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 counselingMedical terminology Multidisciplinary team collaborationInsurance Verification Staff ManagementInsurance billing Training and mentoringRelationship building and retention Project oversight
Accreditation coordination
Multidisciplinary team collaboration
Staff Management
Relationship building and retention
Project oversight
Team Building
Profit improvements
Hiring and recruitment
Training and mentoring
Eligibility Determination
EMR
Insurance Verification
Insurance billing
Statistical Data Management
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