Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Patient Access Representative
SSM Health At Home
03.2024 - Current
Processes the insurance component of patients obligation using third party claim processing and payment rules. Bill Claims appropriately.
Follow up on denied claims by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to resolve outstanding accounts.
Analyzes credit balances on patient account and resolve. Responds to refund request letters from insurance carries.
identifies process improvement opportunities and participate in improvement plans.
Works on special projects as needed
Patient Access Representative
Mercy
06.2023 - 03.2024
Ensuring the most accurate patient data is obtained and populated to the patient record.
Attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as Federal , State and accreditation agencies.
Perform pre-registration functions such as verifying demographics, obtaining authorization and collecting deposits and co-pays.
Maintained confidentiality of all patients information in accordance with HIPPA regulations
Epic Trained
Customer Service Lending Specialist
Advance America
07.2022 - 06.2023
Monitored pipelines to track and log status of loans.
Assisted customers with completing loan applications and other paperwork.
Utilize sales tool to provide an exceptional customer experience.
Present financial solutions based on the customer needs that meet their goals.
Actively assist in meeting the centers performance metrics as defined by management
CSR Bank Teller
Patrons Bank
08.2020 - 07.2022
Processed customer deposit and withdrawals accurately and balanced drawer daily.
Assisted customers with opening new accounts , ordering checks and setting up online banking.
Cross sold bank products such as saving accounts, credit cards and safe deposit boxes.
Scanned in all documents to booking keeping at the end of business daily.
Lead PBX Operator
Cedars-Sinai Medical Center
06.2009 - 01.2020
Directed incoming calls to internal personnel and departments, routing to best-qualified department.
Monitored call queues and worked quickly to answer and resolve inquiries within target timeframes.
Followed up on customer inquiries to confirm issues were adequately addressed.
Trained and coach all new employees on overnight process with answering services and on-call schedules
Handled emergency code panel in a timely manner and documented each event
Kronos edit
Usagae of M2616 and SL100 Nortel switchboard
Education
High School Diploma -
Long Beach Poly
Long Beach, CA
06.2008
Skills
Insurance Verification
Financial Procedures Adherence
Registration management
Problem-Solving
Epic Trained
Team Player
Flexible schedule
Timeline
Patient Access Representative
SSM Health At Home
03.2024 - Current
Patient Access Representative
Mercy
06.2023 - 03.2024
Customer Service Lending Specialist
Advance America
07.2022 - 06.2023
CSR Bank Teller
Patrons Bank
08.2020 - 07.2022
Lead PBX Operator
Cedars-Sinai Medical Center
06.2009 - 01.2020
High School Diploma -
Long Beach Poly
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