Detail oriented Patient Access Representative with extensive medical service background and strong work ethic. Excellent communication skills and empathetic nature enabled achievement of positive outcomes. I am a self motivated individual who is able to adapt to the fluctuating demands of the market place.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Patient Access Representative,II
United Regional Health Care System
01.2018 - Current
Collect all Home Health paperwork and processed them.
Receive patient deductibles, co-pay amounts and discussed options to satisfy remainder of patient financial obligations
Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Reviewed and corrected claims errors to facilitate smooth processing
Daily Deposit for the URPG clinic
Secured patient information and confidential medical records in compliance with HIPPA privacy rule standards to protect patent's privacy.
Training Staff ( OnBase and EPIC changes if needed)
Authorization Specialist
United Regional Health Care System
01.2017 - 01.2018
Scheduled appointments with applicants to gather information and explain benefits processes.
Medication Authorizations for multiple departments
Insurance Referrals for multiple departments.
Researched denied claims and contacted insurance companies to resolve these issues.
Prepared distributed denial letters, detailing reasons for denial and possible appeal measures.
Reached out to insurance carriers to obtain prior authorizations for testing and procedures.
Verified eligibility and compliance with authorization requirements for service providers.
Input all patient data regarding claims and prior authorizations into system accurately.
Patient Access Representative
United Regional Health Care System
10.2015 - 01.2017
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Balanced deposits and cred card payments each day.
Used EPIC to schedule appointments.
Preformed patient scheduling and registration functions to serve as initial contact point for medical office visits.