Monitors individual and team progress while developing competency to achieve goals and priorities
Manages completion of work assignments based on priority by dividing assignments into phases with projected due dates
Coaches staff to be proactive in identifying problems, developing solutions and/or recommendations to effectively solve problems
Motivates and mentor staff while promoting a positive working environment within the practice
Identifying areas of developmental needs of team members and implementing plans to train and develop to meet and achieve goals
Educates and trains front desk staff regarding insurance verification, registration, collecting co-pays and balances while monitoring performance of front-end policies and procedures
Must operate computerized programs and databases to enter, modify, and retrieve sensitive information/data into or from the electronic health record application(s); i.e
Scheduling systems, registration systems, and reporting systems using EPIC
Verifies all patient information for accuracy and completeness (demographic, insurance, emergency contacts, and eligibility)
Responsible for collecting patient information, obtaining current insurance information, and verifying insurance coverage
Enters Medicare, Medicaid, and private/commercial insurance into electronic records system
Responsible for scheduling, canceling, and rescheduling patient appointments in their appropriate time slots while demonstrating excellent customer service skills helping to resolve patient issues in a prompt, professional and timely manner
Document pre-certification numbers as needed in the electronic health records applications and designated areas so that the information is easily accessible to other departments
Maintains current knowledge and implements the Privacy Act, Health Insurance Portability and Accountability Act (HIPPA), and other applicable patient confidentiality rules and regulations
Communicates effectively with patients and staff via email, Microsoft teams, Epic messenger, faxes and phone
Use strong interpersonal/human relationship skills to provide exceptional customer service with patients and co-workers
Patient Care Representative (PRN)
Virginia Hospital Center
09.2021 - Current
Greets all patients in a courteous, professional manner
Obtains and accurately enters patient information into registration system
Provides registration face sheet to patients to review; make changes as necessary in the registration system
Efficiently and correctly schedules patient appointments according to departmental procedure
Handles multiple telephone lines with high call volumes
Screens and routes all call appropriately
Files correspondence promptly in patient charts when returned from clinician or manager
Coordinates insurance verifications and preauthorization
Provided assistance when needed to physicians and clinical staff
Patient Access Specialist
AstraZeneca Pharmaceutical
06.2022 - 07.2023
Manage day to day activities of patient and health care provider support requests and deliverables across multiple communication channels i.e
Phone, Fax, Chat, Email, etc
Ensure all support requested is captured within the Case Management system
Ensure timely processing and resolution of cases
Escalate complex cases, when appropriate
Coordinate all appropriate aspects of patient case management through to completion, using effective interpersonal skills to manage interactions
Educate Health Care Providers and patients on available access programs
Communicate effectively with payers, pharmacies, third party administrators and other departments
Perform in-depth research into patient's medication coverage (may include benefit investigation/prior authorization/appeals and available support programs)
Educate offices on Access Services programs and referral process to ensure timely case processing
Ability to drive projects and cases to completion, self-directed, excellent verbal and written communication skills
Proficient competency using Word, Excel and PowerPoint
Analytical thinking, problem solving and ability to multitask and manage multiple parallel projects
Physician Office Team Lead
Inova Cardiac and Vascular Surgeons
10.2019 - 02.2022
Coordinates coverage and workflow for front office staff to ensure smooth operations for all offices within the practice
Coordinates Providers schedules while monitoring patient volumes and accuracy of patient scheduling to ensure patient satisfaction
Collaborates with Physician Office Manager in the areas of recruitment, orientation, discipline and evaluation of all office team members
Educates and trains front desk staff regarding insurance verification, registration, collecting co-pays and balances while monitoring performance of front-end policies and procedures
Monitors individual and team progress while developing competency to achieve goals and priorities
Manages completion of work assignments based on priority by dividing assignments into phases with projected due dates
Coaches staff to be proactive in identifying problems, developing solutions and/or recommendations to effectively solve problems
Motivates and mentor staff while promoting a positive working environment within the practice
Identifying areas of developmental needs of team members and implementing plans to train and develop to meet and achieve goals
Demonstrates problem resolution skills to provide improvement in work processes and workflow
Monitors front end Revenue Cycle functions with all relevant contractual/third party payers in Collaboration with Physician Billing Manager to ensure compliance with sound accounting practices
Collaborates with Physician Managers, Clinical Managers, and Billing Manager to solve cross departmental issues and conflicts
Office Coordinator
University Radiology
11.2014 - 08.2019
Coordinated and assisted the front desk in scheduling, greeting patients, answering phones and registration
Scheduled appointments for Radiology and Interventional Vascular Radiology Departments
Responsible for obtaining authorization and supporting patients with billing inquiries
Maintained all inventory and ordered supplies for the front-end office
Worked closely with technology staff to ensure smooth workflow for patient care
Supported VP and Associate Director of Operations to ensure Departmental policies and Compliance Plans are maintained
Advised and educated patients regarding radiology exams, surgical procedures as well as pre and post instructions
Unit Representative/Intake Representative
Atlantic Home Care and Hospice
11.2013 - 11.2014
Prepared and maintained nurses’ weekly schedules electronically
Assigned scheduled visits to appropriate staff including weekend schedule
Communicated effectively with patients to confirm visits when needed
Received and triaged phone calls for nursing staff and other team members
Managed various reports with appropriate follow up to Clinical Coordinator and Manager
Submitted patient insurance information for authorization for homecare
Documented all communications in note section of computer