Diligent Patient access representative with solid background in patient access. Facilitated seamless patient admissions, ensuring accurate data entry and efficient processing. Demonstrated proficiency in managing patient inquiries and coordinating with medical staff.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Patient Access Representative
UnitedHealthcare
02.2022 - Current
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Stayed calm under pressure to and successfully dealt with difficult situations.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
Participated in ongoing professional development opportunities to stay current with industry trends and best practices in patient access services.
Maintained high standards of confidentiality and privacy, strictly adhering to HIPAA regulations.
Insurance Underwriter
Progressive Casualty Insurance Company
10.2016 - 10.2021
Monitored underwriting teams' performance and provide mentoring to achieve Personal and department production goals
Reviewed policies to determine if they met company underwriting guidelines
Canceled and non-renewed unacceptable risks
Calculated group and individual renewal rates based on customers background, industry and demographic information
Identified portfolio risks resulting from clients underlying business practices, underwriting investigations or fraud exposure
Resolved conflicts and negotiated agreements between parties in order to reach a win-win solution to disagreements and clarify misunderstandings.
Multi Product Specialist
Progressive Casualty Insurance Company
09.2014 - 10.2016
A work from home Multi product agent selling Progressive home insurance
Duties included quoting home insurance through multiple home carriers
Keeping up to date on each carriers underwriting guidelines and knowing which carrier will be a good fit for our insured
Working in the multiple carriers quoting platforms and using multiple Progressive and internet systems for research
Working with our insured to bundle home, auto and special lines
Work with carrier underwriters, mortgage brokers and realtors in all 50 states and DC to quote and sell home insurance
Determining and advising all parties of liability determination
Coordinating repairs and rentals for insureds and claimants
Working with multiple systems such as OWB, claim station, Arms, Hertz, Microsoft office, Pd suite, ISO, Accurint, paypro, etc
Working with other insurance carriers claim departments
Taking statements from insureds, witnesses, guest passengers and claimants on a recorded line
Investigating policies for coverage.
Sales Representative
Progressive Casualty Insurance Company
07.2011 - 09.2012
Licensed 20-44 Direct sales agent in 23 states, answering inbound calls, new quotes, revising quotes, providing education about coverages available in that specific state
Selling policies based on needs of the customer and making sure the customer knows about the Progressive benefits all while providing outstanding customer service
Locating past and current customer information in OWB
Responsibility is to always stay knowledgeable about laws and coverage changes in each state that I am licensed
To always educate the customer.
Customer Service Rep/ Agent
Citadel Insurance Services
12.2008 - 06.2011
Customer Service Representative
To maintain our agency's database whether they are a new client or an existing client in quick file, contact old leads in agency iq, make contact with all renewals, make contact with all policies in jeopardy of canceling and help them with payment if necessary, process all incoming mail, scan and attach all letters to client files in quick file, answer multi-line phone, answer all policy questions if needed, quote and sell Home and Auto policies.
Sales Coordinator
Hilton Garden Inn
12.2007 - 11.2008
Sales Coordinator / Guest Service agent
To establish clientele to hold events at our establishment, coordinate those events with the Head Chef, set up and remain at the site throughout the event
Answer a multi-line telephone, send and reply to email via web based internet
Make reservations and satisfy the needs of our guest to make sure they have the best stay possible at our hotel
Assist guest with billing needs and collections
Oversee staff as I was an On Duty Manager in the absence of the General Manager.
Education
Bachelor Of Applied Studies - Nursing
Polk State
220 Insurance License -
Polk State College
01.2008
High School Diploma -
West Area Adult
01.2000
Skills
Customer relations
Policy investigations
Insurance policy coverage knowledge
Automobile claims specialist
Property insurance
Home and recreational insurance sales
HIPAA compliance
Insurance verification
Customer service
Patient registration
Patient check-in
Appointment scheduling
Multitasking and organization
Registration and admissions
Phone and email etiquette
Healthcare systems navigation
Strong empathy
Problem-solving
Team collaboration
Quality assurance
Money handling
Insurance billing
Certification
Licensed 20-44 sales agent
Claims adjuster license
State of Florida notary
Accomplishments
Net Promoter score award for customer satisfaction in claims.
Sales ambush award for providing excellent customer service and being a helpful team player in sales.
Vice President, Network Management North Texas and Oklahoma at UnitedHealthcareVice President, Network Management North Texas and Oklahoma at UnitedHealthcare