Cordial Patient Access Specialist with demonstrated customer service skills in all interactions, with both external and internal customers. Social and communicative with high regard for sensitive and confidential information. Clear understanding of HIPAA rules and insurance protocols. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Patient Access Specialist
Integris - Lakeside Womens Hospital
08.2023 - Current
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Collected and validated patient demographics and insurance information.
Resolved patient billing issues in line with established guidelines.
Educated patients on importance of preventive health care and insurance coverage.
Stayed calm under pressure to and successfully dealt with difficult situations.
Providing excellent customer service by promptly answering patient inquiries.
Answered incoming calls, scheduled appointments and filed medical records.
Provided excellent customer service to patients and medical staff.
Verified patient insurance eligibility and entered patient information into system.
Trained new staff on filing, phone etiquette and other office duties.
Followed document protocols to safeguard confidentiality of patient records.
Facilitated communication between patients and various departments and staff.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Greeted and assisted patients with check-in procedures.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Resolved customer complaints using established follow-up procedures.
Engaged with patients to provide critical information.
Delivered support to medical staff in completion of patient paperwork.
Trained new staff on hospital processes and procedures.
Addressed bad debts in line with set protocols.
Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Performed patient pre-admission, admission, transfer and discharge activities.
Prepared patient identification band and completed admissions papers.
Contacted insurance companies for patient medical billing operations.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Registration/ Insurance Denial Specialist
Urology Specialist Of Central OK
06.2022 - 08.2023
Proficiently navigate and utilize Epic Electronic Medical Record (EMR) software for streamlined administrative processes
Initially stationed at the front desk, provided a warm and efficient welcome to patients, managing a high-volume phone line with poise
Expertly handled copay collections, balanced accounts, processed insurance cards, and updated patient demographics for accurate record-keeping
Maintained organized front desk operations, efficiently managing tasks such as sending faxes and ensuring a tidy and efficient workspace
Demonstrated multitasking abilities by skillfully scheduling patient appointments and efficiently managing both check-in and check-out procedures
Played a key role in billing operations by engaging with insurance companies and proactively addressing denied claims
Acted as a vital liaison between patients and the billing process, ensuring a seamless and hassle-free experience for all parties involved.
Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
Documented medical claim actions by completing forms, reports, logs and records.
Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Modified, updated and processed existing policies.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Patient Access Specialist
Integris Baptist Cardiology
06.2018 - 09.2022
Functioned as the primary point of contact for patients, delivering top-notch service
Collected copays and hospital balances while verifying and inputting insurance information
Managed inbound calls, ensuring prompt and accurate transfers to the appropriate parties
Facilitated patient inquiries and directed them to the nurses' station
Conducted patient check-ins and check-outs, maintaining adherence to policies and regulations
Ensured a clean and organized office environment
Accompanied doctors to outreach clinics, efficiently rooming patients and recording their vital statistics
Proficiently operated Epic Software to streamline administrative tasks
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Trained new staff on hospital processes and procedures.
Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Acted as a dedicated traveling receptionist for our outreach clinics, adeptly managing copay collections and various payment methods, including cash, cards, and checks
Maintained effective communication with clinic staff to address patient inquiries and concerns, resolving any issues promptly
Displayed a commitment to patient satisfaction by continuously expanding knowledge to provide accurate information and assistance
Initiated patient encounters as the first point of contact for the day, striving to create a pleasant and reassuring experience
Verified insurance details, contributing to the seamless administrative process
Skillfully handled scanning tasks and gathered essential patient information for accurate record-keeping
Managed the scheduling of tests and follow-up appointments, streamlining patient care
Proficiently utilized Epic software for comprehensive charting, check-in/out processes, and demographic updates
Assumed responsibility for appointment scheduling and rescheduling, including coordinating echocardiograms and follow-up appointments.
Receptionist/Administrative Assistant
Collision Works
02.2017 - 06.2018
Managed cashier responsibilities and served as the primary point of contact for customers
Collected balances and efficiently handled inbound and outbound calls
Maintained detailed customer records, including notes on every interaction
Facilitated the collection of deductibles during vehicle pickups
Provided administrative support to estimators and played a pivotal role in training new employees
Established effective communication channels with insurance companies and parts suppliers.
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Resolved customer problems and complaints.
Corresponded with clients through email, telephone, or postal mail.
Managed multiple tasks and met time-sensitive deadlines.
Answered central telephone system and directed calls accordingly.
Organized, maintained and updated information in computer databases.
Business Development Specialist
David Stanley Chevrolet Of Norman
01.2015 - 02.2016
Excelled in business development by effectively managing both inbound and outbound calls, providing exceptional customer service
Expertly identified and addressed customer needs and desires, persuasively encouraging dealership visits for vehicle purchases and trades
Proficiently utilized CRM software for meticulous customer record keeping and enhanced relationship management
Successfully generated and nurtured leads, boosting traffic for car buyers and service customers.
Conducted regular meetings with clients to build positive and productive relationships.
Planned marketing initiatives and leveraged referral networks to promote business development.
Maintained extensive knowledge of company products and services to provide top-notch expertise to customers.
Expanded business through effective network development, identifying new, and prospective clients.
Developed business pipeline using cold and warm techniques.