With over 20 years at Hackensack Meridian Health, I excelled in optimizing patient care and insurance processes, notably through EPIC Cadence customization and insurance verification. Renowned for analytical prowess and empathetic communication, I spearheaded successful integrations and training, enhancing both operational efficiency and patient satisfaction. My blend of technical expertise and interpersonal skills drives exceptional healthcare delivery.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
Hackensack Meridian Health
07.2020 - 09.2024
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Insured accurate completion of MSPQ.
Verified prescription to insure correct procedure was scheduled.
Verified pre-authorization requirements and followed up with both the referring physician and payer to insure authorizations are on file for the scheduled procedure prior to the date of service.
Verified insurance coverage and obtained necessary authorizations to ensure timely billing and reimbursement.
Determined patient's out of pocket responsibility using the EPIC Financial Estimator tool and informed patient of their out of pocket responsibility.
Completed assigned work queue accounts in a timely and efficient manner.
Adhered to all HIIPA compliance requirements to protect patient's privacy.
Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
Self-motivated, with a strong sense of personal responsibility.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness and willingness to help wherever needed.
Epic Application Analyst
Hackensack Meridian Health
01.2004 - 07.2020
Optimized patient care processes by customizing Epic modules according to specific departmental needs.
Collaborated with end users of current enterprise systems to implement seamless integration of Epic Cadence.
Contributed to successful project completion with rigorous testing and validation procedures for new or updated Epic features.
Provided consistent support for end-users, addressing their concerns and resolving issues in a timely manner.
Troubleshot incidents reported by end-users to schedule system changes and identify permanent solutions.
.EPIC/Cadence certified.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness and willingness to help wherever needed.
Organized and detail-oriented with a strong work ethic.
Education
Associate of Applied Science - Computer Science
Bergen Community College
Paramus, NJ
Certification - EPIC Cadence Administration And Fundamentals
EPIC Systems Headquarters
Verona, WI
05-2020
Skills
Prior registration and insurance verification experience
Associates Degree with related experience
Successful completion of EPIC Cadence and Prelude training
Knowledge of insurance specifications, ICD10 and CPT
Experience with EPIC Cadence, Prelude and Hospital Billing
20 years in a hospital setting
Insurance information collection
Authorization verification
Eligibility determination
Excellent analytical skills, written and verbal communication and interpersonal skills
Multitasking and organization
Team collaboration
Punctual and hardworking
Certification
EPIC Cadence certification
Timeline
Patient Access Specialist
Hackensack Meridian Health
07.2020 - 09.2024
Epic Application Analyst
Hackensack Meridian Health
01.2004 - 07.2020
Associate of Applied Science - Computer Science
Bergen Community College
Certification - EPIC Cadence Administration And Fundamentals
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