Dominique Nickerson

• Manage and coordinate all aspects of the referral process using Leading reach, which includes receiving and reviewing all referral requests, verifying patient eligibility, and obtaining necessary authorizations
• Communicate with healthcare providers, insurance companies, and patients to ensure timely and accurate processing of referrals
• Stay updated on insurance policies, healthcare regulations, and industry trends related to referrals
• Answering office phone calls

• Managed large volumes of calls daily, meeting specific quotas per hour
• Answered patient questions and fielded complaints to resolve issues
• Confirmed patient information, collected copays and verified insurance. Completed appeals and filed and submitted claims
• Responsible for multitasking in a call center environment while doing various other job duties using eClinicalWorks
• Such as scheduling appointments for MRI’s, MRA’s, EEG’s, EMG’s, Follow-Up’s, New Patient’s and Botox, including all cancellations and reschedules for 12 different providers
• Responsible for changing provider’s template’s when needed
• As well as reviewing online requests, pre-registrations, telephone encounters, and referrals
• Answered patient questions and fielded complaints to resolve issues
• Responsible for accurately scanning all patient's documents into the patient's file
• Adhere to HIPPA regulations
• Faxing documents to appropriate staff and outside facilities.

· Department Promotion to Sr. Patient Access Representative II

· Trained 20 other patient access representatives on new admission and registration software. Assist with new employee orientation

· Verified demographics and insurance information to register patients in computer system.

· Applied HIPAA privacy and security regulations while handling patient information.

· Organized and maintained records by updating and obtaining both personal and financial information from patients.

· Obtained necessary signatures for privacy laws and consent for treatment.

· Responded to patient concerns and inquiries professionally and efficiently.

· Assembled registration paperwork and placed identification bands on patient.

· Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.

· Processed patient responsibility estimate determined by insurance at pre-registration.

· Called insurance companies and verified patient coverage.

· Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.

· Obtained health, financial and religious information from patients at time of admission.

· Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.

· Submitted fees and claims to insurance companies manually or digitally.

· Communicated financial obligations to patients and collected fees at time of service.

· Managed patient admissions and hospital discharges to various settings.

· Scheduled and implemented patient admissions and discharges.

· Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.

· Helped protect providers and facility from legal liabilities by proactively assessing risks.

· Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.

• Verified insurance information, collected payment or co-payment for services and created record of visit for future billing
• Collected information, forms and signatures from patients or family members to create efficient admissions experience
• Communicated important information to supervisor and medical team to reduce chance of errors
• Greeted patients warmly to increase comfort and create rapport
• Safeguarded patient data in compliance with HIPAA and facility policies
• Accurately inputted patient and insurance information into company's computer system using Meditech and Ipas
• Confirmed all insurance benefits met standards of admissions as dictated by policy
• Assisted in patient admission process based on federal and state laws
• Oversaw inpatient and outpatient functions.

• Data entry
• Processing payments
• Handling returns
• Answering phones timely
• Providing effective communication, and customer service.

• Providing effective customer service while providing good quality service
• Team player
• Reliable, and responsible
• Answering calls timely
• Proficiency