Jamie Douglas
Lonedell,MO
Summary
Compassionate Patient Access Representative skilled in executing various administrative tasks to enhance patient care, demonstrating strong diplomacy and problem-solving skills. Effective communicator with proven time management capabilities and a positive team-oriented approach. Maintains exceptional attention to detail, ensuring high accuracy in medical records.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Patient Access Representative
SSM Health
Lake St. Louis , Missouri
04.2024 - Current
- Reviewed and verified medical claims for accuracy and compliance prior to submission.
- Processed insurance claims to ensure timely reimbursement from providers.
- Analyzed revenue cycle data to identify trends and enhance operational processes.
- Communicated with insurance companies regarding claim status and payments.
- Researched discrepancies on unpaid invoices and reconciled accounts effectively.
- Managed appeals for denied claims, ensuring prompt resolution of issues.
- Maintained comprehensive knowledge of insurance policies, procedures, and regulations.
- Utilized electronic health record systems to uphold accurate patient information.
Front Office Coordinator
St.louis Pediatric Dentistry
Ladue , MO
10.2021 - 04.2024
- Sent clinical request and missing information letters to obtain incomplete information.
- Documented file notes clearly and concisely in Eaglesoft.
- Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Collected, posted and managed patient account payments.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Scheduled and confirmed appointments.
- Maintained daily calendars, set appointments with clients and planned daily office events.
- Managed more than 80 incoming calls per day.
- Welcomed visitors upon entrance, answered inquires and directed questions or appointments to appropriate personnel.
- Took information from potential customers to assess needs.
- Made phone calls and sent emails to establish leads.
- Sorted incoming mail and directed to correct personnel each day.
- Maintained customer records with timely and accurate database updates.
- Processed payments and updated accounts to reflect balance changes.
- Contacted previous and potential clients to offer services and products to suit needs.
- Answered telephones and directed calls to appropriate staff members.
Office Manager
Rags contracting LLC
Pacific, MO
03.2021 - 09.2021
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Managed office inventory and placed new supply orders.
- Automated office operations for managing client correspondence, payment scheduling, record tracking and data communications.
- Wrote professional business correspondence to maintain strong line of communications.
- Conducted staff performance evaluations to monitor progress and individual skills.
- Managed office budget to handle inventory, postage and vendor services.
Nurses Aide
Mercy Jefferson Hospital
Festus, MO
10.2019 - 01.2021
- Recorded patient conditions and vital signs before and after medical operations.
- Managed medical stock and restocked inventory to ensure optimal availability for patients.
- Documented information in patient charts and communicated status updates to interdisciplinary care team.
- Documented patient intake and dietary requirements and aided with feeding and monitoring.
- Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
- Answered patient and family questions to educate on optimal treatment procedures.
- Triaged patients by phone and provided general assistance for basic and advanced needs.
- Monitored and observed patients' to accurately records changes in condition and reaction to medications and treatment.
Office Manager
Cedar Hill Chiropractic
Cedar Hill, MO
11.2014 - 04.2016
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Managed office inventory and placed new supply orders.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Scheduled and confirmed appointments.
- Maintained daily calendars, set appointments with clients and planned daily office events.
- Provided exceptional customer service through effective telephone communication and follow-ups.
Education
High School Diploma -
Northwest High School
Cedar Hill, MO05.2013
Some College (No Degree) - Medical Billing And Coding
Lindenwood University
Saint Charles, MOSkills
Maintenance coordination
- Certified receptionist
- Time management
- Schedule coordination
- Appointment scheduling
- Phone and email etiquette
- Office management
- Multitasking and organization
- Customer service excellence
- Integrity and honesty
- Customer complaint resolution
- Insurance verification
- Claims processing
- Electronic health records
- Problem solving
- Attention to detail
Certification
- Medical Billing and Coding Certificate of Completetion
Timeline
Patient Access Representative
SSM Health
04.2024 - Current
Front Office Coordinator
St.louis Pediatric Dentistry
10.2021 - 04.2024
Office Manager
Rags contracting LLC
03.2021 - 09.2021
Nurses Aide
Mercy Jefferson Hospital
10.2019 - 01.2021
Office Manager
Cedar Hill Chiropractic
11.2014 - 04.2016
High School Diploma -
Northwest High School
Some College (No Degree) - Medical Billing And Coding
Lindenwood University