JESSICA PLOUCK
Pemberville,USA
Summary
Compassionate professional in healthcare patient relations, known for high productivity and efficient task completion. Possess specialized skills in conflict resolution, patient advocacy, and health information privacy practices. Excel at communication, empathy, and problem-solving to enhance patient satisfaction and support healthcare objectives.
Overview
15
15
years of professional experience
Work History
Patient Access Registrar
Ensemble Health Partners
Perrysburg, OH
04.2024 - Current
- Maintaining a current and in-depth understanding of patient therapies, prior approval, reimbursement processes, and healthcare plans which is crucial for providing high-quality patient care and ensuring efficient operations
- Referral intake, Investigating health insurance benefits, Proactively following up with partners, Advocating for patients while coordinating care, Providing education and resources, Ensuring patient satisfaction, and Empowering patients to take an active role in their healthcare journey
- Handling sensitive information and personal data with discretion is paramount, especially when dealing with items such as prescriptions, personal information, dates of birth, financials, and insurance information
- Guiding patients through various process steps of their healthcare journey involves providing support and assistance at each stage to ensure a smooth and positive experience
- Maintaining detailed logs and accurately documenting the disposition of incoming and outgoing calls is essential for several reasons, including regulatory compliance, quality assurance, and customer service
Lead Medical Secretary
Northwest Ohio Orthopedics and Sports Medicine, Inc
Bowling Green, OH
07.2020 - 04.2024
- Trained employees and performed various clerical and administrative functions
- Answered and directed inbound telephones calls, greeted visitors, and accepted payments
- Called in prescriptions, filed insurance claims, updated demographic information, and verified insurance coverage
- Interviewed patients to complete documents, case histories, and intake and insurance forms
- Scheduled and confirmed appointments, surgeries, and medical consultations, operated office equipment, and used software applications to prepare reports, invoices, financial statements, letters, case histories, and medical records
Certified Nursing Assistant
ProMedica Toledo Hospital
Toledo, OH
10.2016 - 06.2020
- Performed duties in accordance with safety and infection control procedures
- Took vital signs, monitored medications, measured and documented intake and output, assisted with activities of daily living (personal hygiene, feeding, and mobility), and helped patients with a range of motion exercises
- Communicate and interact effectively with patients, visitors, families, co-workers, and supervisory staff
- Documented and reported observations of patient behavior, complaints, and physical symptoms
Medical Secretary
Mercy Health Pediatrics
Perrysburg, OH
04.2009 - 09.2016
- Served as the initial point of contact, greeted patients, and maintained a warm and welcoming atmosphere
- Answered inbound phone calls, scheduled appointments, gathered necessary documents, and collected payments
- Processed prescription refills by calling in prescriptions and filing insurance claims
- Entered patient demographic information into the computer and verified insurance coverage
- Ensured strict adherence to security and confidentiality guidelines as outlined in HIPAA
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2023
Associates Degree - Business Administration
SNHU
01.2021
Associates Degree - Applied Science
Brown Mackie
01.2009
Skills
- Managed Care
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Electronic Medical Records (EMR)
- HIPAA Compliance
- Medical Coding (ICD-10-CM)
- Medical Coding (HCPCS)
- Medical Coding (CPT)
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
Key Qualifications
- Managed Care (HMO PPO POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Electronic Medical Records (EMR)
- HIPAA Compliance
- Medical Coding (ICD-10-CM HCPCS CPT)
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
Timeline
Patient Access Registrar
Ensemble Health Partners
04.2024 - Current
Lead Medical Secretary
Northwest Ohio Orthopedics and Sports Medicine, Inc
07.2020 - 04.2024
Certified Nursing Assistant
ProMedica Toledo Hospital
10.2016 - 06.2020
Medical Secretary
Mercy Health Pediatrics
04.2009 - 09.2016
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Associates Degree - Business Administration
SNHU
Associates Degree - Applied Science
Brown Mackie