BRIDGET PAYNE
Summary
Energetic, trusted, and detail-oriented CHAA Certified hospital administrator with demonstrated abilities in developing and managing a successful team in secure environments. With 23+ years of experience providing oversight and support to departments in a number of areas, ensuring that all EHR workflows and processes are handled with care and accuracy. Financial advocacy certification. conflict management for healthcare certification. Basic life support CPR certification. certification in workplace violence. certification in basic workplace safety
Overview
38
38
years of professional experience
5
5
Certifications
Work History
Oncology Financial Navigators
Inova Health Care
09.2022 - Current
- Educated clients on various insurance benefits, empowering them to make informed decisions about their medical and financial health.
- Securing finances for treatment and medication for patients.
- Securing finances for treatment and medication for patients. compliance in all aspects of work performed as a Financial Navigator improving overall financial health Of all patients
- Guided patients through insurance regulations ensuring full compliance with relevant laws and regulations while minimizing potential risks.
Patient Access Representative
Anne Arundel Medical Center
02.2020 - Current
- Acts as liaison between department and the physicians in the referring of visitors, employees, contracted entities, and the corporate office to respective officials
- Utilize CRM software like EPIC CADENCE ETC
- Build departmental policies and procedures for completing the patient's record, including copying insurance cards, entering authorization, referral numbers, and other information
- Review patient accounts for financial status to identify non-funded patients and ensure referral to and appointment with a Financial Counselor
- Coordinate communication between patients, family members, medical staff, and administrative staff
Manager- Offender Intake and Registration
TEXAS DEPARTMENT OF CRIMINAL JUSTICE
01.2012 - 02.2020
- Prepare reports and make presentations on internal investigations, losses, or violations of regulations, policies and procedures
- Conducted, supported, or assisted in governmental reviews, internal corporate evaluations, or assessments of the overall effectiveness of the facilities intake processes
- Coordinated office staff activities and evaluated performance of those activities
- Trained incoming employees and other organization members in security and intake rules and procedures
Patient Access/Scheduler Office Lead
CYFAIR MEDICAL CENTER
06.2005 - 11.2012
- Assisted with insurance eligibility verification and advised non-insured patients of insurance enrollment and sliding scale fees
- Handled patient prescription requests and coordinated with pharmacies, nurses, and Primary Care Physicians regarding medical care
- Ordered interpretive services and interfaced with outside agencies regarding patient services and accounts
- Managed the billing process of staffing and contracts
- Organized, prioritized, and coordinated tasks using a multi-line phone system in an efficient and timely manner
- Raised efficiencies while working directly with physicians' offices through effective communication resulting in enhanced customer satisfaction
- Worked with technical staff to deliver accurate and timely data, develop metrics to measure processes performed to improve quality of care, efficiency, and patient safety
Patient Advocacy Representative
Memorial Hermann
06.2002 - 12.2006
- Improved admission processes and through innovative observation, implemented a new intake procedure that saved hospital staff time and liability in document security
- Obtained complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices, and in-house departments
- Performed required pre-certification, credit referral or deposit collection
- Entered data in the computer and thoroughly documented any incomplete admissions/registrations in a manner prescribed
- Obtained pre-certification, referral or authorization number and updated patients' files
- Gave demographic information to insurance companies and called physicians' offices if clinical information is needed for pre-certification and verified the information obtained
- Collected co-pays, dues and cost shares and ensured deposit balanced at the end of shift
- Notified patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction
- Notified patients of co-payments, deductibles or deposits needed, when applicable, documenting all information in the computer system
- Completed the compliance checker process in accordance with regulatory and Conifer guidelines
Patient Advocate
Houston Northwest Medical Center
06.1997 - 02.2002
- Conducted interviews of inpatients with third-party payer sources and updated all patient demographic and insurance information
- Coordinated communication between patients, family members, medical staff, and administrative staff
- Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations
- Documented and reported observations of patient behavior, complaints, or physical symptoms to nurses
- Educated patients in regard to office policies, medical procedure steps, recovery measures, and medication instructions
- Served as a pharmacy cashier and was responsible for over-the-counter pharmacy sales
- Reviewed and verified of all applicable patients' documentation for federal/state program compliance
- Worked with all management to ensure that the front-end process enhances and streamlines the workflow in all related departments
- Served as a liaison between patients and insurance providers, and responded to inquiries from both parties
- Maintained positive customer service at all times, referring unresolved issues to appropriate supervisors
Medical Assistant/ Unit Clerk/ PBS Associate
Kelsey Seybold
01.1987 - 01.1997
- Demonstrated proficiency in taking patient medical histories and vital signs, as well as in performing venipunctures, injections, various diagnostic procedures, and ancillary tests
- Ensured the cleanliness, sanitation, and maintenance of all facilities, exam rooms and equipment
- Checked vital signs, assist the doctor with procedures, obtained medical/family history, and chief complaints
- Handled personal resident issues such as bills and retrieved needed items, scheduled transportation and maintained a clean and safe working environment
- Performed general office duties; answered multiple phone lines, ordered office and medical supplies, maintained records management database systems, performed electronic filing, bookkeeping and maintained operative reports
- Retrieved medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow up purposes
- Acquired patient vitals and recorded information into medical files for proper maintenance, accuracy, and follow-up
- Read and analyzed incoming memos, submission, and reports to determine their significance and proper routing, which also included faxes and emails
- Maintained all record-keeping procedures without error to include editing and proofreading of various documents
- Ensured call lights and telephone are answered in a timely manner and ensure messages are recorded and delivered in a timely manner
- Responsible for courteous, accurate and timely communication of information as well as relaying messages immediately
Education
Associate of Applied Science - Nursing
Prince George's Community College
Upper Marlboro, MDAssociates - Medical Assisting
United Business Institute
Houston, TX01.1987
Skills
- Customer Service
- Leadership
- Medical Office Administration
- Scheduling
- Staff Management
- Flexibility
- Financial Management
- Patient procedure and medication authorizations
- Security
- Discretion
- Communication
- Culturally Sensitive Communication
- Verbal Communication
- Written Communication
Certification
- CHAA
- Continuing Nursing Education certificate, 02/26/20
- Stop the Bleed certification, American College of Surgeons certification
- CPI Nonviolent Crisis Intervention training certified
- Mental Health First Aid USA certification, National Council for Behavioral Health, 02/24/20
- Medical Terminology and Transcription
- Insurance Billing and Coding
- Computerized Medical Office
- management for healthcare certification,
- workplace violence, and workplace safety basic certification
- Advanced Scheduling
- Certified Healthcare Access
- Associate Basic P3R, Nursing triage
- Advanced medical terminology, Sterilization
- HIPAA Compliance Certification – Various Providers.
- Basic Life Support Certification (BLS)
- Financial advocacy association of community Cancer centers,] September 6, 2022
- conflict management for healthcare Anne Arundel Medical Center, Inova Fairfax Hospital November 24, 2024
- workplace violence and workplace safety basics certification Anne Arundel, Medical Center, Inova healthcare center November sixth 2024
Timeline
Oncology Financial Navigators
Inova Health Care
09.2022 - Current
Patient Access Representative
Anne Arundel Medical Center
02.2020 - Current
Manager- Offender Intake and Registration
TEXAS DEPARTMENT OF CRIMINAL JUSTICE
01.2012 - 02.2020
Patient Access/Scheduler Office Lead
CYFAIR MEDICAL CENTER
06.2005 - 11.2012
Patient Advocacy Representative
Memorial Hermann
06.2002 - 12.2006
Patient Advocate
Houston Northwest Medical Center
06.1997 - 02.2002
Medical Assistant/ Unit Clerk/ PBS Associate
Kelsey Seybold
01.1987 - 01.1997
Associates - Medical Assisting
United Business Institute
Associate of Applied Science - Nursing
Prince George's Community College
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