Erica Sims-Parker
Cypress,Texas
Summary
Empathetic Patient Assistant Program Counselor known for exceptional productivity and efficiency in task completion. Specialize in navigating complex healthcare systems, effective communication with diverse populations, and resolving patients inquiries with speed and accuracy. Excel in active listening, problem-solving, and patience, ensuring positive outcomes in patient interactions.
Overview
4
4
years of professional experience
Work History
PAP Counselors
Regalo Rx
Remote
11.2023 - Current
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive PAP benefits.
- Organized and recorded essential details related to clients' finances, such as income and assets.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medications
- Researched discrepancies between submitted forms and available records to ensure compliance with regulations.
- Maintained comprehensive knowledge of program regulations, policies, and procedures.
- Provided guidance on how to apply for benefits and answered questions related to the process.
- Attended regular training sessions to stay up-to-date on new rules and regulations.
- Investigated complaints regarding eligibility determinations or denials.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Performed data entry from paper documents, emails, and other sources into computer systems.
- Followed up on pending tasks until completion.
Patient Care Technician- PRN
Memorial Herman Central Staffing
Houston, TX
02.2022 - Current
- Assisted in preparing patients for examinations and treatments, including vital signs monitoring.
- Performed EKGs, phlebotomy, and other laboratory tests as directed by physician or RN.
- Maintained accurate records of patient care, condition, progress, and concerns.
- Observed changes in patient's conditions and reported any abnormalities to the RN on duty.
- Assisted with patient transfers from bed to wheelchair or strher as needed.
- Answered call lights promptly and responded appropriately to requests from patients, families, staff members.
- Organized supplies in order to maintain adequate stock levels throughout shift.
- Conducted safety rounds regularly to ensure safe environment for patients.
- Helped create a safe environment by following infection control policies.
- Documented patient intake and dietary requirements and aided with feeding and monitoring.
Consumer Care Advocate
Sedgwick
Remote
08.2022 - 10.2023
- Addressed and resolved claimant inquiries, complaints, and information requests pertaining to insurance status.
- Directed calls/emails to appropriate escalation paths as needed.
- Collaborated with claimants and attorneys to gather necessary details for claims.
- Maintained accurate records by updating diary notes with necessary information through data entry into the computer system.
- Resolved claimants' complaints by identifying problems, researching solutions, and providing corrective action plans.
Customer Service Representative
BCFS
San Antonio
02.2021 - 08.2022
- Coordinated appointments for Covid-19 Monoclonal infusions based on availability of resources.
- Performed data entry tasks such as entering new patient information into a computer system.
- Utilized scheduling software programs to efficiently book appointments according to the State of Texas' availability.
- Assisted patients with canceling and rescheduling appointments.
- Ensured compliance with facility policies and procedures related to patient scheduling.
- Communicated effectively with patients regarding appointment details, preparation instructions, and follow-up care.
Education
GED -
Texas Education Agency
Austin, TX12-2017
Some College (No Degree) -
University Of Phoenix
Houston, TXSkills
- HIPAA
- Medical terminology knowledge
- MS Office
- Call Metrics
- 40 wpm Typing Speed
- Proficiency in Salesforce and Epic
- Insurance Verification
- Case Documentation
Accomplishments
- Achieved 98.6% to 100% metrics during live listening sessions
- Recognized and worked as a SME with internal staff as a key contact for issue resolution and inquiries.
Timeline
PAP Counselors
Regalo Rx
11.2023 - Current
Consumer Care Advocate
Sedgwick
08.2022 - 10.2023
Patient Care Technician- PRN
Memorial Herman Central Staffing
02.2022 - Current
Customer Service Representative
BCFS
02.2021 - 08.2022
GED -
Texas Education Agency
Some College (No Degree) -
University Of Phoenix
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