CHRYSTAL SMITH
West Palm Beach
Summary
Motivated healthcare professional interested in growth and development. I am detail oriented and self disciplined to complete a task and meet a goal. Immediate needs are identified and met in a timely fashion to best satisfy my employer and the patient. I look forward to becoming a reliable asset to my employer and team mates.
Overview
7
7
years of professional experience
Work History
Patient Access Representative
Baptist Health South Florida South Florida
06.2022 - 10.2024
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
Insurance Verification Specialist
Florida Spine Associates
08.2020 - 06.2022
- Verify patient insurance to confirm provider/facility participation status with specialty
- Identify patient copay, deductible, co insurance information
- Obtain authorization requirements for procedures and imaging done within the office or out patient
- Verify patient responsibility of procedures performed in the office or out patient setting and discuss outcomes with patient
- Identify where authorization is to be obtained (NIA, Evicore, Availity, etc.)
- Document on an insurance verification form and scan into patient chart for official use and reference
Authorizations Specialist
Florida Spine Associates
08.2020 - 06.2022
- Received orders from pain management requesting injection procedures for patients
- Identified if authorization is required and where to obtain authorization if applicable
- Use of provider portals (NIA, Availity, Evicore) to submit request electronically
- Will verbally request STAT request and speak with clinical staff with insurance companies to request authorization
- If requested, submit clinical notes and imaging for review to insurance companies
- Document procedure codes, provider, diagnosis codes and authorization status and scan into patient chart for official use
Surgical Coordinator
Florida Spine Associates
08.2020 - 06.2022
- Obtain surgical booking sheets from provider with surgery type and procedure codes
- Speak with patient regarding a time and date and confirm any medical questions, i.e., smoking, allergies, etc
- Select facility location and submit a booking sheet to confirm time and date
- Complete hospital booking sheet to include patient information, procedure type, authorization status, equipment needed and vendors
- Schedule pre operative and post operative appointments
- Obtain primary care provider and cardiologist information for medical clearances
- Submit authorization request to insurance company if applicable
- Schedule IOM monitoring, or Somatosensory Evoked Potentials (SSEP)
- Set up home health care services for the patient if ordered by the provider
- Documentation of all surgeries ordered, performed, or cancelled on a Excel Spreadsheet
- Place the surgery time and date on the provider schedule and Outlook calendar
Insurance Verification Specialist
Urology Center of South Florida PA
10.2017 - 08.2020
- Verify insurance to confirm participation status with specialty
- Identified patient copay, deductible, co insurance
- Use of a 'fee schedule' to identify patient responsibly at the time of their visit
- This would be determined by the providers plan for care and coordinating procedure codes
- Contact patient 1-2 days prior to their appointment to discuss patient responsibility or outstanding balances
- Obtain authorizations for ordered MRI and CT orders verbally or with the use of online provider portals
Education
Bachelor's - Health Care Administration
University of Phoenix
Phoenix, Arizona10.2011
Associate - Medical Assistant Technology
University of Northwestern Ohio
Lima, Ohio06.2008
Skills
- Use of Insurance Provider portals
- Knowledge of Microsoft Suite (Word, Excel, Outlook)
- Medical Terminology
- Customer Service
- Free Thinking
Timeline
Patient Access Representative
Baptist Health South Florida South Florida
06.2022 - 10.2024
Insurance Verification Specialist
Florida Spine Associates
08.2020 - 06.2022
Authorizations Specialist
Florida Spine Associates
08.2020 - 06.2022
Surgical Coordinator
Florida Spine Associates
08.2020 - 06.2022
Insurance Verification Specialist
Urology Center of South Florida PA
10.2017 - 08.2020
Bachelor's - Health Care Administration
University of Phoenix
Associate - Medical Assistant Technology
University of Northwestern Ohio
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