Dedicated Patient Access Representative and Claims Examiner with 20 years of experience in healthcare settings, including offices, hospitals, and insurance. Demonstrates exceptional customer service skills and proficiency in record keeping, appointment scheduling, and insurance processes. Highly skilled in EMR, EPIC, Microsoft Word, and RIS. Committed to continuous learning and enhancing operational efficiency.
Overview
17
17
years of professional experience
Work History
SCHEDULER
MERCY
OKLAHOMA CITY , OK
03.2023 - Current
Scheduled Hospital exams such as MRI, CT , US , Nuclear Medicine and Mammograms .
Maintained detailed records of patients' appointments and updated relevant databases accordingly.
Provided excellent customer service by answering inquiries in a timely manner.
Scheduled diagnostic tests such as X-rays, CT scans, ultrasounds and MRIs for patients.
Resolved any conflicts or issues related to scheduling errors or missed appointments.
Performed data entry tasks as needed, such as entering information into electronic health records.
Patient Access Representative
Touchstone Imaging
Norman, OK
03.2021 - Current
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Handled payment processing and provided customers with receipts and proper bills and change.
Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
Scheduled and confirmed appointments.
Patient Access Representative
Integris Community Hospital / Emerus
Moore , OK
07.2019 - 03.2023
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Communicated financial obligations to patients and collected fees at time of service.
Responded to patient concerns and inquiries professionally and efficiently.
Obtained health, financial and religious information from patients at time of admission.
Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
Patient Access Representative
Norman Neurology
Norman , OK
07.2019 - 09.2020
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Communicated financial obligations to patients and collected fees at time of service.
Responded to patient concerns and inquiries professionally and efficiently.
Patient Access Representative
Integris Southwest Medical Center
Oklahoma City, OK
03.2017 - 07.2019
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Communicated financial obligations to patients and collected fees at time of service.
Responded to patient concerns and inquiries professionally and efficiently.
Obtained health, financial and religious information from patients at time of admission.
Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
Explained policies, procedures and services to patients.
Patient Service Representative
Mercy Primary Care
Norman , OK
10.2017 - 06.2019
Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Coordinated with patients and healthcare professionals to meet patient needs.
Scheduled and confirmed patient appointments with patients and healthcare professionals.
Documented and managed patient information in computer system.
Checked daily doctor schedules and verified insurance.
Scheduled patient appointment and procedures.
Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
Received incoming calls and coordinated with staff to fulfill customer requests.
Scheduled and confirmed appointments.
Patient Access Representative
Norman Regional Hospital
Norman, OK
08.2016 - 01.2017
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Communicated financial obligations to patients and collected fees at time of service.
Obtained health, financial and religious information from patients at time of admission.
Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
Cashier
Walmart
Norman, OK
08.2015 - 06.2016
Operated cash register, collected payments and provided accurate change.
Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
Wiped down counters and conveyor belt to remove debris and maintain cleanliness.
Helped customers find specific products, answered questions and offered product advice.
Worked closely with front-end staff to assist customers.
Processed sales transactions to prevent long customer wait times.
Accepted cash and credit card payments, issued receipts and provided change.
Wrapped items and bagged purchases properly to prevent merchandise breakage.
Helped with purchases, locating items and signing up for rewards programs.
Verified customer age requirement for alcohol or tobacco purchases.
Answered customer questions, provided store information and directed customers to designated store areas.
Directed cleaning, trash removal and sanitation procedures to keep aisles and register area organized.
Patient Access Representative
Lake Point Medical Center
Rowlett, TX
08.2015 - 06.2016
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Communicated financial obligations to patients and collected fees at time of service.
Responded to patient concerns and inquiries professionally and efficiently.
Obtained health, financial and religious information from patients at time of admission.
Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
Claims Examiner
HCSC / BCBS
Richardson, TX
11.2007 - 06.2016
Double-checked and reviewed documentation for denied and accepted insurance claims.
Researched and followed up on denied insurance claims.
Scanned incoming documentation.
Maintained complete confidentiality in accordance with organization and legal requirements.
Observed confidentiality and safeguarded all patient-related information.
Obtained information by contacting appropriate personnel or patients.