Carolyn Shaw
GARNER
Summary
Dynamic Patient Registration Representative with a proven track record at WakeMed Health, excelling in insurance verification and patient relations. Adept at streamlining processes and enhancing patient experiences through strong interpersonal skills and meticulous data entry. Committed to maintaining HIPAA compliance while ensuring efficient appointment scheduling and payment processing.
Overview
26
26
years of professional experience
Work History
Patient Registration Representative
WakeMed Health
02.2022 - Current
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
- Gathered demographic and insurance information to register patients for medical appointments.
Patient Service Associate
Duke Primary Care and Duke Urgent Care
10.2019 - 02.2022
- Provided excellent customer service to patients and medical staff.
- Responded to inquiries by directing calls to appropriate personnel.
- Delivered support to medical staff in completion of patient paperwork.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Answered incoming calls, scheduled appointments and filed medical records.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
Call Center Claims Specialist - Customer Service
Combined Insurance Company
01.1999 - 09.2019
- WORKED FROM HOME (REMOTE FOR 15 YEARS)
- Followed up with customers on unresolved issues.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Education
GED -
Wake Technical Community College
Raleigh, NCSkills
- Data entry proficiency
- Patient relations
- Appointment scheduling
- Data entry
- Insurance verification
- Strong interpersonal skills
- HIPAA compliance
- Multitasking
- Insurance authorizations
- Office administration
- Professionalism
Timeline
Patient Registration Representative
WakeMed Health
02.2022 - Current
Patient Service Associate
Duke Primary Care and Duke Urgent Care
10.2019 - 02.2022
Call Center Claims Specialist - Customer Service
Combined Insurance Company
01.1999 - 09.2019
GED -
Wake Technical Community College
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