Capable patient representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
6
6
years of professional experience
3
3
Certificates
Work History
Patient Access Specialist
Northside Hospital Atlanta
Atlanta, GA
08.2020 - 05.2022
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
Medical Biller and Coder
Lifestance Health
Atlanta, GA
07.2018 - 08.2020
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Use Epic to input information into computerized patient record system.
Coded inpatient charts at rate of 80 per hour or 5 per day.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
Front Office Specialist
Northside Hospital Atlanta
Atlanta, GA
06.2016 - 06.2018
Scheduled appointments, sent reminders and updated master calendar.
Ran form copies, faxed information and made phone calls to patients, other providers and insurance companies.
Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
Epic
Responded to inquiries from callers seeking information.
Produced high-quality communications for internal and external use.
Provided forms to fill out or update and added latest information computer system.