Summary
Overview
Work History
Education
Skills
Timeline
Generic

Caryn Baker

De Soto,MO

Summary

Qualified for the Patient Account Representative with solid background in patient care and administrative support. Efficiently managed patient scheduling, registration, and coordination, ensuring seamless operations. Demonstrated strong communication and problem-solving skills to enhance patient satisfaction and streamline processes. 20+ years of experience in the medical field with emphasis on insurance verification, authorization, appeals and retro reviews.

Overview

30
30
years of professional experience

Work History

Advanced Patient Service Specialist

SSM Health Physical Therapy/Select Medical
08.2022 - Current
  • Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
  • Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
  • Adapted quickly to changing policies or procedural updates within the clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
  • Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
  • Reduced wait times for patients by optimizing appointment schedules and coordinating with clinical staff.
  • Enhanced clinic workflow by managing patient records and ensuring accurate documentation of medical histories.
  • Kept waiting areas clean and organized, creating a welcoming environment for patients during their visit.
  • Increased patient loyalty through timely follow-up calls and addressing inquiries or concerns.
  • Streamlined insurance verification processes for faster resolution of billing issues, resulting in increased revenue collection.
  • Educated patients on available resources such as financial assistance programs or support groups related to their specific medical conditions.
  • Provided exceptional customer service, resolving patient complaints promptly and professionally.
  • Promoted a positive atmosphere within the workplace by actively participating in team meetings and consistently demonstrating professionalism in all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Greeted and assisted patients with check-in procedures.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Provided excellent customer service to patients and medical staff.
  • Insurance verification
  • Insurance authorization

Physical Therapy Secretary

St. Bernards Medical Center
01.2019 - 06.2022
  • Assisted in the coordination of physical therapy events, workshops, and continuing education courses for staff development.
  • Reduced administrative workload for physical therapists by diligently completing clerical tasks such as copying documents or preparing mailings on their behalf.
  • Expedited appointment scheduling processes by swiftly responding to online requests or voicemail inquiries from prospective patients.
  • Maximized clinician productivity by proactively anticipating needs for supplies, equipment maintenance, or other resources required for daily operations.
  • Contributed to the overall success of the physical therapy practice by consistently demonstrating professionalism, dedication, and commitment to providing exceptional service to patients and colleagues.
  • Provided essential support during busy periods by assisting other staff members with various tasks as needed to maintain an orderly work environment.
  • Ensured smooth communication between patients, therapists, and insurance companies with courteous phone etiquette and written correspondence.
  • Strengthened patient relationships with consistent follow-up calls to check on progress, answer questions, and schedule appointments as necessary for ongoing care.
  • Increased patient satisfaction by promptly addressing concerns, answering questions, and resolving any issues that arose during their visit.
  • Streamlined office operations by developing and implementing efficient filing systems for patient records.
  • Enhanced patient experience by efficiently managing appointments and maintaining accurate records.
  • Demonstrated flexibility and adaptability by efficiently managing competing priorities while maintaining a high level of accuracy in all tasks performed.
  • Facilitated prompt insurance claim processing by verifying coverage information and submitting necessary documentation.
  • Demonstrated empathy towards patients dealing with pain or discomfort during their recovery process while providing exceptional customer service at all times.
  • Contributed to a welcoming atmosphere by maintaining a clean, organized reception area for patients and visitors.
  • Maintained strict confidentiality of sensitive medical information according to HIPAA regulations and clinic policies.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Kept information confidential and followed HIPAA guidelines to maintain patient trust.
  • Maintained current and accurate medical records for patients.
  • Located, checked in, and pulled medical records for patient appointments and incomplete charts.
  • Maintained office supplies inventory by checking stock, anticipating department needs, and placing and expediting orders.
  • Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.

Utilization Review Assistant

Arkansas Methodist Medical Center
07.1995 - 09.2015
  • Promoted organizational goals for cost containment by assisting in identifying opportunities to reduce unnecessary expenditures while maintaining high-quality patient care standards.
  • Maintained up-to-date knowledge of industry trends, best practices, and regulatory requirements to ensure accurate and relevant guidance during utilization review activities.
  • Contributed to efficient department operations by maintaining organized files and record-keeping systems for easy access and retrieval.
  • Facilitated smooth transitions between levels of care by coordinating necessary services and providing appropriate referrals when needed.
  • Ensured compliance with regulatory guidelines by conducting thorough audits of medical records and utilization review reports.
  • Enhanced overall departmental productivity by assisting in training new staff members on utilization review processes, policies, and procedures.
  • Reduced instances of denied claims due to insufficient documentation by meticulously verifying the accuracy of all submitted materials during the utilization review process.
  • Enhanced communication between healthcare providers and insurance companies by facilitating the exchange of critical information in a timely manner.
  • Streamlined data entry processes, ensuring timely submission of all required documentation for utilization review activities.
  • Strengthened relationships with external partners like insurance companies through proactive communication about authorizations, denials, appeals, or other related issues.
  • Supported case management teams with accurate documentation, leading to better resource allocation and improved patient outcomes.
  • Improved patient care quality by efficiently reviewing and analyzing medical records for utilization review purposes.
  • Provided prompt responses to inquiries from insurance companies regarding coverage, claims, and authorization requirements.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Performed prior authorization review of services requiring notification.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.
  • Upheld HIPAA regulations and standards for protecting patient information.

Education

High School Diploma -

Ridgecrest High School
Paragould, AR
05-1993

Skills

  • Appointment scheduling
  • Patient confidentiality
  • Professionalism and ethics
  • Insurance verification
  • Medical terminology
  • Insurance authorizations
  • Eligibility determination
  • Multitasking and organization
  • Electronic health records
  • Data entry
  • Medical insurance
  • Resolving problems
  • Registration and scheduling

Timeline

Advanced Patient Service Specialist

SSM Health Physical Therapy/Select Medical
08.2022 - Current

Physical Therapy Secretary

St. Bernards Medical Center
01.2019 - 06.2022

Utilization Review Assistant

Arkansas Methodist Medical Center
07.1995 - 09.2015

High School Diploma -

Ridgecrest High School

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