Couverias Tower
Atlanta
Summary
Revenue Cycle Professional with 16 years of experience in utilizing Epic Systems within medical office and hospital settings. Expertise in patient scheduling, medical billing, estimates, and processing insurance claims. Strong communication skills with a proven record of effectively interacting with providers, insurance representatives, vendors, and patients while adhering to HIPAA regulations and patient confidentiality standards.
Overview
18
18
years of professional experience
Work History
Patient Access Team Lead
Piedmont Healthcare
12.2024 - Current
- Lead the determination of Patient Financial Liability (PFL) to ensure accurate billing and payment arrangements
- Oversee the documentation of financial arrangements and ensure all necessary forms are signed for proper billing processes
- Serve as a liaison between families, patients, and insurance companies to facilitate payment arrangements and resolve any financial concerns
- Provide guidance and support to team members to enhance workflow efficiency and maintain high standards of customer service
- Maintained accurate records of insurance verifications for compliance purposes.
- Streamlined verification processes, reducing turnaround time for approvals.
- Trained new staff on insurance verification procedures and best practices.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
Patient Access Representative
Piedmont Healthcare
03.2018 - Current
- Managed authorization processes ensuring compliance with regulatory standards and organizational policies.
- Coordinated patient insurance verification activities to expedite approval for necessary treatments.
- Collaborated with healthcare providers to resolve complex authorization issues and improve service delivery.
- Led patient access team to enhance service efficiency and improve patient satisfaction.
- Streamlined registration processes, reducing wait times and increasing overall workflow effectiveness.
- Verified patient insurance eligibility and benefits through electronic systems.
- Assisted patients with understanding their insurance coverage and responsibilities.
Financial Counselor
Grady Memorial Health
03.2021 - 12.2024
- Assist in determining Patient Financial Liability (PFL)
- Document financial arrangements and ensure all forms are signed for proper billing
- Communicate with families and insurance companies to secure payment arrangements
Financial Counselor
Atlanta Medical Center
01.2008 - 03.2018
- Assessed financial situations, providing tailored counseling to patients regarding payment options and assistance programs.
- Developed and implemented financial strategies to optimize patient revenue cycles and minimize outstanding balances.
- Educated patients on insurance benefits, eligibility requirements, and financial aid resources for healthcare services.
- Led training sessions for new staff on financial policies, procedures, and effective patient communication techniques.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
Dental Assistant
DeKalb County Jail
06.2010 - 01.2012
- Supported dental care delivery by preparing treatment rooms, instruments, and materials
- Ensured compliance with the Dental Practice Act and assisted in patient care during treatments
- Prepared patients for dental treatments and provided information to patients and staff
Education
High School Diploma -
Advanced Career Training
Morrow, Georgia03.2010
High School - undefined
Wraith Deen Mohammed High School
01.2006
Skills
- Insurance Verification
- Medicaid & Medicare Eligibility
- Medical Terminology
- Scheduling & Patient Access
- Customer Service & Communication
- Phone Etiquette
- Auditing & Financial Documentation
- Leadership & Training
- Prior authorizations
- Insurance verification expertise
Timeline
Patient Access Team Lead
Piedmont Healthcare
12.2024 - Current
Financial Counselor
Grady Memorial Health
03.2021 - 12.2024
Patient Access Representative
Piedmont Healthcare
03.2018 - Current
Dental Assistant
DeKalb County Jail
06.2010 - 01.2012
Financial Counselor
Atlanta Medical Center
01.2008 - 03.2018
High School - undefined
Wraith Deen Mohammed High School
High School Diploma -
Advanced Career Training
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