Juretta Coleman
Long Beach,CA
Summary
Compassionate Patient Access Representative well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen. Positive and upbeat team player with good communication and time management abilities. Demonstrated extreme attention to detail with accuracy of medical records.
Overview
36
36
years of professional experience
Work History
Patient Access Representative
Vidhwan Inc
San Jose , CA
2023.04 - 2024.05
- Collected copayments from patients at time of visit, accurately entered payment information into computerized billing system, and reconciled daily cash transactions.
- Facilitated communication between physicians' offices, radiology departments, laboratory departments. related to patient care needs.
- Answered incoming calls from patients and scheduled follow-up visits as needed.
- Performed data entry of patient demographic information into the hospital system.
- Verified patient insurance information and processed payments.
- Provided customer service to patients regarding any inquiries or issues they had.
- Explained hospital policies and procedures to new patients prior to registration.
- Scanned documents into electronic health record system for permanent storage.
- Communicated financial obligations to patients and collected fees at time of service.
- Verified demographics and insurance information to register patients in computer system.
Insurance Verification Specialist
Sca La Veta Surgery Center
Orange , CA
2021.12 - 2023.01
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Ensured accuracy of all data entered into computer system.
- Managed incoming faxes related to patient registration processes.
- Collected co-pays and other payments from patients at time of service.
Insurance Verification
CHLB
Long Beach
2021.05 - 2021.12
- Verified demographics and insurance information to register patients in computer system.
- Assisted in patient registration and insurance verification processes.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Performed quality assurance checks on patient data entered into system.
- Maintained accurate patient records, including registration data in computer systems.
- Participated in training sessions related to new software programs or changes in policies and procedures.
- Adhered to HIPAA guidelines when handling confidential patient information.
- Answered incoming calls, responded to inquiries, resolved customer complaints and provided assistance as needed.
- Assisted in obtaining prior authorizations from insurance companies.
- Collected payments for services rendered and processed credit card transactions accurately and efficiently.
- Greeted patients, verified patient identification and collected demographic information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Assembled registration paperwork and placed identification bands on patient.
Patient Access Rep
Torrance Memorial Hospital
Torrance
2005.11 - 2021.07
- Verified demographics and insurance information to register patients in computer system.
- Assisted in patient registration and insurance verification processes.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Performed quality assurance checks on patient data entered into system.
- Maintained accurate patient records, including registration data in computer systems.
- Participated in training sessions related to new software programs or changes in policies and procedures.
- Adhered to HIPAA guidelines when handling confidential patient information.
- Answered incoming calls, responded to inquiries, resolved customer complaints and provided assistance as needed.
- Assisted in obtaining prior authorizations from insurance companies.
- Collected payments for services rendered and processed credit card transactions accurately and efficiently.
- Greeted patients, verified patient identification and collected demographic information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Assembled registration paperwork and placed identification bands on patient.
- Answered phones promptly in a professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
Admitting Rep
Lakewood Regional Hospital
Santa Monica
1998.05 - 2005.10
- Greeted customers and answered inquiries regarding services provided.
- Operated multi-line telephone system to answer incoming calls and direct callers to specific destinations based on their needs.
- Answered general inquiries from customers over the phone or via email.
- Transferred calls to the correct departments or individuals in accordance with established procedures.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Ensured accuracy of all data entered into computer system.
- Managed incoming faxes related to patient registration processes.
- Greeted patients and visitors in a courteous and professional manner.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Provided assistance to internal departments when needed.
- Verified insurance coverage for services provided by the facility.
- Scanned documents into electronic medical records system.
- Answered phones promptly in a professional manner.
- Collected co-pays and other payments from patients at time of service.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Verified demographics and insurance information to register patients in computer system.
- Explained various admission forms and policies, acquiring signatures for consent.
General Office
Manpower Temporary Agency
Gardena
1993.01 - 1998.01
- Reviewed existing information for accuracy and made necessary corrections.
- Maintained confidentiality of sensitive information entered into the system.
- Checked source documents against entered data to ensure accuracy.
- Resolved customer complaints promptly and efficiently.
- Developed strong relationships with customers by providing personalized assistance and support.
- Maintained a high level of professionalism when dealing with difficult customers.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Answered customer inquiries and provided accurate information regarding products and services.
Patient Care Coordinator
Santa Monica Hospital
Santa Monica
1988.01 - 1993.01
- Scanned documents into the appropriate medical records according to established policies and procedures.
- Responded promptly to telephone inquiries from patients, families, and staff members.
- Processed payments, collected co-payments and deposits from patients.
- Maintained a positive attitude while interacting with patients and families during difficult situations.
- Entered data into the electronic health record system accurately.
- Answered patient questions regarding registration and insurance processes.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Greeted patients and visitors in a courteous and professional manner.
Education
Business Administration -
American Academy
Ontario, CA01.1991
Long Beach City College
Long Beach, CASkills
- Results-oriented
- Time management
- Professional and mature
- Team Player
- Fast Learner
- Medical Terminology
- Self Starter
- Insurance Verification
- Medical Scheduling
- Hospital Experience
- Clerical Experience
- Medical Office Experience
- ICD-10
- Computer skills
- Medical records
- Insurance company knowledgeable
- HIPAA Compliance
- Multitasking and Organization
Languages
English, Fluent
References
References available upon request.
Timeline
Patient Access Representative
Vidhwan Inc
2023.04 - 2024.05
Insurance Verification Specialist
Sca La Veta Surgery Center
2021.12 - 2023.01
Insurance Verification
CHLB
2021.05 - 2021.12
Patient Access Rep
Torrance Memorial Hospital
2005.11 - 2021.07
Admitting Rep
Lakewood Regional Hospital
1998.05 - 2005.10
General Office
Manpower Temporary Agency
1993.01 - 1998.01
Patient Care Coordinator
Santa Monica Hospital
1988.01 - 1993.01
Business Administration -
American Academy
Long Beach City College
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