CORTNEY PAWELECK
Spring,TX
Summary
Detail-oriented Patient Access Specialist with extensive medical services background and strong work ethic. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Lead Patient Access Specialist
Retina Consultants of Texas
07.2023 - Current
- ·Provides training for all new Patient Access Coordinators (PACs)
- · Develops and maintains education plan(KPI's) to ensure sufficient level of continuous improvement for PACs
- · Coordinates with HR Learning and Operations Department when necessary to select and deploy learning materials
- · Create and distribute employees weekly schedule
- ·Managed PTO and call outs- Developed and implemented strategies for managing employee schedules, optimizing coverage and minimizing disruptions due to absenteeism
- · Ensures proper utilization of check-in software that directly affects patient access
- · Offers guidance, continued staff education, and up-to-date training material on multiple platforms
- ·Create, maintain, and distribute SOP's
- · Monitor problem situations and ensure resolution is performed in a timely manner
- · Communicate effectively with billing management to inform of any unusual and significant issues that may affect patient satisfaction, timeliness of services or reimbursement or general patient flow
- · Responsible for closing daily payment batches, patient payment plans, payment assurance reports, EOD reconciliation reports and bank deposits
- · Promote effective working relations to facilitate the department’s ability to meet its goals and objectives
- · Perform all duties within HIPAA regulations; maintain confidentiality of all doctor, staff, and patient information
- · Reports safety concerns promptly to appropriate leader
- · Performs all other job related duties as assigned
Patient Access Coordinator
Retina Consultants of Texas
08.2013 - Current
- Maintains front office quality assurance and serves as a role model for customer service and mentors support staff
- Conducts scheduling and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, and ensures accurate plan code and COB order
- Maintains focus on attaining productivity standards and assists in the development of enhancing performance and workflow
- Identifies all patients responsibilities based on insurance benefits, calculates estimates, collects liabilities and posts payment transactions and performs daily reconciliation
- Identifies self-pay and complex liability calculations
- Obtains financial assistance for patients receiving costly treatments
- Assists physicians in determining approved regimens of treatment according to government and private insurers
- Demonstrates working knowledge of physician practice operations and principals as it pertains to workflow, compliance, data integrity, HIPAA privacy and security
- Provides accurate and knowledgeable training and assistance to patient access coordinators
- Handles inquiries from patients regarding any aspect of services received, status of account, and applies outstanding customer service skills
- Actively promotes good working relationships amongst team members and with external and internal clients
- Responsible for the monitoring of daily activity and completion of performance and metric reports such as check in work flow, daily balancing, chart preparation, and daily reconciliation
- Communicates effectively with billing management to inform of any unusual and significant issues that may affect patient satisfaction, timeliness of services, reimbursement, or general patient flow.
Education
Business Administration
Houston Community College
Business Administration
Wharton County Junior College
Business Administration
Blinn College
Skills
- Problem Solving - Identify and resolve problems in a timely manner, gather and analyze information skillfully; develop alternative solutions; works well under pressure
- Knowledge of the customer encounter process which includes scheduling, registration, contract requirements, financial guidelines, and coordination of benefits
- Exhibits excellent customer service
- Expert knowledge of medical terminology and translating EOB's
- Microsoft Office, Outlook, Teams, Phreesia, Nextgen, MDI
- Training and coaching include: monitoring and observing new and existing employee training plans, communicate employee training feedback to management, and updating/maintaining team resources such as SOP's
- Strong leadership
- Employee scheduling and timecard management
Certification
RCTX-EOS People Leader Training
Timeline
Lead Patient Access Specialist
Retina Consultants of Texas
07.2023 - Current
Patient Access Coordinator
Retina Consultants of Texas
08.2013 - Current
RCTX-EOS People Leader Training
Business Administration
Houston Community College
Business Administration
Wharton County Junior College
Business Administration
Blinn College
Similar Profiles
Jasmine LaMarkJasmine LaMark
Team Lead at Retina Consultants of TexasTeam Lead at Retina Consultants of Texas
Viet PhamViet Pham
Patient Care Technician and Scribe at Retina Consultants of TexasPatient Care Technician and Scribe at Retina Consultants of Texas
Adrian U MontgomeryAdrian U Montgomery
Patient Access Coordinator at Retina Consultants of TexasPatient Access Coordinator at Retina Consultants of Texas