Capable Patient Representative 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
14
14
years of professional experience
1
1
Certification
Work History
Lead Patient Access Representative
Children's Community Pediatrics-UPMC
11.2015 - Current
Managed high call volumes effectively while maintaining a positive attitude and professional demeanor at all times.
Conducted regular audits of patient accounts to identify discrepancies, resulting in improved financial outcomes for the organization.
Promoted a positive workplace culture by demonstrating respect, empathy, and professionalism in all interactions with patients, colleagues, and other stakeholders.
Improved revenue cycle management by verifying insurance eligibility and obtaining necessary authorizations.
Served as a liaison between patients, providers, and administrative staff to ensure seamless coordination of care across multiple departments.
Maintained strict adherence to HIPAA regulations, protecting sensitive patient information from unauthorized access or disclosure.
Enhanced patient satisfaction by streamlining registration processes and ensuring timely appointments.
Assisted in developing departmental policies and procedures that promoted efficiency, accuracy, and exceptional customer service.
Provided compassionate assistance to patients experiencing financial hardship by identifying available resources or alternative payment options when appropriate.
Resolved complex billing issues, working closely with insurance companies to ensure prompt payment for services rendered.
Supported the implementation of new EMR software, facilitating a smooth transition for staff and patients alike.
Stayed calm under pressure to and successfully dealt with difficult situations.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Personal Caregiver/Community Habilitation Specialist
Self Employed/ Independence Professionals
10.2010 - Current
Provided assistance in daily living activities by dressing, grooming, bathing, and toileting patients.
Administered medication as directed by physician.
Maintained clean, safe, and well-organized patient environment.
Planned healthy meals, purchased ingredients, and cooked meals to provide adequate nutrition for client wellbeing.
Transported individuals to events and activities, medical appointments, and shopping trips.
Used company software and databases to maintain records of services performed and patient conditions.
Documented vitals, behaviors, and medications in client medical records.
Monitored progress and documented patient health status changes to keep care team updated.
Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
Increased comfort levels for clients with disabilities by implementing customized care plans.
Facilitated smooth transitions between medical appointments, therapy sessions, and other activities as needed for the client''s overall wellness journey.
Efficiently managed schedules, coordinating appointments with healthcare providers while minimizing disruptions to clients'' daily routines.
Assisted clients in maintaining independence through consistent support and encouragement.
Collaborated with family members to ensure effective communication regarding the care plan and any necessary adjustments.
Developed positive relationships with clients by demonstrating empathy, patience, flexibility, which led to increased trust between caregiver and client.
Implemented creative strategies to keep clients engaged in activities that promoted cognitive functioning and mental stimulation.
Cashier
Aldi
02.2021 - 06.2022
Greeted customers entering store and responded promptly to customer needs.
Welcomed customers and helped determine their needs.
Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Worked flexible schedule and extra shifts to meet business needs.
Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
Education
Human Development And Family Studies
Penn State University
New Kensington
Skills
HIPAA Compliance Knowledge
Training and mentoring
Appointment Scheduling
Effective problem solving
Insurance Verification Expertise
Customer Service
Multitasking and Organization
Fee Collection
Punctual and Hardworking
Teamwork and Collaboration
Microsoft Office
Photoshop
Social media knowledge
Certification
CPR/First-Aid Certified
Dementia Training Certificate
References
Chris Washburn ( CCP-Front Office Coordinator)- 724-766-0980
Kathy Dickson (CCP- Office Manager) 412-526-1910
Laura Pechersky (Caregiver Reference) 412-925-9415
Timeline
Cashier
Aldi
02.2021 - 06.2022
Lead Patient Access Representative
Children's Community Pediatrics-UPMC
11.2015 - Current
Personal Caregiver/Community Habilitation Specialist
Front Office Customer Care Specialist/Patient Services Representative at SEWICKLEY VALLEY PEDIATRICS/ UPMC CHILDREN'S COMMUNITY PEDIATRICSFront Office Customer Care Specialist/Patient Services Representative at SEWICKLEY VALLEY PEDIATRICS/ UPMC CHILDREN'S COMMUNITY PEDIATRICS
Lead Patient Access Representative at Children's Hospital of Wisconsin - Milwaukee CampusLead Patient Access Representative at Children's Hospital of Wisconsin - Milwaukee Campus