing.
  • Utilized hospital systems to update patient records, ensuring accuracy and completeness.
  • Handled high volume of incoming calls, providing exceptional customer service to patients and families.
  • Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
  • Facilitated patient registration, verifying all required documentation is collected and filed properly.
  • Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
  • Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
  • Contributed to team meetings, sharing insights and strategies for improving patient access services.
  • Conducted financial counseling for patients, explaining payment options and assistance programs.
  • Participated in training sessions to stay updated on healthcare policies and registration software.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Explained policies, procedures and services to patients.
  • Collaborated with clinical and administrative staff to meet patient needs.
  • Obtained informed consent and payment documentation from patients and filed in system.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Organized timely and accurate referrals to help patients obtain health care services and access available resources.
  • Instructed patients on policies and required actions for different types of appointments and procedures.
  • Screened patients for eligibility for state, local and federal assistance programs.
  • Compiled information from patients and caregivers or family members to identify care concerns.
  • Initiated application processes to add patients to assistance programs at bedside and followed through until completion.
  • Stayed current on community-based resources and services useful to patients.
  • Taught volunteers how to relate to guests, uphold patients' rights and respond to specific issues.
  • Reported liabilities and risk management concerns to supervisor for review.

Patient Access Representative

Samaritan Health Services
Newport, OR
10.2007 - 04.2024
  • EPIC based software trained. 10 years.

Education

High School Diploma -

Santa Barbara City College
Santa Barbara, CA
09-1977

Skills

  • EPIC trained
  • Patient Access Lead 10 years
  • Registration management
  • Patient identity verification
  • Patient check-in
  • Complaint processing
  • Admitting coordination
  • Formularies

Timeline

Patient Access Representative

Samaritan Health Services
10.2007 - 04.2024

Patient Access Representative

Samaritan Health Services
10.2007 - 04.2024

High School Diploma -

Santa Barbara City College
Brian Claudy