Joy Fielder
Marshfield,Missouri
Summary
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations. Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Outpatient Registration Clerk
CoxHealth Hospital
Springfield, MO
10.2021 - 10.2023
- Greeted patients and collected registration forms, insurance cards, and other pertinent information for check-in process.
- Verified patient demographics and insurance eligibility prior to services being rendered.
- Scheduled appointments for follow-up visits as needed.
- Assisted with incoming phone calls from existing and new patients.
- Answered questions regarding hospital policies and procedures.
- Scanned all documents into patient's electronic medical record.
- Processed co-payments in a timely manner according to established protocols.
- Accurately entered patient data into the EMR system in a timely fashion.
- Ensured that all required consents were obtained prior to treatment or procedure.
- Provided customer service support to patients when registering at the facility.
- Collaborated with clinical staff on any discrepancies found while registering patients.
- Assisted with answering billing inquiries from patients or their representatives.
- Utilized various software programs such as scheduling systems, financial systems., to complete daily tasks.
- Performed cashiering duties including taking payments for services rendered and issuing receipts.
- Participated in training sessions related to departmental processes and procedures.
- Provided assistance to other departments within the organization as needed.
- 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.
- Asked various questions from clients to obtain the information necessary for paperwork.
- Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
- Welcomed patients to facility and assisted with registration sign-in process.
- Registered patients for outpatient procedures and emergency services.
- Worked with nurses and other clinic staff to process patients and direct to appropriate departments.
- Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
- Assisted physicians with finalizing reports, speeches or presentations.
- Ordered and maintained supply inventory for medical office.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Contacted insurance carriers to verify coverage, copays and deductible information for patients.
- Explained forms and documents to patients, guardians and family members, distributing copies and confirming comprehension.
- Politely and personably welcomed incoming clients and offered seats prior to beginning registration process.
Insurance Verification Specialist
Mercy/Adapt
Springfield, MO
04.2016 - 10.2021
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Provided timely follow up with payers regarding payment status of claims.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Ensured that the most current version of provider contracts were stored in the database.
- Updated patient and insurance data and input changes into company computer system.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Answered telephones and directed calls to appropriate medical or adminstrative staff.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Compiled and coded patient information or data in appropriate computer system.
- Performed bookkeeping duties, preparing and sending financial statements or bills.
- Navigated through multiple online systems to obtain documentation.
Customer Service Representative
Ashley Furniture Homestore
Springfield, MO
02.2013 - 04.2016
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Developed strong relationships with customers by providing personalized assistance and support.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Developed strong customer relationships to encourage repeat business.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Supported sales team members to drive growth and development.
- Collected deposits or payments and arranged for billing.
Education
ANIMAL SCIENCE - Animal Science
California Academy Of Mathematics And Science
Carson, CA05.1996
Associate of Science - General Studies
Fort Scott Community College
Fort Scott, KS05.1992
Some College (No Degree) - Biology Teacher Education
Pittsburg State University
Pittsburg, KSSkills
- Pre-Registration Documentation
- Appointment Scheduling
- Documentation and Reporting
- Patient Scheduling
- Medical Terminology
- HIPAA Procedures
- Records Management
- Client Relationships
- Client Rapport
- Problem-Solving
- Insurance Verification
- Physician and Nurse Liaison
- Processing Admissions and Discharges
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
The way to get started is to quit talking and begin doing.
Walt Disney
Timeline
Outpatient Registration Clerk
CoxHealth Hospital
10.2021 - 10.2023
Insurance Verification Specialist
Mercy/Adapt
04.2016 - 10.2021
Customer Service Representative
Ashley Furniture Homestore
02.2013 - 04.2016
ANIMAL SCIENCE - Animal Science
California Academy Of Mathematics And Science
Associate of Science - General Studies
Fort Scott Community College
Some College (No Degree) - Biology Teacher Education
Pittsburg State University