Accomplished Senior Patient Access Representative with a proven track record. Enhancing patient access through expert insurance verification and cohesive team collaboration. Demonstrated ability in fostering positive environments, training staff, and improving financial outcomes. Skilled in Epic software, ensuring HIPAA compliance and efficient patient care coordination. Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Patient Access Representative
Texas Children's Hospital
Houston, TX
10.2009 - 08.2024
Educated patients on their financial responsibility prior to receiving treatment or services provided by the facility.
Verify patient insurance, manage authorization, and assure eligibility following health plan guidelines
Explained various admission forms and policies, acquiring signatures for consent.
Assisted with the registration of new and existing patients by collecting demographic information, insurance information, medical history and other documentation.
Conducted financial counseling for patients, explaining payment options and assistance programs.
Coached junior staff members on how best utilize available resources when resolving problems encountered during the registration process.
Coordinated scheduling of appointments across multiple departments to optimize patient care.
Developed training materials for new hire orientations focusing on topics such as customer service principles, privacy regulations, departmental policies and procedures.
Explain medical benefits and coverage options to a variety of diverse patient populations
Manage intake process to adhere to compliance policy and provisions of service documentation is complete
Serve as resource and main point of contact for patient questions on accounts, actively solving problems and concerns
Facilitate financial resources and assist in navigating additional needed services
Utilize financial mindset and business focus to accurately and timely obtain financial documents, follow up on errors, and issues
Meticulously complete all required billing procedures to support timely payments for services rendered
Oversee and analyze billing and collections reports and workques
Foster positive work environment that facilitates leadership, teamwork, collaboration, and supports organizations culture
Managed and trained new hires in departmental procedures, ensuring smooth onboarding.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Patient Access Specialist
Baylor College of Medicine
Houston, TX
01.2006 - 10.2009
Served as an experienced and motivated patient access specialist for high volume and fast paced clinic
Worked closely with the unit manager to ensure timely completion of front desk administrative tasks
Updated, maintained and documented patient account information accurately in the payment management system
Determined patient financial responsibility, established appropriate financial arrangements, and collected payments
Provided assistance to patients by submitting medical claims to insurance providers
Reconciled account balances and statements
Developed and maintained relationships with physicians, hospital staff, insurance companies, and other healthcare organizations to facilitate the registration process.
Scheduled patient appointments efficiently, ensuring optimal utilization of medical staff time.
Coordinated appointments with patients and staff members according to availability.
Trained new employees on proper procedures for scheduling appointments and entering data into system.
Education
Some College (No Degree) -
Houston Community College
Houston, TX
Skills
Insurance Verification
Account management
Insurance Authorization
Collections and Payment Posting
Cohesive Team Collaboration Skills
HIPPA Compliance
Eligibility Determination
InstaMed Payment System
Appointment scheduling
Payment processing
Training coordination
Epic software proficiency
Scheduling coordination
Departmental support
Front office management
Certification
Medical Billing and Coding
HIPAA Compliance
Medical Collections 101
Notableperformancehighlights
Recognized for ensuring timely completion of front desk administrative tasks
Recognized for collecting 90% of self-pay patient payments monthly
Increased hospital revenue by assisting patients with obtaining community resources for payment
Featured for implementation of strategic business plan to achieve operational goals and monthly targets
Commended for exceeding monthly collections goal by processing immediate payments and reducing aging accounts
Attained 100% on patient satisfaction surveys each quarter
Timeline
Senior Patient Access Representative
Texas Children's Hospital
10.2009 - 08.2024
Patient Access Specialist
Baylor College of Medicine
01.2006 - 10.2009
Some College (No Degree) -
Houston Community College
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