Personable Front Desk Medical Receptionist skilled at facilitating patient appointments. Delivers top-notch service and support and works well under pressure. Expert in diffusing conflicts and solving patient or staff problems.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Member Benefits Advocacy
NEA Benefits
Gaithersburg
03.2024 - 11.2024
Evaluated job positions to determine classification, exempt or non-exempt status and salary.
Conducted employee meetings to educate on the benefits of various health care plans.
Implemented wellness initiatives aimed at improving employee health and reducing healthcare costs.
Medical Receptionist
Kaiser Permanente
Gaithersburg, MD
08.2016 - 09.2021
Greeted and assisted patients upon arrival
Followed appropriate patient registration/check-in policies and procedures
Verified and/or updated all demographic information
Knowledge of Health Plan coverage types, for example (but not limited to) traditional and deductibles
Checked patients into the computer system and manually reviewed records when systems are down
Verified patient's membership/benefits according to the benefit display
Create accounts as necessary, for example (but not limited to) workers' compensation, confidential, etc
Capture and populate workers' compensation data on the correct screens and select the correct coverage, as necessary
Informed patients of available payment options
Collected co-pays and fees for service
Assisted patients by explaining co-pays/applicable fees
Provided facility directions and referrals to other departments and administrative services for further information, e.g., Member Services, Medical Secretaries, and Business Office
Initiated forms for completion as needed, for example Release of Information, Patient Financial Responsibility; tracking referrals to specialty care by utilizing the consultation/referral system
Demonstrated knowledge of and applications to Patient Administration Appointment Registration (PARRS)
Communicated with clinical and business office staff as needed
Managed financial transactions according to cash handling responsibility
Reconciled shift and deposit funds according to the cash handling protocols
Transporter
Kaiser Permanente
Washington, DC
07.2013 - 08.2016
Transported members to the various departments within Capitol Hill by wheelchair
Also, assisted them with accessing public transportation
Greeted and provided excellent customer service while covering the switchboard since starting with Kaiser Permanente
Greeted members as they entered the facility and provided directions as needed
Assisted with transporting members via Cisco work phone to
Monitored the facility to make sure that wheelchairs are clean and in proper working order at all points of entry
Received letters and calls of appreciation from members and staff for great customer service
Program Specialist (Call Center Experience)
Covance
Gaithersburg, MD
11.2012 - 01.2013
Supported the Operations of Intelligence programs including, but not limited to, reimbursement hotlines, patient assistance programs, foundations, safety surveillance programs and compliance programs
Received and triaged inbound calls of customers as appropriate
Documented calls in appropriate database, while managing escalated calls per program specifications
Conducted insurance verifications by confirming patient benefits
Facilitated prior authorization on behalf of customers and assisted with problem claims
Performed case management to identify insurance and alternative funding sources per program specifications
Screened and processed patient's assistance applications by determining eligibility and making outbound follow up calls, as necessary
Updated computer systems with patient enrollment, denials, approvals, payment processing, withdrawals, shipments, and caller requests per program specifications
Responded to inquiries regarding PAP operations and requests, such as status of patient enrollment status, product shipments, and returns
Medical Receptionist
Family Medical Rehabilitation Center
Gaithersburg, MD
02.2010 - 08.2012
Provided phone support, maintained physician calendars, scheduled patient appointments, patient registration, check-in and check-out, surgery scheduling, and insurance verifications
Checked patients in and out for appointments
Monitored and retrieved patient charts for appointments & follow-up calls