Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jarrell “Jamie” Gaines

Harrison,TN

Summary

Experienced, efficient, loyal Patient Access Specialist with 21 years of experience in healthcare and office admin that has the natural born ability to relate, and find commonalities with nearly anyone no matter their walk of life. Exceptional knowledge of policies & procedures with most medical facilities. Several years of customer service and deescalation skills. Ability to multitask and prioritize tasks. A fast learner types over 50 wpm and has experience with following programs from previous employment, field related software such as Meditech, Envision and Epic and most microsoft programs.

Overview

20
20
years of professional experience

Work History

DSP

Allied Behavioral Health Services
, TN
07.2022 - 07.2023
  • Provided direct care to individuals with intellectual and developmental disabilities, fostering activities of daily living.
  • Maintained clean and well-organized environment for client happiness and safety.
  • Supervised medication administration, personal hygiene and other activities of daily living.
  • Followed care plan and directions to administer medications.
  • Assisted individuals in development of social skills to become integrated in community.
  • Assisted individuals in learning and developing new skills.
  • Accompanied or transported clients to appointments, errands and social activities.
  • Documented current patient information to update vital signs, behaviors and eating habits.
  • Developed strong and trusting rapport with patients to facilitate smooth, quality care.
  • Advocated for disabled individuals to foster communication and self-expression and achieve goals.
  • Enhanced patient wellbeing by supporting participation in recreational activities.

Patient Access Specialist I

Erlanger Medical Center @ East Campus
Chattnooga , TN
07.2020 - 05.2022

See previous employment with facility for job description.

Patient Access Specialist I

Erlanger Medical Center @ Downtown Baroness Campus
Chattanooga, TN
10.2011 - 09.2019
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Responded to patient concerns and inquiries professionally and efficiently.
  • Assembled registration paperwork and placed identification bands on patient.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Called insurance companies and verified patient coverage.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Obtained health, financial and religious information from patients at time of admission.
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Dispensed appropriate information regarding facility services.
  • Maintained knowledge of community services and resources and referred patients to appropriate organizations.
  • Helped patients obtain health care services by setting up referrals.
  • Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
  • Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.
  • Helped protect providers and facility from legal liabilities by proactively assessing risks.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Explained policies, procedures and services to patients.
  • Educated patients and caregivers in the use of at-home healthcare equipment.
  • Used sliding payment scale to assess fair charges for patient healthcare.

Registrar Clerk

CHI Memorial Hospital
Chattanooga, TN
05.2003 - 09.2011
  • Answered questions and fulfilled requests with friendly and knowledgeable service.
  • Collected, evaluated and stored documents securely in permanent records.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Offered every visitor immediate, personalized and friendly assistance by helping with [Task] and [Task].
  • Completed [Type] registration for [Number] students accurately and efficiently.
  • Provided hands-on training and coaching for junior staff on office policies and regulations.
  • Supported development and implementation of clear and successful policies, budgets and procedures for smooth and efficient operations.
  • Ordered and restocked supplies in line with budget limits and office needs.
  • Documented new [Type] and [Type] data.
  • Complied with established [Type] procedures and [Type] legal requirements by [Action] and [Action].
  • Collaborated with representatives of [Type] and [Type] third-party providers for [Result].
  • Welcomed patients to facility and assisted with registration sign-in process.
  • Responded to incoming department phone calls and directed callers to appropriate team members based on need.
  • Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
  • Explained forms and documents to patients, guardians and family members, distributing copies and confirming comprehension.
  • Registered patients for outpatient procedures and emergency services.
  • Asked various questions from clients to obtain the information necessary for paperwork.
  • Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
  • Maintained HIPAA compliance and integrity of hospital policies and procedures.
  • Scanned [Type] documents and insurance cards to include in patient charts.
  • Contacted insurance carriers to verify coverage, copays and deductible information for patients.
  • Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
  • Verified patient information, including demographics, income and [Type] for input into [Software] system.
  • Greeted visitors and ascertained purpose of visit, issuing needed credentials and directing to appropriate staff or department.
  • Maintained confidentiality of patient information by adhering to HIPAA procedures.
  • Provided customer service support and advice on regulations and requirements regarding various registration programs.
  • Worked with nurses and other clinic staff to process patients and direct to appropriate departments.
  • Politely and personably welcomed incoming clients and offered seats prior to beginning registration process.
  • Kept processes moving along smoothly so that wait times were minimized to [Number] minutes.
  • Collaborated with nurses and other personnel to process patient paperwork and direct to appropriate departments.
  • Advised patients of monies required to be paid prior to services.
  • Delivered clear instructions to direct patients to specific areas, including outpatient unit and cardiac care floor.
  • Managed data entry record database using m keeping Meditech, and ensured all patient health information remained confidential in accordance with federal privacy laws.
  • Thoroughly explained facility policies, prepared and distributed patient identification bands and arranged for transportation to assigned rooms.
  • Cross-trained in several different departments to assist if necessary with having adequate staffing.
  • Entered data into computerized systems accurately and efficiently to maintain accurate records.

Education

High School Diploma -

Tyner Academy
Chattanooga, TN
05.2003

Some College (No Degree) - Nursing

Chattanooga State Community College
Chattanooga, TN

Some College (No Degree) - Business Administration And Management

Chattanooga State Community College
Chattanooga, TN

Skills

  • Medical terminology expertise
  • Specialist referrals
  • Patient reimbursements
  • Patient scheduling
  • Authorization verification
  • Copay/Deductible/OOP/Co Insurance collections
  • Insurance company knowledgeable
  • Payment processing
  • Appointment scheduling
  • Regulatory compliance
  • Appointment confirmation
  • Medical billing
  • Patient interviewing skills
  • Medical filing
  • Recording histories
  • Bookkeeping support
  • Advocating on behalf of patients and making sure patients that met the FPOA only had nescities applied to account to keep debt to minimum
  • Explanation of benefits
  • Benefits verification via phone,fax, and verbal
  • Making patient aware of debt during their visit w/ Debt estimate tool
  • Counseling self pay patients about the healthcare improvement plans If patient and house meets FPOA that a charity application could bring debt to zero
  • Advising patients with the ability to make a cash payment that if first payment is made within the first week of accrual that a 65% discount is automatically applied
  • 3 years of supervisoral role with 40 team members
  • Encouraged by Director to assist human resources in writing new policies for patient access
  • Department won consecutively the highest % for patients debt responsibility and staff often surpassed goals
  • Received the award for department for team players
  • In addition to my own department I often had to act as Interim supervisor during staffing shortage, and while active supervisor is on the temp/full leave of absence, and vacations
  • Title upgraded to Senior Lead executive supervisor of patient access
  • Trained Incumbent supervisor
  • Instructed debt collection course given to new associates, and associates if quota isn't met

Timeline

DSP

Allied Behavioral Health Services
07.2022 - 07.2023

Patient Access Specialist I

Erlanger Medical Center @ East Campus
07.2020 - 05.2022

Patient Access Specialist I

Erlanger Medical Center @ Downtown Baroness Campus
10.2011 - 09.2019

Registrar Clerk

CHI Memorial Hospital
05.2003 - 09.2011

High School Diploma -

Tyner Academy

Some College (No Degree) - Nursing

Chattanooga State Community College

Some College (No Degree) - Business Administration And Management

Chattanooga State Community College
Jarrell “Jamie” Gaines