Hi, I’m
Edward Grier
Lawrenceville,GA
Summary
Epic Ambulatory Microsoft Excel Tableau PROFILE: A highly conscientious and patient-focused healthcare provider with an excellent patient care and treatment planning background. Smoothly guides patients through complicated referrals and scheduling while adhering to ever-changing protocols and systems. Comprehensive knowledge of ICD-9/CPT codes with extensive experience that includes Worker's Compensation and 3rd Party Insurance co-pay collections. Reliable in supporting an optimum physical, mental, emotional, and social climate for all the patients and co-workers. Skilled in streamlining and solving problems. Expert in completing demanding assignments within crucial timelines.
Overview
8
years of professional experience
Work History
Northside Gwinnette
Patient Access Representative
03.2022 - Current
Job overview
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Resolved patient billing issues in line with established guidelines.
- Verified patient insurance eligibility and entered patient information into system.
Peachtree Kidney & Hypertension Specialist
CLINICAL MANAGER
06.2018 - 10.2022
Job overview
- Develops and implements short and long range performance improvement operational goals and objectives for the department
- Defines quantitative performance measures to establish performance objectives and continuously raise performance standards
- Handle employee questions and concerns, including payroll, time-off requests, health insurance, and other personnel inquiries
- Establish and maintain secure filing and archival systems for clients' financial records, bill records, legal records, etc
- Coordinate, monitor & improve the business operational activities for the section
- Monitor the equipment used in the office and facilitated repair
- Provide the required leadership, support and direction for office initiatives and special projects
- Manage assistants in support roles, including hiring, scheduling, training, and discipline
- Develop patient care plans, including assessments, evaluations, and monitoring and tracking medication of patients.
- Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
- Maintained clinic's records and files, utilizing proper techniques to keep patient data confidential.
- Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
GA Piedmont Atlanta Hospital
PATIENT ACCESS SPECIALIST
04.2016 - 06.2018
Job overview
- Interacted with patients and their families to inform them about procedures, delays, queries, and other needs
- Answered the Patient Access Services telephone lines for the department, prioritizing, screening, and redirecting calls
- Scheduled all appointments for patients on the computerized scheduling system and worked with the manager and supervisor to meet these goals
- Completed multiple types of outpatient registrations in a professional, accurate, customer-oriented and timely manner
- Handled patient prescription requests and coordinated with pharmacists, nurses, and Primary Treatment Physicians about medical care
- Achieved required departmental KPI's and was consistently recognized by multiple patients for excellent customer service
- Conducted accurate patient registration interviews and verified demographics
- Protect patient data and medical records with HIPPA Privacy Rule compliance.
Wellstar Hospital
PATIENT ACCESS SPECIALIST
06.2015 - 04.2016
Job overview
- Assisted patients with billing issues and questions about insurance coverage
- Completed ER and Outpatient Registration for all patients
- Filed medical records, ICD-9 codes, and posted charges to patient accounts
- Verified insurance eligibility and informed uninsured individuals about insurance enrollment and sliding scale costs
- Utilized a multi-line phone system to organize, prioritize, and coordinate tasks rapidly and efficiently
- Maintained positive working relationships with patients, physicians, visitors, and clinic staff
- Worked in compliance with the health clinic's policies and procedures
- Audited all patient accounts for accuracy and verified medical necessity for procedures performed.
Education
BSL Certified
CLAYTON STATE UNIVERSITY
Bachelor of Science
HOSPITAL
Nuclear Medicine Tech (BLS Certified)
Skills
- Leadership Skills
- Management Skills
- Electronic Health Records Systems
- Problem Solving
- Strategic Planning
- Administrative Knowledge
- Clinical Management/Operations
- Performance Maintenance
- Training and Development
- Understand HIPAA rules
- Scheduling
- Diagnostic Codes
Timeline
Patient Access Representative
Northside Gwinnette
03.2022 - Current
CLINICAL MANAGER
Peachtree Kidney & Hypertension Specialist
06.2018 - 10.2022
PATIENT ACCESS SPECIALIST
GA Piedmont Atlanta Hospital
04.2016 - 06.2018
PATIENT ACCESS SPECIALIST
Wellstar Hospital
06.2015 - 04.2016
BSL Certified
CLAYTON STATE UNIVERSITY
Bachelor of Science
HOSPITAL
Nuclear Medicine Tech (BLS Certified)
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