Internship: Accreditation and Regulatory January 2025 -May 2025
Timeline
Brittany Goodman
Waterford,MI
Summary
Dynamic Patient Access Coordinator with extensive experience at Trinity Health - St. Joseph Mercy Hospital. Expert in regulatory compliance and customer service, adept at resolving complex scheduling conflicts. Proficient in EMR/EPIC systems, ensuring seamless patient registration and admissions while fostering strong relationships with clinical teams to enhance care delivery.
Overview
6
6
years of professional experience
Work History
Patient Access Coordinator Oncology/Hematology
Trinity Health - St. Joseph Mercy Hospital
Pontiac, MI
05.2024 - Current
Research individual plans (chemotherapy, immunotherapy, etc.), ensuring patients are scheduled according to established protocol.
Coordinate scheduling based on clinical teams' availability, adequate pharmaceutical drug supply, and blood products, and chair space.
Read and interpret physician office notes to ensure ongoing coordination of extended treatment plans requiring multiple visits.
Organizes tasks, solves problems, and devises acceptable solutions in a fast-paced work environment.
Prioritizes stat/urgent requests to ensure escalation occurs in a timely manner during critical patient situations.
Recognizes and problem-solves conflicts associated with time requests, resources, equipment, or staff for each department.
Attends meetings and participates in continuous quality improvement.
Responds to in-basket communications, secure chats, team messages, emails, and physician orders in a timely manner.
Coordinated with clinical staff to ensure timely completion of registration process.
Uses proper medical terminology to translate clinical information to schedule patients appropriately for treatment, and triages incoming calls.
Patient Care Technician
Trinity Health - St. Joseph Mercy Hospital
Pontiac, MI
06.2023 - 05.2024
Performed EKGs, phlebotomy, and other laboratory tests as directed by physician or RN.
Provided direct patient care and assistance to healthcare team members.
Ensured that all medical equipment was properly maintained and sterilized.
Responded quickly in emergency situations by providing appropriate first aid measures.
Observed changes in patient's conditions and reported any abnormalities to the RN on duty.
Collaborated with interdisciplinary teams to provide comprehensive care services.
Participated in quality improvement activities within the department.
Assisted in preparing patients for examinations and treatments, including vital signs monitoring.
Obtained patient vital signs and reported results to staff nurse or physician to identify changes from prior measurements.
Patient Access Representative Surgery
Trinity Health - St. Joseph Mercy Hospital
Pontiac, MI
11.2022 - 06.2023
Independently schedules procedures for surgery and endoscopy, utilizing department grids, resources, and guidelines.
Obtains procedure codes from physician offices to ensure the correct patient type is selected for inpatient-only procedures.
Is able to recognize and problem-solve conflicts associated with time requests, resources, equipment, and staff for each department.
Collaborated with designated department clinical personnel to facilitate add-on/emergent procedures.
Reviews all department reports to identify scheduling issues and resolve them appropriately.
Attended meetings, participates in continuous quality improvement, and performs other duties as assigned.
Medical Biller and Coder
Befitting You Medical Supply
Waterford, MI
04.2022 - 11.2022
Responded promptly to requests from insurance companies regarding clarification on claim submissions.
Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
Assisted with the development of departmental policies related to charge capture processes and coding practices.
Prepared financial statements that summarize account activity over a period of time.
Ensured timely filing of all claims within established guidelines.
Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
Submitted claims to insurance companies electronically or by mail.
Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
Insurance Verification Specialist
Befitting You Medical Supply
Waterford , MI
05.2019 - 04.2022
Evaluated policies and procedures related to Insurance Verification activities.
Maintained accurate documentation on all pre-authorization requests, denials and appeals.
Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Responded promptly to customer inquiries regarding their benefits and eligibility status.
Monitored changes in government regulations affecting healthcare reimbursement systems.
Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Maintained confidentiality of patient information in accordance with HIPAA regulations.
Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
Participated in training sessions on new software programs used for verification purposes.
Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
Education
Bachelor of Science - Health Administration
Baker College
Flint, MI
05-2025
Skills
Regulatory compliance
Customer service
Health information Access management
Registration and admissions
EMR/ EPIC Systems
Proficient in Microsoft Suites
Internship: Accreditation and Regulatory January 2025 -May 2025
Collaborated with cross-functional partners to refine workflows, develop efficient tracking systems and implement solutions that enhance overall accreditation processes
Assisted with the preparation of health plan accreditation documents
Registered Nurse, Emergency Department at Trinity Health - St. Joseph Mercy HospitalRegistered Nurse, Emergency Department at Trinity Health - St. Joseph Mercy Hospital