Kari Wood
Cape Coral,Florida
Summary
Experienced Patient Access Manager managing and motivating verification and registration professionals to achieve and surpass company targets. Focused on delivering decisive, forward-thinking and positive team leadership to enable production success with effective workflows. Provides Exceptional Lee leadership and vision which drives teams to meet goals.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Patient Access Manger
Lee Health
06.2021 - Current
- This position reports to the Director of Patient Access and delivers excellent patient satisfaction by ensuring quality pre-registration services, insurance verification, and notification of financial responsibility to avoid delays in the registration process, procedures, and billing.
- • Ensure Patient Access processes for all payer classifications are operating efficiently and effectively. The Patient Access process includes pre-registration, registration, insurance verification, and time of service collections; all of which result in the accumulation of all demographic and financial information that permits the patient to be safely identified throughout the organization; and allows for the proper filing and collection of both third party debt and patient debt for services provided by the organization. Will ensure that each patient encounter is compliant with all applicable regulations and contractual obligations according to its payer classification.
- • Manage the identification of patients for referral to financial counseling programs to assist patients in the identification of available funding sources including, Medicaid, Medicare, Disability, and any other program that can alleviate financial obligations of qualifying patients.
- • Manage Patient Access staff to ensure compliance with EMTALA, Red Flags Rule, debt collection laws and government regulations for participation in Medicare and Medicaid.
- • Manage Patient Access staff to enhance patient satisfaction through fostering a culture that is patient focused and compassionate about the financial implications of healthcare debt.
- • Manage patient flow.
Supervisor - Patient Access
Lee Health
Cape Coral, FL
08.2019 - 07.2021
- • Ensure Patient Access processes for all payer classifications are operating efficiently and effectively. The Patient Access process includes pre-registration, registration, insurance verification, and time of service collections; all of which result in the accumulation of all demographic and financial information that permits the patient to be safely identified throughout the organization; and allows for the proper filing and collection of both third party debt and patient debt for services provided by the organization. Will ensure that each patient encounter is compliant with all applicable regulations and contractual obligations according to its payer classification.
- • Monitors staff performance to ensure quality outcomes and identification of training opportunities.
- • Trains and supervises Patient Access staff to ensure compliance with EMTALA, Red Rules, debt collection laws and government regulations for participation in Medicare and Medicaid.
- • Performs duties in a fast-paced environment.
- • Develops and maintains staffing schedule to ensure insurance authorizations have been secured and insurance benefits have been identified prior to patient’s scheduled service.
- • Validates and maintains insurance authorization job instruction by obtaining and reviewing payer communications, through monthly payer denial review, and by communicating with staff and other team members.
- • Manage Patient Access staff to enhance patient satisfaction through fostering a culture that is patient focused and compassionate about the financial implications of healthcare debt.
- • Serve as a role model in the area of work ethic, values, leadership, and customer service and demonstrates a genuine concern for patients and the community.
Certified PBS Representative
Lee Health
Cape Coral, Florida
06.2011 - 08.2019
- Insurance verification/authorizations
- Screen patients for financial assistance
- Obtain Medicaid applications
- Epic superuser
- Lead huddle boards
- Collection of co-pays and deductibles
- Knowledge of Navinet, Availity, Kepro, Access Florida and many more sites.
- Ensure correct payers loaded on account
Outpatient / Admitting Financial Representative
Lee Health
Cape Coral, Florida
04.2008 - 05.2011
- Registration
- Insurance verification and authorizations
- Admissions
- Collection of co-pay and deductibles
ER Financial Representative
Lee Health
Cape Coral, Florida
03.2005 - 04.2008
- Arrive and admit ER patients
- Collection of co-pays
- Verify patient demographic information
Quality Control Supervisor
Talk America
Fort Myers, FL
01.1996 - 02.2005
- Monitored inbound/outbound sales calls for a 160 seat call center for accuracy and misrepresentation.
- Assisted with training, motivating, handled disciplinary actions for sales reps, including updates on recent product improvements and additions.
Education
GED -
Cape Coral High School
Cape Coral, FL01.2004
Some College (No Degree) - Respiratory Therapy
Edison State College
Fort Myers, FLSkills
- Optimistic
- Conflict resolution
- Quality and efficiency
- Positive and friendly
- Motivated team player
- Highly dependable
- Excellent customer service skills
- Active listening skills
Certification
NAHAM ~CHAA
Leadership Essentials Virtual
Embracing Organizational Changes
Boosting Emotional Intelligence
Safety Coach
Timeline
Patient Access Manger
Lee Health
06.2021 - Current
Supervisor - Patient Access
Lee Health
08.2019 - 07.2021
Certified PBS Representative
Lee Health
06.2011 - 08.2019
Outpatient / Admitting Financial Representative
Lee Health
04.2008 - 05.2011
ER Financial Representative
Lee Health
03.2005 - 04.2008
Quality Control Supervisor
Talk America
01.1996 - 02.2005
GED -
Cape Coral High School
Some College (No Degree) - Respiratory Therapy
Edison State College
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