Experienced Hospital Administrative Support Professional with a strong background in medical billing and compliance auditing. Known for problem-solving skills and meticulous attention to detail. Effective and compassionate bilingual communicator, excelling in collaborating with department leadership to resolve billing-related issues. Seeking an opportunity to leverage expertise in ensuring compliance with regulatory standards and processing payments accurately and efficiently.
Overview
6
6
years of professional experience
Work History
Lead Patient Access Representative
Adventist Health Saint Helena
08.2021 - Current
Responsible for leading patient access activities within the facility, including providing direction and guidance to the patient access team
Maintained accurate patient records and managed patient registration within the facility
Ensured all patient registration processes were accurate and compliant with HIPAA regulations
Provided support and guidance to staff members in the resolution of patient access issues
Worked with the team to address any issues or concerns with patient registration or medical records
Managed the daily operations of the patient access department, including monitoring and reporting on patient access performance
Developed and implemented processes and procedures to ensure the efficiency of the patient access department
Coordinated with third-party payers to ensure timely and accurate reimbursement of services provided
Interviews patients for all pertinent account information
Verifies all insurance and calculates and collects patient liability amounts
Ensures that all necessary signatures are obtained for treatment
Answers any questions and explain policies clearly
Prints and collates any paperwork needed for each patient for distribution to each unit/department
Patient Access Representative
Adventist Health Saint Helena
09.2019 - 08.2021
Proven track record of providing exceptional customer service to patients, families, and hospital staff
Proficient in using electronic health record (EHR) systems, such as Epic, Cerner, and Meditech
Demonstrated experience in providing administrative support in a hospital setting, including scheduling appointments, organizing medical records, and managing patient information
Performs medical billing and collection activities for assigned patient accounts
Conducts compliance audits and works with leadership to ensure compliance with Adventist Health and regulatory standards
Researches receipts that are not clearly marked for posting, and posts payments and adjustments to the appropriate account and make required follow-up notes
Interfaces with department leadership to respond to billing-related issues or concerns
Collaborates with department management for claim resolution and processing delays in excess of legal and contractual requirements
Collaborates with adjacent departments in to resolve issues, shares ideas and makes procedural improvements
Educates staff in current and updated billing standards
Provides interpretation of education on policies and procedures to process and protect sensitive or confidential information
Assists with projects, audits, surveys and statistics
Interim Nurse Manager Martin O Neil Cancer Center at Adventist Health St Helena HospitalInterim Nurse Manager Martin O Neil Cancer Center at Adventist Health St Helena Hospital