JUNE MARIE PELLINEN
PATIENT ACCESS SPECIALIST
Modesto,CA
Summary
Expert in patient intake procedures and administrative coordination, enhancing operational efficiency. Proven ability to streamline processes, resulting in improved patient flow and satisfaction. Demonstrated success in managing insurance verification and registration tasks with precision.
Healthcare professional with extensive experience in optimizing patient access and administrative workflows. Demonstrated success in collaborating with medical teams and adapting to dynamic environments. Proficient in managing patient records, scheduling, and delivering outstanding customer service. Acknowledged for reliability and consistent performance in high-pressure settings.
Overview
4
4
years of professional experience
Work History
Patient Access Specialist
UNIO HEALTH PARTNERS
10.2022 - Current
- Initiated prior authorization submissions and followed up with all insurance payors until determination.
- Compiled pre-certification information for prior authorization requests via outbound calls and web platforms.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Conducted regular follow-ups to check status of prior authorization requests, logging updates in Allscripts.
- Trained new staff on filing, phone etiquette and other office duties.
- Collaborated with departments to facilitate pre-authorizations across functions.
- Managed high volumes of inbound calls while addressing scheduling requests, appointment confirmations, prescription refills, and general inquiries professionally.
- Notified office staff of eligibility issues before patient appointments, ensuring clear communication with MDs.
- Supported colleagues during peak periods, contributing to a collaborative work environment.
- Maintained strict adherence to HIPAA regulations while managing confidential patient information throughout various stages of care.
- Increased efficiency of daily operations by implementing electronic health record system for accurate data management.
- Reduced errors in billing processes by meticulously reviewing and verifying patient demographics and insurance information.
- Assisted in staff training on new procedures, policies, and software applications to improve overall performance of the department.
- Participated in continuous improvement initiatives, collaborating with team members to identify areas of opportunity and develop plans for enhancement.
- Streamlined referral processes by establishing strong partnerships with healthcare providers, enabling more efficient transfers of patients between facilities.
- Verified patient insurance eligibility and entered patient information into system.
PATIENT ACCESS REPRESENTATIVE
TENET HEALTH CARE
03.2021 - 10.2022
- Verified insurance coverage and benefits, analyzed authorizations and referrals, and calculated patient liability estimates.
- Registered and scheduled patients for appropriate health services based on needs.
- Obtained accurate insurance, medical, and demographic data for patient admissions and pre-admissions.
- Developed strong liaison between patients and health facility by addressing inquiries regarding policies and billing.
- Assisted patients in completing forms and secured necessary signatures for registration.
- Completed telephone registrations efficiently as required.
- Ensured strict compliance with HIPAA regulations to protect patient confidentiality during all interactions.
- Maintained composure under pressure and effectively managed challenging situations.
Education
MEDICAL BILLING AND CODING - HEALTHCARE
WALTER STATE COLLEGE
Morristown, TNNo Degree - MEDICAL BILLING AND CODING CERTIFICATE
Modesto Junior College
Modesto, CA07-2025
Skills
- HIPAA compliance
- Strong organization
- Patient registration
- Insurance verification
- Problem-solving
- Multitasking and organization
- Team leadership
- Verbal and written communication
- Electronic health records
- Phone and email etiquette
- Flexible schedule
- Medical terminology
Timeline
Patient Access Specialist
UNIO HEALTH PARTNERS
10.2022 - Current
PATIENT ACCESS REPRESENTATIVE
TENET HEALTH CARE
03.2021 - 10.2022
MEDICAL BILLING AND CODING - HEALTHCARE
WALTER STATE COLLEGE
No Degree - MEDICAL BILLING AND CODING CERTIFICATE
Modesto Junior College
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