Summary
Overview
Work History
Education
Skills
Timeline
Generic

Evelyn Reyes

Powderhorn,GA

Summary

Patient Access Manager with experience managing patient check in and check out, call center and medical records, and patients registration for outpatient infusions. Demonstrates strong leadership skills in navigating complex healthcare systems, resulting in smooth operations and improved patient satisfaction, workflow efficiency and improve overall performance. Previous roles involved strategic planning and implementation of initiatives that significantly enhanced patient access to care while ensuring compliance with healthcare regulations.

Overview

13
13
years of professional experience

Work History

Patient Access Manager

Atlanta Neuroscience Institute
Atlanata, GA
07.2018 - Current
  • Developed and implemented patient access policies and procedures.
  • Conducted staff training to ensure compliance with established protocols.
  • Maintained accurate records of all patient visits and admissions.
  • Monitored employee performance and provided feedback for improvement.
  • Created reports on patient access metrics, such as wait times, no-shows.
  • Assisted in the management of staffing schedules to meet fluctuating demands.
  • Performed audits of patient registration documents to ensure accuracy.
  • Managed customer service issues related to patient access and scheduling problems.
  • Evaluated existing processes for efficiency and made recommendations for improvements.
  • Resolved issues regarding insurance verification, preauthorization requirements.
  • Identified opportunities to increase operational efficiencies through process changes or technological solutions.
  • Advised senior leadership on best practices for optimizing revenue cycle management processes.
  • Provided support during peak periods by managing call center queues and addressing customer inquiries.
  • Ensured compliance with HIPAA regulations related to protecting the privacy of protected health information.
  • Communicated with patients with compassion while keeping medical information private.
  • Explained policies, procedures and services to patients.
  • Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.

Secretary

Church of the Living God in Christ Jesus
Hiram, GA
06.2014 - Current
  • Organized and maintained executive calendars, including scheduling meetings, travel arrangements and conference calls.
  • Prepared documents such as memos, letters, reports, spreadsheets and presentations using Microsoft Office applications.
  • Greeted visitors in a professional manner and directed them to appropriate personnel or offices.
  • Maintained filing systems for confidential documents; organized files for easy retrieval of information when requested.
  • Coordinated meeting logistics such as room reservations and catering services.
  • Ordered supplies as needed; tracked inventory levels and placed orders with vendors when necessary.
  • Managed calendar reminders for upcoming deadlines or events associated with the office.
  • Proofread documents before submission; corrected any errors found in grammar or punctuation.
  • Maintained organized filing system of paper and electronic documents.
  • Ordered office supplies to purchase items and maintain appropriate levels.
  • Scheduled meetings and sent invitations specifying time and location.

Medical Front Office Coordinator

Atlanta Neurology
Atlanta, GA
12.2012 - 05.2014
  • Greeted patients, answered phones and scheduled appointments.
  • Verified patient demographics, insurance information and medical histories.
  • Prepared and maintained patient files and records.
  • Collected payments for services rendered and applied them to appropriate accounts.
  • Provided assistance with billing inquiries or problems from patients or other healthcare providers.
  • Performed a variety of clerical duties such as data entry, filing and photocopying.
  • Processed referrals from primary care physicians to specialists.
  • Coordinated with other departments within the organization to ensure smooth operation of the front office activities.
  • Ensured compliance with HIPAA regulations regarding patient privacy rights.
  • Provided support for physicians during their day-to-day operations.
  • Assigned ICD-10 diagnostic codes to medical records for proper billing and reimbursement.

Claims Processor

Computer Science Corporation, CSC
Atlanta, GA
11.2011 - 12.2013
  • Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
  • Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.
  • Adhered to all applicable laws, regulations, and company standards while processing claims.
  • Applied knowledge of coding systems such as CPT-4 and HCPCS codes for proper reimbursement.
  • Performed quality assurance reviews on completed work to ensure compliance with standards.
  • Managed escalated customer complaints pertaining to denied or delayed payments in a timely manner.
  • Identified trends in denials or rejections due to incorrect coding or billing practices by providers.
  • Performed additional duties as requested by management team.
  • Verified claim data correctness in preparation for processing.
  • Adhered to state and federal regulations regarding insurance claims processing.
  • Followed up on pending claims and resolved issues delaying processing.

Education

Associate of Applied Science - Medical Billing And Coding

Coyne American Institute
Chicago, IL
06-2008

High School Diploma -

Roberto Clemente High School
Chicago, IL
06-1986

Skills

  • Healthcare knowledge
  • HIPAA Compliance
  • Appointment Scheduling
  • Insurance Verification
  • Team Management
  • Employee Work Scheduling
  • Employee Performance Evaluations
  • Employee Recruitment and Hiring
  • Epic Systems
  • Employee Supervision
  • Multitasking
  • Organizational Skills
  • Decision-Making
  • Creating Providers' scheduling templates

Timeline

Patient Access Manager

Atlanta Neuroscience Institute
07.2018 - Current

Secretary

Church of the Living God in Christ Jesus
06.2014 - Current

Medical Front Office Coordinator

Atlanta Neurology
12.2012 - 05.2014

Claims Processor

Computer Science Corporation, CSC
11.2011 - 12.2013

Associate of Applied Science - Medical Billing And Coding

Coyne American Institute

High School Diploma -

Roberto Clemente High School

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