JAMIE ALTO
Supervisor, Patient Access
Yucaipa,CA
Summary
Detail-oriented Supervisor with extensive medical services background and strong work ethic. Highly collaborative and analytical . Excellent communication skills and empathetic nature which enables achievements of positive outcomes.
Overview
22
22
years of professional experience
Work History
Patient Access Supervisor
Parallon
Riverside, CA
03.2012 - Current
- Established a process for patient estimation in order to provide patient price transparency.
- Developed and trained a team to verify patient insurance information and secured authorization for scheduled services.
- Created a robust training and education program to ensure staff are experts and confident in their processes to ensure financial stability within the organization.
- Supports and covers Manager and Director when out of the office.
- Supervises a team of 36 Patient Access Registrars and Leads
- Collaborate with multiple departments to facilitate patient centered service improvement.
- Obtain, reviews, and escalates Single Case Agreements and Letter of Agreements for legal approval.
- Work closely with CFO, Regional Director, Director, and Manager to ensure denial prevention management.
- Direct day-to-day administrative and operational functions for 500-bed facility, providing guidance and leadership to over 35 employees supporting; transplant, cancer center, heart center, outpatient, inpatient, emergency room, and scheduling departments.
- Secures patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Aids and assists shared service centers to establish division of financial responsibility is in proper sequence according to our contracts.
- Trained staff on reading eligibility results to obtain patient deductibles and co-pay amounts in order to increase upfront collections.
- Educated staff to determine uninsured and underinsured patient financial needs to obtain financial assistance through Medi-Cal, Covered California, and Charity programs.
- Trained team members on how to collect and enter demographic, insurance data, secure authorizations and deliver the why to decrease denials on the back-end, send accurate information to HCAI, and stay in compliance with State and Federal laws.
Patient Access Team Lead
Healthcare Corporation Of America, HCA
Riverside, CA
08.2010 - 03.2022
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance
- Resolved patient financial problems with guidance from documented guidelines and procedures
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations
- Helped address client complaints through timely corrective actions and appropriate referrals
- Facilitated communication between patients and various departments and staff
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment
- Recommended service improvements to minimize recurring patient issues and complaints
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
Education
High School Diploma - General Education
Pacific High School
Associate of Science - Organizational Leadership
Bloomington High School
Degree - Organizational Leadership
Azusa Pacific University
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Azusa Pacific Online University
Skills
Information Collection Patient education and counselingundefined
Additional Information
- ADDITIONAL INFORMATION
Timeline
Patient Access Supervisor
Parallon
03.2012 - Current
Patient Access Team Lead
Healthcare Corporation Of America, HCA
08.2010 - 03.2022
High School Diploma - General Education
Pacific High School
Associate of Science - Organizational Leadership
Bloomington High School
Degree - Organizational Leadership
Azusa Pacific University
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Azusa Pacific Online University
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