Professional Summary
Overview
Work History
Education
Skills
Timeline

Heather Crisp

Prism Vision Group
BEDMINSTER,NJ
19
years of professional experience

Versatile patient services professional with a strong background in documentation, reporting, and problem-solving. Experienced in Athena/MDI, insurance verification, and financial processing, with a focus on accurate data entry and reliable patient support. Ready to help improve workflows and support smooth daily operations.

Experienced Sr Patient Eligibility Specialist with 15+ years in patient service, insurance verification, and prior authorizations. Known for attention to detail, documentation accuracy, and smooth coordination with carriers and clinical teams.

Work History

Sr Patient Eligibility Specialist

2 Years 3 Months
Prism Vision Group | 08.2024 - Current
  • Trained new team members on procedures, expectations, and workplace policies.
  • Accomplished multiple tasks within established timeframes.
  • Coordinated prior authorization requests with carriers and clinical teams
  • Documented benefit information accurately in practice management and billing systems
  • Assisted in policy development by providing insights from frontline experiences, contributing to more effective eligibility criteria.
  • Facilitated smoother operations by maintaining up-to-date knowledge of changes in regulations and policies affecting eligibility.

Patient Service Representative

14 Years 6 Months
PrismVision Group | 02.2010 - 08.2024
  • Verified insurance eligibility and benefits, reducing registration errors and claim delays.
  • Coordinated patient check-in and check-out, ensuring accurate demographics and visit documentation.
  • Processed copays and account balances, maintaining clear financial records and courteous service.
  • Managed patient scheduling, minimizing conflicts and supporting smooth clinic flow.
  • Resolved phone inquiries and appointment concerns, delivering prompt support and follow-through.
  • Trained new front-desk staff on workflow standards, patient communication, and documentation procedures.
  • Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
  • Used Athena/MDI to schedule appointments.
  • Handled customer service inquiries in person, via telephone and through email.
  • Assisted patients in filling out check-in and payment paperwork.
  • Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
  • Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
  • Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
  • Took copayments and compiled daily financial records.
  • Balanced deposits and credit card payments each day.
  • Built and maintained positive working relationships with patients and staff.
  • Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
  • Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Provided compassionate support for patients facing financial challenges, assisting them in navigating available resources and payment options.
  • Stayed calm under pressure and successfully dealt with difficult situations.

Front End Lead

1 Year 4 Months
Easy Pharmacy & Surgicals | 01.2008 - 05.2009
  • Led front-end checkout operations, ensuring smooth customer flow and consistent service standards.
  • Supervised daily register activity, balancing drawers and resolving transaction discrepancies accurately.
  • Distributed patients prescriptions
  • Wrote the stores SOP

Education

- Medical Billing And Coding

Anthem Institute | New Brunswick, NJ | 01-2010

4.0 GPA and Perfect attendance

Skills

Microsoft office
Documentation and reporting
Verbal communication
Athena/MDI proficiency
Problem-solving
Excellent communication
Critical thinking
Attention to detail
Teamwork and collaboration
Time management
Analytical skills
Multitasking
Decision-making
Conflict resolution
Patient advocacy

Timeline

Sr Patient Eligibility Specialist

Prism Vision Group
08.2024 - CurrentRead More

Patient Service Representative

PrismVision Group
02.2010 - 08.2024Read More

Front End Lead

Easy Pharmacy & Surgicals
01.2008 - 05.2009Read More

Anthem Institute

from Medical Billing And Coding
Read More
Heather Crisp