Achieved personal growth through proactive engagement in new challenges. Advanced career by seeking roles with upward mobility.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Unit Clerk/ED Technician
FHCS Bucks County Emergency Room
01.2007
Reporting to the Nurse Manager, responsible for the written records and reports which compromise the patient’s medical record for each hospital admission by processing all physician orders, maintain chart forms for nursing personnel to record their observations on patient care, and filing reports from each department pertaining to each individual patient.
Maintaining communication between staff, physicians, and interdepartmental personnel.
Responsible for stocking rooms, transport of patients, taking vital signs and charting them applicably. Assisting the doctors and RN’s in patient care.
Patient Access Rep II
Central Scheduling
01.2021 - Current
Verifies insurance benefits and checks for the necessity of pre-certification, authorization and referral.
Performs medical necessity checks where needed.
Performs collection of patient’s financial responsibility when required.
Is responsible for providing professional, quality customer service, timely resolution to customer problems, and coordination of services to all customers.
Functions to communicate revenue cycle related issues patients, physicians, physician office staff and other hospital colleagues.
Accurately schedule appointments using scheduling protocols and insurance requirements via current HIS (Health Information System). Collects and documents all require demographic and financial information. Appropriately activates pre-registration.
Completes scheduling of appointments, pre-registration, insurance verification and authorization requirements with collection of out-of-pocket payments as applicable based on Bronze Standard.
Analyze patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol.
Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Questionnaire and obtains information from the patient if third party payers need to be billed (i.e. worker's compensation, motor vehicle accidents and any other applicable payer)
Financial Advocacy: Screens all patients self-pay & out of network patients using approved technology. Provides information for follow up and referral to the RHM Medicaid Vendor and/or Benefit Advocate as appropriate. Initiates payment plans and obtains payment. Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family. Incorporates point of service (POS) collection processes into daily functions
Scheduling Coordinator
Heart & Vascular (Cath Lab)
01.2015 - 01.2021
Performs outpatient, emergency room and / or inpatient registration functions. Along with hospital transfers. Provides general information to hospital colleagues, patients and families and ensures that patients meet financial requirements. Obtains accurate patient demographic and insurance information to provide timely submission of all encounters as well as provides excellent patient focused customer service. Communicates effectively to service delivery areas to maximize patient flow and customer service.
Schedules in and outpatient OR procedures for Cath Lab, and EP Lab as well as Interventional Radiology procedures.
Unit Clerk
St Mary’s Medical Center
Langhorne, PA
01.2007 - 01.2015
Reporting to Nurse Manager, responsible for the written and CPOE records and reports. Organizing with the Nurse Practitioners on hospital admissions, maintaining patient records on patient care.
Administrator of Bed Desk for admissions, discharges, transfers, and direct admissions.
Maintaining communication between staff, physicians, and interdepartmental personnel.
Responsible for patient transport board to assure patients arrive to and from tests and procedures in a timely fashion.
Responsible for ordering supplies, stocking patient rooms. Assisting doctors and RN’s in patient care.
Units works on Oncology, med-surge, stroke unit, telemetry, and ICU, Neuro ICU
Greets visitors, patients, families and physicians and directs them appropriately.
Answers the telephone, directs all calls appropriately, takes an accurate message and delivers to the appropriate individual.
Maintains communication resources, ex: on-call schedule, MD phone numbers, and beeper numbers.
Answers patients’ call lights and assist patients promptly.
Prepare charts for new admissions assuring all required forms are placed appropriately in the chart.
Places laboratory results, test results and other documentation in the appropriate section of the patients’ chart.
Completes the compilation and flagging of all discharge charts.
Assures all patients have a correct identifying wristband.
Transcribes physician’s orders accurately and in a timely fashion
Orders tests, procedures, medications, equipment and supplies for patient care according to the physician’s orders.
Monitors supply inventory, completes and directs requisitions for supplies, forms, equipment or services required.
Enrolls individuals into the patient portal
Appropriately seeks assistance of the nurse manager or designee for conflict resolution.
Performs other duties as assigned.
Front Desk Receptionist/Scheduler
FHCS NE Pediatrics / St. Chris at NE Pediatrics
01.2007 - 01.1999
Maintain a medical front desk in areas of manual and computerized scheduling, billing, and medical/insurance records management, including major carriers and Medicaid.
Process an average of 1000 patients on a weekly basis for a fast-paced general practice.
Respond to priority issues to ensure the prompt referral of urgently needed medical care.
Coordinate daily pharmaceutical-related matters to verify and expedite a high volume of prescription orders.
Obtain medical transcriptions from physicians and collecting/processing patients’ co-payments at close of day.
Responsible for verification of insurances, pre-certifications of necessary procedures and referrals, triage phone calls, chart preparation. Organizing multi doctor’s schedules and retrieving patients test results /medical records.
Education
Medical Assistant - Medical Assistance
Delaware Valley School of Medical & Dental Assistants
Philadelphia, PA
06.1998
High School Diploma - Diploma
Archbishop Ryan High School
Philadelphia, PA
06.1996
Skills
Assisted in transporting data within Meditech (SMMC computer system) team Supported clinical management using Wellsoft & Sunrise (FHCS system) Aided in operations with Med 3000 (St Christopher’s Hospital system) Tenet Utilized Epic and OnBase for efficient data management Contributed to Pear, One Source, Availity, Navinet, United Healthcare and NPI Registry process
Certification
CRCR Certified
Accomplishments
Nominated for Nursing Distinction in Excellence Award Program 2011 and 2012
Summary of Qualifications
Proficient in front desk medical management for a large, busy general medical office.
Working knowledge of computerized process and data entry procedures.
Maintain a working knowledge of medical terminology exercised to record and interpret patients’ information.
Possesses strong organizational skills and great working relationships with co-workers.
Handles all situations professionally and courteously.
CRCR Certified
Timeline
Patient Access Rep II
Central Scheduling
01.2021 - Current
Scheduling Coordinator
Heart & Vascular (Cath Lab)
01.2015 - 01.2021
Unit Clerk/ED Technician
FHCS Bucks County Emergency Room
01.2007
Unit Clerk
St Mary’s Medical Center
01.2007 - 01.2015
Front Desk Receptionist/Scheduler
FHCS NE Pediatrics / St. Chris at NE Pediatrics
01.2007 - 01.1999
Medical Assistant - Medical Assistance
Delaware Valley School of Medical & Dental Assistants