Over the last 20 years I have built up a diverse rage of skills and qualities working in the healthcare industry, including Customer Service, Medical Terminology, and taking on multiple other roles I've enjoyed.
Overview
9
9
years of professional experience
Work History
Surgery Specialty Hospitals of America - Pasadena, TX
09.2020
Enter written physician orders
Enter physician progress notes for both Emergency Room and Medical Surgery
Enter Admission Orders
Enter Laboratory Orders
Preparing copies
Preparing charts and labels
Creating UR folders for Case Management
Answer incoming calls, and route callers to the right department
Entering charges from admissions.
Ambulatory Service Representative II
Kelsey-Seybold
08.2022 - Current
Verified patient insurance eligibility and benefits.
Expedited registration processes by ensuring timely completion of required forms for new patients, contributing to a seamless first visit experience.
Informed patient of self-pay balances owed to facility.
Proactively identified areas for process improvement within ambulatory services operations, suggesting solutions for increased effectiveness.
Reviewed account information and explained charges and other related inquiries from patients and insurance carriers in person or via telephone.
Maintained strict confidentiality of patient information in adherence to HIPAA guidelines, ensuring privacy protection at all times.
Referred patients and guarantors to sources of outside funding.
Handled prescription refill requests efficiently by liaising between patients and providers resulting in prompt medication access.
Trained new hires on department procedures, protocols, software usage, fostering an environment of teamwork and knowledge sharing among colleagues.
Supported clinic operations with accurate data entry and document management, facilitating timely billing and insurance claim processing.
Established payment arrangements according to policies, referring issues to collection manager.
Established strong professional relationships with patients and their families, fostering trust in the ambulatory service and enhancing patient loyalty.
Contributed to a positive work environment by maintaining open communication with team members and supporting cross-functional tasks as needed.
Ensured accurate patient records by diligently updating demographic and insurance information in the system.
Collaborated with clinical staff to facilitate smooth patient flow, reducing delays and improving overall efficiency.
Enhanced patient satisfaction by providing efficient and courteous service during check-in and check-out processes.
Documented actions in system to maintain patient history and billing files.
Increased front office efficiency by organizing supplies, maintaining clean workspaces, and monitoring inventory levels.
Demonstrated strong customer service skills when handling difficult situations or addressing sensitive issues with patients and their families.
Managed high call volumes, addressing patient concerns and directing calls to appropriate departments for timely resolution.
Answered incoming calls, scheduled appointments and filed medical records.
Verified patient insurance eligibility and entered patient information into system.
Followed document protocols to safeguard confidentiality of patient records.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Facilitated communication between patients and various departments and staff.
Kelsey-Seybold
08.2022 - Current
Greet all patients as they arrive in a friendly, courteous, and professional manner
Demonstrate and maintain a working knowledge of customer service principles and departmental expectations regarding customer service
Check for previous balances/payment history, collect co-payments, deductibles, or co-insurance
Work with Business Office collectors to assist with collecting old balances and work with physician office staff when patient benefits are not accepted at out facility
Perform insurance verification
Calculate patient payments according to benefits
Perform other duties as assigned
Post payments to patient accounts accurately and in a timely manner
Balance out cash draw daily.
Patient Access Representative
Memorial Hermann Health System
12.2018 - 04.2020
Greeting Incoming Patients
Updating and Verifying Insurance and Patient demographics
Registering incoming patients
Collecting payments
Answering questions about the patient's treatment to be received
Directing patients to the correct department for treatment.
Account Coordinator
06.2017 - 10.2018
Updating Demographic, and Insurance information
Explanation Of Benefits
Collection of payments
Verifying benefits, coverage and authorizations
Answering Incoming calls from both PCP Facilities, and Patients.
Claims Service Representative
Humana Health Insurance
03.2015 - 05.2017
Communicate with Physicians, Ancillary departments, Nursing Units, Physicians' Office Staff
Processing HMO, and PPO
Explain Benefits to patients
Filing claims with the proper procedure codes.
Education
High School - Diploma -
Nursing Certification -
Texas State University
Skills
Microsoft Office ( Excel, Word, PowerPoint, Outlook)
Fax, Copier, Phone Systems, Brightree Software, Health Quest , EZ Reg , Availity, EPIC , I-Care Care4
Kelsey-Seybold
Timeline
Ambulatory Service Representative II
Kelsey-Seybold
08.2022 - Current
Kelsey-Seybold
08.2022 - Current
Surgery Specialty Hospitals of America - Pasadena, TX