Driven professional with a proven track record at University Pulmonary And Critical Care, excelling in patient service and HIPAA compliance. Skilled in insurance verification and customer service, demonstrated by enhancing patient satisfaction and streamlining the check-in process. Expertise in medical terminology and appointment scheduling, contributing to a seamless patient experience.
Overview
9
9
years of professional experience
Work History
Patient Service Representative
University Pulmonary And Critical Care
2023.02 - Current
Improve patient satisfaction by providing exceptional customer service during check-in and check-out processes.
Assist with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
Receive patient deductibles and co-pay amounts and discuss options to satisfy remainder of patient financial obligations.
Handle complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
Coordinate referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
Respond to inquiries by directing calls to appropriate personnel.
Secure patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Surgery Scheduling Coordinator
Premier Surgical Associates
2021.06 - 2023.02
Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
Maintained confidentiality and compliance with HIPAA regulations while handling sensitive patient information and documentation.
Implemented a well-organized system for tracking surgery cancellations and rescheduling requests.
Liaised between patients and insurance providers, ensuring proper authorization for scheduled procedures was obtained.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Obtained payments from patients and scanned identification and insurance cards.
Certified Nursing Assistant
Methodist Medical Center
2017.10 - 2021.06
Assisted patients with daily living activities for enhanced comfort and wellbeing.
Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
Pre-Registration Coordinator
Parkwest Medical Center
2015.06 - 2017.10
Kept updated daily surgery schedules.
Verified correct ICD-10 and CPT codes for procedures.
Verified insurance eligibility and benefits for procedures.
Confirmed insurance authorization for procedures was obtained.
Collected copays and deductibles for scheduled procedures.