Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
Handled sensitive situations with empathy when dealing with distressed patients or those facing serious health challenges.
Maintained up-to-date knowledge on insurance policies, medical terminology, and clinic protocols in order to provide accurate information and assistance to patients.
Managed incoming calls from patients, directing them appropriately while maintaining confidentiality at all times.
Reduced wait times by effectively coordinating with medical staff on patient schedules and room availability.
Explained upcoming treatment preparation, instructions, and other facts to patients.
Worked with patients to schedule tests and procedures.
Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Delivered excellent patient experiences and direct care.
Verified patient insurance eligibility and entered patient information into system.
Answered incoming calls, scheduled appointments and filed medical records.
ADVANCE MEDICAL SUPPORT ASSISTANT GS 6
Veterans Health Administration
10.2022 - 11.2024
Greeted patients and directed them to correct person or department.
Assisted with checking in patients
Assisted with making follow up appointment at check out or by phone.
Assisted with scheduling appointments for patients.
Assisted with scheduling patients referrals.
Verified patients insurance before or at time of appointment.
Verified patient health benefits with approved health care companies.
Verified patients demographics and made sure account is up to date.
Assisted with insurance authorization through EHR systems.
Sent and receives medical records and referrals for patient care.
Provided information on preparation procedure to patients for upcoming exams.
Assisted patients with prescription orders through Salesforce CRM.
Assisted with connecting patients with triage nurse or to specialty clinics.
Maintained patients confidential records, copies, and scanned documents into patients charts.
Communicated with staff and different departments to ensure workflow and satisfy patients needs.
Accurately documented patient account.
Utilized Microsoft Office such as Word, Teams, and Excel.
Collected copays and assisted in identifying sliding fees.
Kept office inventory needs stocked and placed orders when items run low.
Operated office equipment such as fax and copy machine.
PATIENT SERVICE REPRESENTATIVE
Zelis
11.2020 - 09.2022
Greeted patients and directed them to the correct department for their appointments upon arrival.
Verified patient demographics to ensure accuracy prior to appointment check-in.
Verified patients insurance through EHR systems.
Assisted with insurance authorization.
Assisted with checking in and checking out patients.
Assisted with making appointments for patients.
Assisted with making follow up appointments per doctors request.
Assisted patients with re-scheduling appointments.
Kept track of appointment cancellations and no shows.
Obtained and validated photo identifications and insurance cards, scanning documents into patients' charts.
Scanned medical records into patients accounts using EHR systems.
Made changes to patient insurance to maintain proper billing.
Updated patients demographics.
Processed payments accurately by verifying insurance coverage and applying copays and deductibles when applicable.
Answer telephones, take messages, and triage calls to appropriate individuals.
Communicated with staff to sustain workflow.
Knowledge in medical terminology.
Utilized Microsoft Office such as Word, Teams, and Excel daily.
Operated office equipment such as fax machine, copy machine and shredder.
Prepared mailed to be sent out to patients.
Ensured office area and waiting lobby is cleaned.
REMOTE PATIENT SERVICE REPRESENTATIVE
Convey Health Solutions
04.2019 - 11.2020
Verified insurance benefits prior to treatment for accurate billing process.
Verified patients demographics before accessing account.
Handled inbound and outbound calls.
Provided assistance to inquires about insurance policies.
Advocate for patients regarding complaints or billing issues within the established policies and procedures of the department.
Attended daily meetings to enhance or gain skill.
Provided insurance authorization.
Record details of customer interactions, including inquiries, comments, and complaints.
Ensured compliance with HIPAA regulations regarding patient information privacy.