GENEVA R. FITCHETT
Newport News,USA
Summary
Dependable employee looking to further my career while also displaying my customer service, financial and administrative skills.
Overview
25
25
years of professional experience
Work History
Patient Access Representative
Riverside Regional Hospital
09.2023 - Current
- Obtains or validates patient information and registers patients into the software system, while providing a high level of customer service.
- Ensures all necessary demographic and financial data are obtained and documented into the system.
- Maintains patient safety through the correct patient identification practices. Maintains strict confidentiality in all matters relating to patient PHI.
- Works daily reports and account work queues to ensure the integrity of the registration data.
- Handles patient inquires related to registration.
- Calculates payment information, accepts funds and credit accounts accordingly for Time of Service collections.
- Ensures EMTALA rules and regulations are strictly adhered to when registering patients through the ED and Obstetrics.
- Completes forms and collects documents as needed based on the registration type.
Customer Care Rep II
Anthem, Inc
06.2021 - Current
- Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Analyzes problems and provides information/solutions.
- Operates a PC/image station to obtain and extract information, documents information, activities, and changes in the database.
- Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
- Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information.
- Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting.
Utilization Management Correspondent Rep
Anthem, Inc
04.2019 - 06.2021
- Complete denial letters for services denied by the Medical Director.
- Generate and print denial letters for mailing.
- Collaborate with other departments to produce Denial Letters for services denied in their respective units.
- Identify opportunities to enhance workflow and offers solutions.
- Answer and route incoming calls from providers, medical groups, and others verifying referral status.
- Maintain updated denial letter templates.
- Participate in department work groups to improve process and procedures.
- Research authorizations and case notes to ensure accuracy of Behavioral Health criteria and denial rationales.
- Run queries and assign daily lists of Medical Necessity letters to the Behavioral Health Team.
- Reach out to other programs for updates when information is missing that will not allow a letter to be completed, and not miss (TAT) Turnaround Time.
Enrollment Specialist (Temporary Assignment)
Conduent
09.2018 - 11.2018
- Implement and maintain enrollment system using data collection templates and benefit rules specific to each client.
- Coordinate with service providers to set up Data Interface.
- Educate members and their dependents on benefits provided through their employer (core benefits and voluntary benefits).
- Maintain eligibility for clients (new hires, changes, terminations, etc.)
- Provided education and enrollment support during open enrollment periods.
- Determine the amount of coverage a customer should receive according to the procedure performed and the coverage on the member’s account.
Initial Practitioner Credentialing Specialist (Temporary Assignment)
Anthem, Inc
10.2017 - 10.2018
- Ensure that physicians are in compliance with relevant regulations.
- Obtain and keep records related to insurance contracts and staff credentials secured.
- Prepare reports to make certain that medical staff meet federal and state guidelines.
- Conduct outreach to medical personnel for complete information on individual applications for processing.
- Use queries to gather and extract data for reports and documents.
- Use references to search for information to complete the credentialing process.
- Research current and new medical processing laws and regulations at both state and federal level.
Administrative Assistant
Hampton Dept of Social Services
10.2016 - 09.2017
- Maintain and update volunteer information, income eligibility, workstations assignments, background checks and other pertinent information for over 120 senior volunteers.
- Prepare orientation materials and facilitate monthly volunteer meetings.
- Complete monthly site visits with point of contact supervisors to discuss volunteer performances at workstations throughout the service areas.
- Serve as liaison with community partners, i.e., Hampton Triad, Hampton Senior Citizens Advisory Council.
- Maintain Window Access system to track volunteer work hours, served personnel information and demographic information.
- Assist with calling and setting up interviews for potential candidates for employment.
- Check potential candidate background information.
- Assist with leave balance in Access Spreadsheet.
- Document and store general information to include phone numbers, addresses, and member demographics.
- Mail patient documents to individuals who are no longer able to work with the program due to illness or death.
Admin Functional Support Specialist III
Newport News Shipbuilding
03.2001 - 07.2014
- Manage daily office operations and maintenance of office equipment.
- Use SAP on a daily basis with numerous spreadsheets.
- Assist in all areas of administrative work including data entry and receptionist duties.
- Establish effective systems for record retention by creating database for tracking daily correspondence.
- Assist in the development of meeting agendas to increase meeting efficiency.
- Systematically increase office organization by developing more efficient filing.
- Assist in facilitating weekly project team meetings.
- Collect and record donations for yearly United Way Campaign for roughly 300 employees.
Education
Diploma -
Woodrow Wilson High School
Skills
- Meeting scheduling
- Facets
- Maces
- Collections
- File Management
- Microsoft Office Suite
- Patient check-in
- Multitasking and organization
- Appointment scheduling
- Customer service
- Insurance verification
- HIPAA compliance
- Patient registration
- Registration and admissions
Timeline
Patient Access Representative
Riverside Regional Hospital
09.2023 - Current
Customer Care Rep II
Anthem, Inc
06.2021 - Current
Utilization Management Correspondent Rep
Anthem, Inc
04.2019 - 06.2021
Enrollment Specialist (Temporary Assignment)
Conduent
09.2018 - 11.2018
Initial Practitioner Credentialing Specialist (Temporary Assignment)
Anthem, Inc
10.2017 - 10.2018
Administrative Assistant
Hampton Dept of Social Services
10.2016 - 09.2017
Admin Functional Support Specialist III
Newport News Shipbuilding
03.2001 - 07.2014
Diploma -
Woodrow Wilson High School