Gary Thomas
San Diego,CA
Summary
Dependable Patient Access Rep III serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
15
15
years of professional experience
Work History
PATIENT ACCESS REPRESENTATIVE III - EMERGENCY DEPT
Rady Children's Hospital Of San Diego
2023.08 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Providing excellent customer service by promptly answering patient inquiries.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Verified patient insurance eligibility and entered patient information into system.
- Engaged with patients to provide critical information.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
PATIENT ACCESS REPRESENTATIVE II
Rady Children's Hospital Of San Diego
2020.11 - Current
- Register patients according to established protocols
- Assist patients with completing all necessary forms and documentation including medical insurance
- Schedule appointments and injections
- Maintain and manage patient and staff messages
- Answer phone calls and assist with inquiries and issues
- Collect all payments
- Perform other duties as assigned
- Safeguard patient privacy and confidentiality.
BEHAVIORAL HEALTH PATIENT SERVICE REPRESENTATIVE II (DEPARTMENT LEAD) / MEDICAL ASSISTANCE
SAN DIEGO AMERICAN INDIAN HEALTH CENTER
2017.11 - 2020.11
- Completed daily behavioral health department audits
- Completed daily/monthly statistical reports regarding patient visits as well as other reports as required
- Provided management level training to staff
- Coordinated behavioral health prescription refill notifications, submitted prior authorization to insurances companies, and called in prescriptions to pharmacies
- Prepared patients for examination; measured vital signs, conducted pain assessment, height, and weight check.
PATIENT SERVICE REPRESENTATIVE
SAN DIEGO AMERICAN INIDAN HEALTH CENTER
2017.04 - 2017.11
- Registered patients according to established protocols
- Assisted patients in completing all necessary forms and documentation including medical insurance
- Maintained and managed patient and staff messages
- Answered calls and assisted in patient inquiries and issues
- Collected all payments
- Completed other clerical duties as assigned
- Safeguarded patients' privacy and confidentiality.
MEDICAL ASSISTANT/THERAPEUTIC COMPANION
PACIFIC MEDICAL CARE
2015.10 - 2016.09
- Medical Assistant - Performed administrative and clinical duties
- Provided transport to physicians for At-Home Appointments
- Took and recorded vital signs and medical histories, prepared patients for examination; administered injections, blood draws, and administered medications as directed by the physicians.
- Therapeutic Companion - Provided inpatient and outpatient drug and alcohol counseling and support
- Provided transport to patients to various Narcotic Anonymous and Alcohol Anonymous meetings and organizations
- Took vital signs and administered medications as directed by the physicians
- Maintained confidential written records of client interactions.
MEDICAL ASSISTANT
KOTHA, KOTHA & KOTHA MD'S
2015.05 - 2015.09
- Performed administrative and clinical duties
- Took and recorded vital signs and medical history
- Prepared patients for examinations; administered injections blood draws and Dexa scans, and other assigned duties.
SERVICE REPRESENTATIVE
KAISER PPERMANENTE
2009.01 - 2012.09
- Registered patients according to established protocols
- Assisted patients in completing all necessary forms and documentation including medical insurance
- Maintained and managed patient and staff messages
- Answered calls and assisted with member inquiries and issues
- Collected all payments
- Completed other clerical duties as assigned
- Safeguarded patients' privacy and confidentiality.
Education
U.S. Colleges
01.2015
Skills
- Customer Service
- Patient Care
- Training
- BLS Certified
- Mental Health Management
- Medical Office
- EPIC System
- Multitasking and Organization
- Problem-Solving
- HIPAA Compliance
- Patient Registration
References
Available upon request.
Timeline
PATIENT ACCESS REPRESENTATIVE III - EMERGENCY DEPT
Rady Children's Hospital Of San Diego
2023.08 - Current
PATIENT ACCESS REPRESENTATIVE II
Rady Children's Hospital Of San Diego
2020.11 - Current
BEHAVIORAL HEALTH PATIENT SERVICE REPRESENTATIVE II (DEPARTMENT LEAD) / MEDICAL ASSISTANCE
SAN DIEGO AMERICAN INDIAN HEALTH CENTER
2017.11 - 2020.11
PATIENT SERVICE REPRESENTATIVE
SAN DIEGO AMERICAN INIDAN HEALTH CENTER
2017.04 - 2017.11
MEDICAL ASSISTANT/THERAPEUTIC COMPANION
PACIFIC MEDICAL CARE
2015.10 - 2016.09
MEDICAL ASSISTANT
KOTHA, KOTHA & KOTHA MD'S
2015.05 - 2015.09
SERVICE REPRESENTATIVE
KAISER PPERMANENTE
2009.01 - 2012.09
U.S. Colleges
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