JOY HUNTER
Grayson,GA
Summary
Professional with experience in healthcare support, skilled in managing patient interactions and administrative tasks. Known for strong collaboration with teams, adapting to changing needs, and consistently achieving results. Proficient in scheduling, patient communication, and problem-solving, with focus on delivering quality service and ensuring patient satisfaction. Reliable and flexible, contributing effectively to team goals and patient care excellence.
Overview
19
19
years of professional experience
Work History
Patient Service Representative
Vera Whole Health
11.2023 - Current
- Welcomes and greets patients/clients/visitors to the clinic in a manner that is helpful and friendly: determines purpose of visit and directs patients/clients/visitors to appropriate person or department(s)
- Maintains great customer service at all times and resolves conflict and issues at the time they occur.
- Schedules appointments for patients and updates any patient information in the EMR as needed.
- Conducts daily outreach (Phone, Email, Mail, etc) to remind patients of next day appointments and proactive outreach as directed by clinical leadership
- Performs day to day administrative functions and general office duties.
- Initiating and completing the referral process, including paperwork, pre-authorizations, and communication with insurance companies and providers.
- Providing patients with information about referrals, scheduling appointments, and addressing their questions and concerns.
- Taking phone calls, faxing documents, verifying benefits, and maintaining patient records.
- Participating in quality improvement initiatives to streamline referral processes and improve patient outcomes.
- Working with other healthcare professionals to ensure seamless patient care, including scheduling appointments and following up on referrals.
- Collects and process payments at time of service.
- Scan patient data into the NextGen EMR system.
- Check patients in for Clinical staff.
- Answer incoming telephone calls and make outbound calls to patient in order to confirm scheduled appointments.
- Maintain current knowledge of HIPAA compliance and OSHA standards.
- Other duties as assigned.
Patient Care Coordinator
GA Urology Ambulatory Surgery Center
06.2022 - 11.2023
- Greet all patients with courtesy and respect.
- Check patients in/out upon arrival and/or departure.
- Ensure patient confidentiality throughout all transactions.
- Update, file and maintain the integrity of all patient data.
- Request patient records from referring physician offices and follow up with that office to ensure all information is received prior to patient visit as directed.
- Forward medical records to requesting physicians.
- Schedule patient appointments.
- Verify patient insurance information, prior authorization, and collect payment for service rendered, (co-pays, deductibles, co-insurance, past due balances, and surgery deposits).
- Scan patient data into the NextGen EMR system.
- Check patients in for Clinical staff.
- Answer incoming telephone calls and make outbound calls to patient in order to confirm scheduled appointments.
- Collaborate with healthcare providers to develop care plans that meet patients' specific needs.
- Advocate for patients' rights and ensure they receive the necessary care and support.
- Assist with financial matters, including insurance verification and funding for medical care.
- Maintain current knowledge of HIPAA compliance and OSHA standards.
- Other duties as assigned.
Ambulatory Surgery Center Scheduler
Urological Associates of Savannah
03.2014 - 02.2018
- Obtained surgery authorizations after insurance company verification.
- Completed surgeon requests in coordination with materials manager.
- Monitored and updated medical charts on a regular basis.
- Maintained and updated surgery schedule several times a day.
- Prepared and submitted medical transcription and order reports.
- Responded to patient and staff queries by telephone and e-mail.
- Medical Billing Specialist
Medical Billing Specialist
12.2009 - 03.2014
- Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
- Examine patients’ encounter forms to verify diagnosis codes, and reconcile codes against services rendered.
- Accurately input procedure and diagnosis codes into billing software to generate invoices.
- Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.
- Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.
- Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.
Claims Specialist
CareCore National
05.2009 - 12.2009
- Externship Verified Claims Communicated with insurance companies Insurance Eligibility Accurately accessed incorrect claims Contributed to successful completion of special projects Noted and made correct changes in records.
- Confirmed patient insurance benefits and checked claim statuses.
- Accurately accessed and handled all phases of denied claims.
- Proofread, edit, and verified patient demographics.
Billing Specialist
Healthcare Business Solution, Inc.
09.2008 - 04.2009
- Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
- Examine patients’ encounter forms to verify diagnosis codes, and reconcile codes against services rendered.
- Accurately input procedure and diagnosis codes into billing software to generate invoices.
- Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.
- Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.
- Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.
- Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.
Referral Specialist/Front Desk Receptionist/Scheduler
AMW, Inc. – Dr. Demico
07.2007 - 09.2008
- Performed screening on all pre-authorization requests.
- Referred cases as needed for review to pre-authorization nurses.
- Monitored voice mail on a regular basis and processed telephone pre-authorization requests.
- Maintained appointment logs and confirmed appointment times with patients.
- Uphold telephone service standards in adherence to department rules.
Referral Specialist/Front Desk Receptionist/Scheduler
EHR – Dr. Elaine Frances Neurology
02.2006 - 02.2007
- Maintained and updated payer authorizations in clinic database.
- Collated all important patient information from referring physician offices.
- Tabulated new referral patient demographics on a regular basis.
- Created and distributed charts for new patient appointment schedules.
- Resolved referring office scheduling issues in coordination with appropriate supervisor.
Education
Associate of Science - Health Care Administration
University of Phoenix
Savannah, Georgia01.2018
High School Diploma - undefined
Alfred Ely Beach High School
Savannah, Georgia06.1999
Skills
- Extensive experience in claims management and adjusting
- Exceptional knowledge of insurance contracts coverages claims management programs and all related medical and legal terminology
- Superior ability to interpret and review account statements and histories
- Excellent skills in analyzing legal documents and medical records
- Outstanding proficiency with Microsoft Office applications such as Word Access and Excel
- High problem-solving and organizational skills
- Strong grasp of a variety of claim processing rules and guidelines
- Proven ability to self-motivate and work independently
- Solid written and oral communication skills
- Customer service
- HIPAA compliance
- Insurance verification
- Insurance verifying
Timeline
Patient Service Representative
Vera Whole Health
11.2023 - Current
Patient Care Coordinator
GA Urology Ambulatory Surgery Center
06.2022 - 11.2023
Ambulatory Surgery Center Scheduler
Urological Associates of Savannah
03.2014 - 02.2018
Medical Billing Specialist
12.2009 - 03.2014
Claims Specialist
CareCore National
05.2009 - 12.2009
Billing Specialist
Healthcare Business Solution, Inc.
09.2008 - 04.2009
Referral Specialist/Front Desk Receptionist/Scheduler
AMW, Inc. – Dr. Demico
07.2007 - 09.2008
Referral Specialist/Front Desk Receptionist/Scheduler
EHR – Dr. Elaine Frances Neurology
02.2006 - 02.2007
High School Diploma - undefined
Alfred Ely Beach High School
Associate of Science - Health Care Administration
University of Phoenix
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