Elizabeth McCall
Grants Pass,OR
Summary
Driven by a continuous learning mindset and expertise in medical billing, I excelled at Asante Health Systems by enhancing patient satisfaction through effective conflict resolution and meticulous HIPAA compliance. My proficiency in medical coding and patient scheduling streamlined office procedures, significantly improving operational efficiency, which has further my knowledge and understanding working at the Veteran's Health Administration
Overview
7
7
years of professional experience
Work History
Advanced Medical Support Assistant
Veteran's Health Administration
01.2022 - Current
- Supports clinics regarding clinic profile management.
- Collects and updates insurance information from Veterans, family members and other eligible patients.
- Prepares correspondence and memos as needed.
- Screens/receive phone calls in a courteous and timely manner, determine the nature of request and provide the information desired using privacy rules and established clinic processes.
- Ensures data is entered into VISTA, and Cerner accurately and scans documents into VISTA and Cerner Imaging within 24 hours of entering the data if applicable.
- Promotes Veterans registration for and utilization of MyHealthyVet (MHV), MyVA Health Portal and kiosks usage.
- Follows procedures regarding Community Care referrals.
- Serves as the initial point of contact for units, clinics, patients, call centers, Care in the Community regarding various aspects of patient appointments and referrals.
- Enters Veterans seeking urgent/urgent care, scheduling appointments accurately.
- Pre-Registers Veterans during check-in and utilizing call lists and telephones Veterans before their scheduled visits. Incumbent updates all patient demographics.
- Communicates and interacts with patients in a manner which is appropriate to cognitive, emotional, and chronological maturation needs of the adult and/or geriatric patient.
- medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records.
- Mailed patient appointment letters.
Patient Service Representative
Asante Health Systems
03.2017 - 04.2022
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Used Epic to schedule appointments.
- medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health record
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Collaborated with clinical staff to coordinate care plans, resulting in improved patient outcomes.
- Resolved billing inquiries and disputes in timely fashion.
- Investigated insurance claims denials and appeals.
- Followed document protocols to safeguard confidentiality of patient records.
Education
Bachelor of Science - Health Informatics And Coding
Southern New Hampshire University
Hooksett, NH06.2019
Skills
- Conflict resolution techniques
- Patient Communication
- HIPAA Compliance Understanding
- Medical billing experience
- Appointment Scheduling Expertise
- Professionalism and Ethics
- Continuous learning mindset
- Medical terminology understanding
- Patient Scheduling
- Medical coding familiarity
- Data entry proficiency
- Medical Office Procedures
- Medical record assessment
Timeline
Advanced Medical Support Assistant
Veteran's Health Administration
01.2022 - Current
Patient Service Representative
Asante Health Systems
03.2017 - 04.2022
Bachelor of Science - Health Informatics And Coding
Southern New Hampshire University
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