Summary
Overview
Work History
Education
Skills
Timeline
Generic

Briana Mccallister

Lakewood,CO

Summary

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 20 years of relevant work experience to your team.

Overview

10
10
years of professional experience

Work History

Patient Access Representative

National Jewish Health
05.2022 - Current

Working for admissions in Immediate care. Triage patients, give nurse all triage information.

  • 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.
  • Check in procedures.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.

Claims Specialist

Red Rock Recovery Center
04.2021 - 03.2022

Calle

  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
  • Followed up with customers on unresolved issues.

Medical Administrative Assistant

Westminster Medical Clinic
07.2020 - 01.2021
  • Handled sensitive patient information with discretion, adhering to strict HIPAA guidelines and safeguarding privacy at all times.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Provided exceptional customer service to patients, addressing concerns promptly and professionally to ensure satisfaction.
  • Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
  • Supported healthcare providers with the timely completion of necessary documentation, allowing them to focus on quality patient care.

Medical Assistant

GI Of The Rockies
04.2017 - 04.2018
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Collected and documented patient medical information such as blood pressure and weight.

Patient Financial Counselor

Swedish Hospital
08.2014 - 11.2016
  • Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
  • Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
  • Negotiated payment plans with patients, maintaining a high rate of successful payments.
  • Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
  • Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
  • Reduced hospital bad debt through proactive communication with patients about their financial responsibilities.

Education

Medical Assistant Diploma - Medical Assisting

Sawyer College
San Jose, CA
06.1998

High School Diploma -

Metro Education
San Jose, CA
06.1992

Skills

  • Customer Service
  • 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

Timeline

Patient Access Representative

National Jewish Health
05.2022 - Current

Claims Specialist

Red Rock Recovery Center
04.2021 - 03.2022

Medical Administrative Assistant

Westminster Medical Clinic
07.2020 - 01.2021

Medical Assistant

GI Of The Rockies
04.2017 - 04.2018

Patient Financial Counselor

Swedish Hospital
08.2014 - 11.2016

Medical Assistant Diploma - Medical Assisting

Sawyer College

High School Diploma -

Metro Education
Briana Mccallister