Compassionate healthcare professional with 15 years of experience in patient access and funding coordination within the healthcare sector. Proficient in insurance verification, medical coding (ICD-10, CPT), and patient intake processes. Demonstrated ability to manage large patient caseloads while ensuring compliance with privacy regulations. Committed to enhancing patient care through effective communication and administrative support across multiple healthcare facilities. Authorized to work in the US for any employer
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Access Representative
Shasta Regional Medical Center
05.2023 - Current
Greeted and checked in patients, ensuring accurate collection of demographic and insurance information
Verified insurance coverage and obtained necessary authorizations for medical procedures, reducing claim denials by XX%
Maintained electronic medical records (EMR) system accuracy by updating patient information and documenting interactions
Managed high call volumes in a fast-paced environment while maintaining excellent customer service standards
Utilized problem-solving skills to address complex insurance issues such as claim rejections or prior authorization requirements
Performed insurance verifications for scheduled procedures, ensuring proper coverage prior to treatment
Maintained knowledge of current healthcare regulations and compliance requirements related to patient access functions
Funding Coordinator
National Seating & Mobility
02.2016 - 09.2023
Reviewed and analyzed medical records to ensure accuracy, completeness, and compliance with regulations
Collaborated with healthcare providers to clarify and obtain missing or incomplete documentation
Maintained up-to-date knowledge of coding guidelines, regulations, and compliance requirements
Ensured that all patient records met the standards required for billing and reimbursement purposes
Front Desk Receptionist/ funding coordinator
Assistive Technology group
04.2012 - 08.2015
Managed front desk operations, including greeting patients, scheduling appointments, and answering phone calls
Verified patient insurance information and collected co-pays and payments for services
Provided administrative support such as filing documents, scanning records into EMR system, and managing incoming/outgoing mail
Reviewed and analyzed medical records to ensure accuracy, completeness, and compliance with regulations
Utilized electronic health record (EHR) systems to capture patient information and clinical documentation
Maintained up-to-date knowledge of coding guidelines, regulations, and compliance requirements
Performed regular audits of clinical documentation for quality assurance purposes