Charlene Casseus
Boynton Beach,FL
Summary
Compassionate Patient Access Representative experienced in delivering exceptional administrative support for patient care. Achieved efficient case management and service coordination through strong communication skills and attention to detail. Focused on enhancing patient access and satisfaction while ensuring compliance with healthcare policies and procedures.
Overview
1
1
Language
11
11
years of professional experience
Work History
Patient Access Representative 2 (On-Site) (H)
University of Miami Health System
Miami, Florida
06.2024 - Current
- Verified patient insurance information and managed authorization processes.
- Assisted patients with registration and check-in procedures efficiently.
- Facilitated patient registration, verifying all required documentation is collected and filed properly.
- Facilitated patient appointments using electronic scheduling systems.
- Verified insurance coverage for services provided by the facility.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Applied HIPAA privacy and security regulations while handling patient information.
- Maintained accurate patient records in compliance with privacy regulations.
- Collected co-pays and other payments from patients at time of service.
- Communicated financial obligations to patients and collected fees at time of service.
- Addressed patient inquiries and resolved issues promptly.
- Responded to patient inquiries regarding billing or financial matters.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Assisted with scheduling outpatient appointments.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Assisted with preparing daily cash reports for accounting department.
- Assessed insurance eligibility to ensure proper service access. responses to assess patient benefit level and prepare estimates.
- Resolved discrepancies between hospital systems and third party payers.
- Followed up on unpaid claims in a timely manner.
- Trained new staff on patient access protocols and operational procedures.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Actively participated in team meetings and training sessions.
- Participated in training sessions to stay updated on healthcare policies and registration software.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Assembled registration paperwork and placed identification bands on patient.
- Scanned documents into electronic medical records system.
Patient Access Representative
Florida Medical Center Hospital
07.2022 - 11.2023
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patients' privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patients' medical record.
- Demonstrated resilience in stressful environments to ensure smooth operations. and successfully dealt with difficult situations.
- Obtained patients' insurance information and determined eligibility for benefits for specific services rendered.
Patient Access Coordinator
Health Care District Of Palm Beach County
08.2015 - 02.2022
- Analyzed the clinic's scheduling habits and applied appropriate protocols for scheduling patient appointments.Perform a pre-registration process to verify patient demographic, insurance information with referral requirement/authorization, appropriate co-payments and/or designated amount due.Access appropriate system to ensure insurance eligibility has been verified.Research database for patient duplication, update records referencing duplication for claims processing.Document, research, and respond to callers' inquiries, complaints, and concerns to ensure timely resolution and customer satisfaction.Respond to incoming calls and assists patients in a professional and friendly manner while demonstrating superior customer service over the phone.Applied scheduling protocols to arrange appointments with medical and behavioral health providers.Verify and update demographic and insurance data in Electronic Medical Record.Gather pertinent information and transfer customer calls to appropriate staff, facilitating efficient communication and service delivery.Document, research and respond to callersʼ inquiries, complaints, concerns, or grievances in a concise and professional manner.Participate in Team huddles.
- Gathered and shared up-to-date details about clinic services with callers.
- Managed patient registration processes ensuring accurate data entry and documentation.
- Coordinated insurance verification to facilitate timely patient access to services.
- Assisted patients with scheduling appointments and navigating healthcare services.
Education
AA - Pending
Southeastern College
West Palm Beach, FLSkills
- Patient registration procedures
- Insurance verification
- Athena, Meditech, Epic
- Patient Follow-Up
- Patient Education
- Multitasking and Organization
- Problem-Solving
- Team Player
- Verbal and written communication
- Bilingual English and Creole
Languages
Creole
Professional
A1
Timeline
Patient Access Representative 2 (On-Site) (H)
University of Miami Health System
06.2024 - Current
Patient Access Representative
Florida Medical Center Hospital
07.2022 - 11.2023
Patient Access Coordinator
Health Care District Of Palm Beach County
08.2015 - 02.2022
AA - Pending
Southeastern College