Danna Talley
Savannah,TN
Summary
Accomplished Patient Access Representative with over 25 years of experience, notably with Prime Care Medical Center before its acquisition by West Tennessee Healthcare. Excelled in enhancing patient care through expert management of registration procedures and insurance verifications, utilizing skills in Centricity and EPIC EMR. Demonstrated exceptional communication abilities, contributing to improved patient satisfaction and confidentiality adherence.
Overview
30
30
years of professional experience
Work History
Patient Access Representative
West Tennessee Healthcare
Selmer, TN
12.1994 - Current
- I started to work for Dr. Michael Smelser in 1994. Dr Smelser merged with Dr. James King and they became Prime Care Medical Center in 1996. In 2017 Prime Care Medical Center was acquired by West Tennessee Healthcare and became West Tennessee Medical Goup Primary Care.
- Answered phones promptly in a professional manner.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Explained various forms and policies, acquiring signatures for consent.
- Explained policies, procedures and services to patients.
- Verified demographics and insurance information to register patients in computer system.
- Compiled information from patients and caregivers or family members to identify care concerns.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Facilitated communication between patients, staff members, and third party payers.
- Provided support to referring physicians in obtaining pre-authorization for services as necessary.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Coordinated with healthcare providers to verify patient insurance coverage and obtain necessary pre-authorizations for treatments.
- Maintained accurate and up-to-date patient records, including referral status and follow-up information.
- Managed and obtained insurance authorizations for patient referrals from physicians.
- Resolved issues arising during the referral process, including insurance denials and appointment scheduling conflicts.
- Facilitated communication between primary care physicians, specialists, and patients to ensure a smooth referral process.
- Communicated with patients with compassion while keeping medical information private.
- Entered confidential patient information and updated electronic records in database.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Education
Associate of Applied Science -
North East Mississippi Community College
Booneville, MS05-1994
Skills
- Appointment scheduling
- Appointment management
- Telephone etiquette
- Front desk operations
- Insurance verifications
- Patient registration
- Medical office procedures
- Reminder calls
- Medical charting
- Mail management
- Typing and filing
- Records management
- Co-payment collection
- Documentation
- Proficient in Centricity and EPIC EMR
- Patient confidentiality
- Physician authorizations
- Medical terminology knowledge
- HIPAA regulations
- Diagnostic appointments
- Pre-authorizations
- Insurance verification
- Insurance precertification processes
- Referring physician communication
- Document management
Timeline
Patient Access Representative
West Tennessee Healthcare
12.1994 - Current
Associate of Applied Science -
North East Mississippi Community College
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