Detail-oriented individual dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options, and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Patient Access Liaison
Summa Health System -Green Emergency Room
04.2018 - Current
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Obtained necessary signatures for privacy laws and consent for treatment.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
Optimized provider time and treatment room utilization with appropriate appointment scheduling.
Collaborated with clinical and administrative staff to meet patient needs.
Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
Stayed calm under pressure to and successfully dealt with difficult situations.
Care Coordinator
Gentiva Palliative Care
07.2023 - 02.2024
Maximized efficiency in project delivery through strategic prioritization of tasks based on urgency, complexity, and available resources.
Enhanced team productivity by maintaining clear communication channels and providing regular updates on project progress.
Trained and supervised employees on office policies and procedures.
Communicated with patients, insurance companies and providers through phone calls, emails and office drives concerning formularies and coverage limits.
Pulled charts and prepared for nurse and doctor assessment.
Maintained a high level of confidentiality by handling sensitive patient information with discretion and care.
Worked closely with Nurse practitioners and Medical Directories about patient care.
Addressed complaints made by patients and staff by escalating issues to supervision for further investigation.
Excellent communication skills, both verbal and written.
Referral Coordinator-Neuroscience
Summa Health System - Akron Campus
02.2023 - 06.2023
Scheduled patients according to availability, urgency and insurance authorization guidelines.
Reviewed demographic, clinical and insurance information before sending to referred specialists.
Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
Answered questions and resolved concerns raised by both patients and specialists.
Reduced wait times for specialist appointments by proactively identifying available slots and coordinating schedules.
Managed up to 350 patient referrals daily through multi-line telephone system.
Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Performed additional office duties, handling patient service inquiries and receiving payments.
Directed, supervised and evaluated medical, clerical or maintenance personnel.
Participated in quality improvement projects aimed at optimizing efficiency within the Referral Coordinator department.
Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
Assisted with discharge planning coordination and post-acute care referrals.
Monitored referrals to foster timely completion and followed up with physicians to facilitate.
Streamlined referral process by implementing efficient tracking and communication systems.
Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Education
Bachelor of Arts - Psychology With A Minor in Society , Mental Health
Kent State University
Kent, OH
08.2024
Certification - Addiction Counseling
Kent State University
Kent, OH
08.2024
Associate of Arts -
Kent State University
Kent, OH
05.2023
Skills
Accurate Documentation
Insurance Precertification Processes
Verbal and Written Communication
Epic Systems
MS Office Expertise
Records Management
Multitasking and Organization
Multi-Line Telephone Systems
Certification
Certified Telehealth Professional
CDCA-Preliminary
Timeline
Care Coordinator
Gentiva Palliative Care
07.2023 - 02.2024
Referral Coordinator-Neuroscience
Summa Health System - Akron Campus
02.2023 - 06.2023
Patient Access Liaison
Summa Health System -Green Emergency Room
04.2018 - Current
Bachelor of Arts - Psychology With A Minor in Society , Mental Health
Kent State University
Certification - Addiction Counseling
Kent State University
Associate of Arts -
Kent State University
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