Judith Nelson (Walters)
Morgantown,WV
Summary
Accomplished Central Scheduler at WVU Medicine with expertise in patient scheduling and workflow optimization. Demonstrated strong organization and teamwork, ensuring HIPAA compliance and patient confidentiality. Proven ability to improve patient satisfaction and streamline healthcare operations.
Overview
11
11
years of professional experience
Work History
Central Scheduler
WVU Medicine
08.2024 - Current
- Coordinated appointment scheduling to optimize provider availability and patient access.
- Assisted in managing electronic health record systems for efficient information retrieval.
- Supported front desk operations by answering calls and directing inquiries promptly.
- Organized patient data to ensure accuracy in scheduling and follow-up appointments.
- Collaborated with healthcare staff to streamline communication regarding patient needs.
- Adapted quickly to changing schedules, ensuring minimal disruption to clinic operations.
- Improved patient satisfaction by promptly addressing inquiries and resolving scheduling issues.
- Ensured HIPAA compliance within all aspects of the central scheduler role, maintaining confidentiality of sensitive information at all times.
Registration Representative
Mon Health Medical Center
09.2022 - 08.2024
- Managed patient registration processes, ensuring accurate data entry and information verification.
- Assisted with insurance verification, enhancing patient experience and reducing billing discrepancies.
- Coordinated scheduling of appointments, optimizing clinic workflow and resource allocation.
- Responded to patient inquiries, providing timely support and fostering positive relationships.
- Implemented electronic health record updates, improving system efficiency and data accuracy.
- Trained new staff on registration procedures, promoting consistency in service delivery.
- Maintained accurate records by updating patient demographics, insurance, and financial information.
- Facilitated patient registration processes to ensure accurate data collection and compliance with healthcare regulations.
- Communicated effectively with patients to gather necessary information and address inquiries regarding services.
Prior Authorization Specialist
Lakeland Regional Health Wound Care
05.2022 - 09.2022
- Managed prior authorization processes, ensuring compliance with policies and timely approvals.
- Collaborated with healthcare providers to obtain necessary documentation for patient care.
- Reviewed and analyzed clinical information to determine authorization eligibility.
- Communicated effectively with patients regarding status of authorizations and required information.
- Maintained detailed records of authorization requests, contributing to improved data accuracy and reporting efficiency.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Scheduled appointments with applicants to gather information and explain benefits processes.
Lead Patient Access Representative
Lakeland Regional Health
06.2019 - 05.2022
- Streamlined patient registration processes, enhancing efficiency and accuracy in data entry.
- Trained new staff on patient access protocols and systems, improving team performance and client interactions.
- Coordinated with healthcare providers to resolve patient inquiries, ensuring timely access to services.
- Implemented process improvements that reduced wait times for patients during check-in procedures.
- Managed scheduling of appointments, balancing provider availability with patient needs to maximize productivity.
- Reduced wait times for patients through efficient scheduling and coordination with clinical staff.
- Promoted a positive workplace culture by demonstrating respect, empathy, and professionalism in all interactions with patients, colleagues, and other stakeholders.
- Mentored junior Patient Access Representatives, providing guidance and support for their professional development.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
- Greeted and assisted patients with check-in procedures.
Registration Representative
Mon Health Medical Center
08.2014 - 10.2018
- Monitored compliance with healthcare regulations, ensuring adherence to organizational standards.
- Supported hospital compliance efforts by adhering to HIPAA guidelines and maintaining the confidentiality of patient information.
- Managed high-stress situations calmly while assisting patients experiencing medical emergencies or other urgent matters.
- Collected demographic and insurance information from patients.
- Verified insurance benefits, processed payments, and issued receipts.
- Served as a reliable resource for colleagues seeking assistance with complex cases or unfamiliar scenarios in the registration process.
- Determined appropriate appointment type and scheduled each in system.
- Organized, checked and submitted all related paperwork.
- Completed registration paperwork, verifying accurate patient information.
- Answered patient questions and inquiries regarding registration process and documentation.
- Coordinated scheduling for patient follow-up appointments in accordance with physician requests.
- Assisted other clerks with front desk duties, answering questions and accurately using reservation system.
- Assisted in processing patient payments via cash, checks and credit cards.
Education
Associate Degree in Business - Medical Assistance
West Virginia Junior College
Morgantown, WV12-1994
Skills
- Deadline oriented
- Workflow optimization
- Calendar management
- Meeting coordination
- Scheduling expertise
- HIPAA compliance
- Patient confidentiality
- Patient scheduling
- Strong organization
- Teamwork
- Customer service
Timeline
Central Scheduler
WVU Medicine
08.2024 - Current
Registration Representative
Mon Health Medical Center
09.2022 - 08.2024
Prior Authorization Specialist
Lakeland Regional Health Wound Care
05.2022 - 09.2022
Lead Patient Access Representative
Lakeland Regional Health
06.2019 - 05.2022
Registration Representative
Mon Health Medical Center
08.2014 - 10.2018
Associate Degree in Business - Medical Assistance
West Virginia Junior College
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