Ellen Evans
Venus,TX
Summary
Experienced healthcare professional with a strong background in patient services. Proficient in effective communication with patients, schedule management, and administrative support. Thrives in collaborative team environments and readily adapts to evolving demands. Known for reliability, result prioritization, and consistently improving patient satisfaction.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Patient Service Specialist
Baylor Scott and White
05.2018 - Current
- Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
- Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
- Adapted quickly to changing policies or procedural updates within the clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
- Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
- Enhanced clinic workflow by managing patient records and ensuring accurate documentation of medical histories.
- Increased patient loyalty through timely follow-up calls and addressing inquiries or concerns.
- Facilitated communication between patients and healthcare providers, ensuring clear understanding of treatment plans and expectations.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Greeted and assisted patients with check-in procedures.
- Provided excellent customer service to patients and medical staff.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Responded to inquiries by directing calls to appropriate personnel.
- Trained new staff on filing, phone etiquette and other office duties.
Insurance Claims Specialist
Advent Health Orlando
02.2003 - 05.2018
- Worked with 3 claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Followed up with customers on unresolved issues.
- Coordinated with external adjusters and experts to obtain accurate assessments for specialized claims.
- Improved claims processing efficiency by meticulously reviewing and validating each claim for accuracy and completeness.
- Generated, posted and attached information to claim files.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Calculated adjustments, premiums and refunds.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
No Degree - Medical Administrative Specialist
Full Sail University
Winter Park, FL02-2005
Skills
- Insurance Eligibility Verification
- Healthcare Terminology
- Knowledge of HIPAA Regulations
- Electronic Health Record Management
- Professional Communication Skills
- Proficient in Insurance Billing
- Registration and admissions
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Certification
- Basic Life Support Certificate (BLS) - American Heart Association or Red Cross.
- Basic Life Support Certification (BLS)
- CPR/AED Certification
- Texas Driver's License
Living The Select Medical Way Team Player
Exemplifying Baylor Scott and White Core Values. I am always going above and beyond. I have stepped up to do additional tasks outside of my job description.
Languages
English
Full Professional
Timeline
Patient Service Specialist
Baylor Scott and White
05.2018 - Current
Insurance Claims Specialist
Advent Health Orlando
02.2003 - 05.2018
- Basic Life Support Certificate (BLS) - American Heart Association or Red Cross.
- Basic Life Support Certification (BLS)
- CPR/AED Certification
- Texas Driver's License
No Degree - Medical Administrative Specialist
Full Sail University
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