Summary
Overview
Work History
Education
Skills
Timeline
Generic

Porscha A. Brown

Houston,Texas

Summary

Healthcare professional with expertise in patient scheduling and insurance verification, adept at improving customer service and managing high call volumes. Proficient in EPIC systems, skilled in problem-solving, and recognized for adaptability and strong work ethic. Experienced in fast-paced environments, consistently delivering high-quality work under pressure. Known for building strong relationships and quickly mastering new skills.

Overview

23
23
years of professional experience

Work History

Radiology Scheduler III

Kelsey Seybold Clinic
Houston, Texas
07.2022 - Current
  • Scheduled in and outpatient appointments
  • Answer incoming calls from clinics and patients to schedule all types of imaging
  • We receive interface and fax orders, where outgoing calls are made to patients to get them scheduled.
  • Responds to escalated issues by resolving or redirecting internally.
  • Handled 100 calls a day to address patients concerns
  • Verifies accurate patient demographics information
  • Schedule routine and follow-up appointments
  • Provide patients with appointment information such as site address, exam preps and what to expect and what to provide on their exam day
  • Work in the EPIC System to ensure all adjustments and processes have been followed to proceed with refund request.
  • Work closely with team members to deliver project requirements develop solutions and meet deadlines

Front Office Specialist II

Texas Children's Pediatrics
Houston, Texas
10.2018 - 06.2022
  • Facilitated check-in and check-out for patients of 10 physicians.
  • Collected payments at time of service to ensure revenue flow.
  • Coordinated hospital charges and processed transactions accurately.
  • Managed multiple requests, including appointment scheduling, rescheduling, and cancellations.
  • Provided assistance to other practices as needed to enhance operational efficiency.
  • Handled referrals and authorizations to streamline patient care pathways.
  • Communicated with patients and staff regarding arrivals and delays to improve service delivery.
  • Reviewed claims through Epic systems for accuracy before submission to various payers.

Front Office Specialist II

UT Physicians-Otorhinolaryngology
Houston, Texas
08.2015 - 07.2018
  • Facilitated patient check-in and check-out for over 13 physicians efficiently.
  • Reviewed billing information to ensure accuracy and compliance with regulations.
  • Processed payments accurately and issued billing statements promptly.
  • Collected payments at time of service to maintain cash flow.
  • Scheduled appointments while accommodating walk-in patients effectively.
  • Verified completeness of patient forms to enhance data integrity.
  • Managed appeals, authorizations, and referrals to support patient needs.
  • Greeted visitors and directed them to appropriate departments, creating a welcoming environment.

Patient Access Representative II

Memorial Hermann Hospital
Houston, Texas
02.2013 - 08.2015
  • Coordinated appointment scheduling for new and existing patients for efficient operations.
  • Informed patients of any changes to physician schedules through timely communication.
  • Ensured all patient information was accurate and up-to-date on registration forms.
  • Provided outstanding customer service in Imaging Center to support patient needs.
  • Updated insurance information regularly to reflect current coverage.
  • Verified insurance eligibility for services provided by the facility.
  • Facilitated seamless admissions, transfers, and discharges according to standard procedures.
  • Maintained HIPAA compliance by safeguarding patient confidentiality during all interactions.
  • Organized timely and accurate referrals to help patients obtain health care services and access available resources.

Claims/Medical Billing Specialist

Baylor College of Medicine
Houston, Tx
01.2006 - 12.2010
  • Oversaw multi-line phone system operations to enhance service delivery.
  • Efficiently processed client files and managed appointment scheduling.
  • Updated and verified patient insurance details to ensure accuracy.
  • Executed collection efforts on overdue accounts by contacting relevant parties.
  • Monitored aging accounts receivable balances for prompt follow-up actions.
  • Submitted accurate claims and appeal documentation as required by insurers.
  • Ensured compliance with HIPAA regulations during all patient interactions.
  • Performed edits and managed rejections across departmental processes.
  • Working on a new system called Epic/Cirius Manager/IDX.

HealthCare Scheduler

Evolution Heath Care
Dallas, Tx
03.2002 - 12.2002
  • Provide patients with information about onboard medical service providers and their credentials.
  • Update patient information in the database to ensure that patients' files are complete at all times.
  • Schedule appointments with physicians by determining empty slots on calendars and the 'Logis' system.
  • Work with a variety of physicians and PAs in the Ohio and Nevada regions to ensure patients are checked in once seen by physicians for that day.
  • Work on scheduling new patients for Transitional, AIM, Longitudinal Initials, or Subsequent visits based on the needs of the patient.
  • Process referrals for patients while verifying insurance information, setting up charts, and ensuring patients are set up correctly in the system.
  • Work with the tracking system to monitor providers who are signed on, making scheduled clinical calls, and making visits that are scheduled in a timely manner.
  • Schedule calls and visits for Florida providers based on the location and needs of the patients.
  • Conducts appropriate account activity on final billed claims by contacting government agencies, third-party payers, and patients/guarantors via phone, email, or online.
  • Timely follow-up on all accounts assigned, work accounts as established procedures until the account is resolved, sent to legal, or disputed.
  • Validate denial reasons and ensure coding is accurate and reflects denial reasons.
  • Generate an appeal based on the dispute reason and contract terms specific to the payer. This includes online reconsideration.
  • Responsible for maintaining inventory on desks, with no backlog.
  • Ensures proper account documentation is clear, concise, and includes all pertinent information.
  • Daily calls to payers to obtain payment resolution and account status information.
  • Consistently follows established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions.
  • Research contract terms, interpretation, and compile necessary supporting documentation for appeals.
  • Immediate and appropriate escalation of payor trends and issues to management, which impact cash, aging, and processes.

Education

High School Diploma -

Dallas, Tx
Dallas, Tx
05-1998

HealthCare Administration & Management

Currently Attending

Medical Billing and Coding Diploma -

Houston, Texas
Houston, Texas

Skills

  • Customer Retention
  • Deadline-Driven
  • Problem Solving Skills
  • Customer Service
  • Charge Corrections
  • Presentation Skills
  • Microsoft Office
  • Billing
  • Customer Retention
  • Deadline-Driven
  • Problem Solving Skills
  • Customer Service
  • Charge Corrections
  • Presentation Skills
  • Microsoft Office
  • Billing

Timeline

Radiology Scheduler III

Kelsey Seybold Clinic
07.2022 - Current

Front Office Specialist II

Texas Children's Pediatrics
10.2018 - 06.2022

Front Office Specialist II

UT Physicians-Otorhinolaryngology
08.2015 - 07.2018

Patient Access Representative II

Memorial Hermann Hospital
02.2013 - 08.2015

Claims/Medical Billing Specialist

Baylor College of Medicine
01.2006 - 12.2010

HealthCare Scheduler

Evolution Heath Care
03.2002 - 12.2002

High School Diploma -

Dallas, Tx

HealthCare Administration & Management

Currently Attending

Medical Billing and Coding Diploma -

Houston, Texas

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