Dynamic Patient Service Representative with expertise in HIPAA compliance and insurance verification at Pediatric Healthcare Alliance. Proven track record in enhancing patient satisfaction through exceptional customer service and effective communication. Skilled in electronic health records and conflict resolution, ensuring seamless patient experiences and efficient office administration.
Overview
28
28
years of professional experience
Work History
Patient Service Representative
Pediatric Healthcare Alliance
03.2018 - Current
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.
Provided exceptional customer service to patients, answering questions and addressing concerns.
Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
Managed patient registration process, confirming data accuracy and completeness.
Used Athena to schedule appointments.
Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
Took copayments and compiled daily financial records.
Balanced deposits and credit card payments each day.
Surgery Coordinator
The Mack Center
06.2014 - 09.2017
Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
Streamlined communication between surgeons, patients, and hospital staff for seamless surgery coordination.
Maintained accurate medical records for all patients undergoing surgery, facilitating effective communication among healthcare providers.
Abided by state and federal healthcare guidelines and laws and reported non-compliance issues.
Increased patient satisfaction with pre-surgery preparation by providing clear instructions and addressing any concerns or questions.
Collaborated with patient, referring physician and surgical specialist to coordinate pre- and post-operative care for surgical procedures.
Communicated with patients on phone and in person to enter and update medical history in database.
Ensured timely insurance verifications and authorizations, preventing delays in scheduled procedures.
Meticulously maintained surgeon''s calendars, allowing them to focus on providing excellent patient care without administrative distractions or interruptions.
Checked patients in and out and collected payments.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Verified insurance coverage and obtained pre-authorizations.
Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Obtained payments from patients and scanned identification and insurance cards.
Invoicing Specialist
Telmar Network Technology
06.1997 - 04.2014
Coordinated closely with sales teams to resolve pricing discrepancies in invoices while adhering to company guidelines.
Improved customer satisfaction with timely and accurate invoicing, addressing inquiries promptly and professionally.
Trained new employees on invoicing procedures, contributing to a well-prepared workforce capable of handling complex tasks independently.
Negotiated favorable payment terms with vendors, enhancing cash flow management for the company.
Prepared and mailed invoices to customers, processed payments, and documented account updates.
Supported month-end close activities by preparing journal entries related to revenue recognition adjustments.
Reconciled bank statements regularly to track incoming payments accurately and expedited deposit posting.
Managed high-volume invoices, ensuring proper coding and approval before processing payments.
Enhanced invoice accuracy by meticulously reviewing and verifying data prior to submission.
Monitored outstanding invoices and performed collections duties.
Interacted with customers to resolve billing disputes and respond to inquiries.