KELLEE HALE
Financial Quality Patient Access
Augusta,GA
Summary
MEDICAL SECRETARY AND INTAKE COORDINATOR Knowledgeable patient support team member with good relationship-building and communication skills developed over 10 years of experience in healthcare. Able to help patients work through issues and obtain the services necessary to meet their medical needs. Skilled at thoroughly investigating issues and following through to completely resolve all concerns. Flexible hard worker ready to learn and contribute to team success.
Overview
31
31
years of professional experience
1
1
Wellstar Health System
Work History
Medical Receptionist
ProHealth Medical Group / UHG
Bloomfield, CT
01.2023 - 04.2023
- Entered insurance, demographics and health history into patient database.
- Called patients to confirm scheduled appointments and obtain additional details.
- Checked patients in and out for appointments and collected co-payments.
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
- Processed patient payments and scanned identification and insurance cards.
- Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
- Took messages from patients and promptly relayed to appropriate staff.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Delivered high-quality administrative and customer service to sustain patient and work flows.
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Patient Access Coordinator
Novant Health, Forsyth Medical Center
Winston-Salem, NC
07.2022 - 10.2022
- Verified demographics and insurance information to register patients in computer system
- Communicated financial obligations to patients and collected fees at time of service
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information
- Optimized provider time and treatment room utilization with appropriate appointment scheduling
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements
- Verified patients' insurance and payment methods during admissions or check-in processes.
Patient Access Representative
RWJ BARNABAS HEALTH / RUTGERS CANCER INSTITUTE
SOMERSET, NJ
01.2020 - 09.2020
- Answering incoming calls for patient that was diagnosed with cancer and directing them to the right Facility and Physician within our eleven-hospital network throughout the State of New Jersey
- After the Evaluation of the call, I will Conference the call with a Scheduler for that Provider at the Assigned facility and give the case to my Nurse Navigator to confirm the patient has an appointment Within Five business days from the call received.
Medical Secretary
COLUMBIA UNIVERSITY / NEW YORK PRESBYTERIAN HOSPITAL, DOCTORS COMPREHENSIVE CANCER CENTER
NEW YORK, NY
08.2016 - 10.2017
- Worked with the melanoma and Pancreatic team Scheduled patients for infusions, scans, blood work and appointments
- Work closely with the Nurse Practitioner regarding Patients treatment plans with Messages and Emails
- Managed physician calendar, scheduling patient appointments and procedures
- Managed medical practice administrative needs to provide patient satisfaction
- Meet with my doctor and Nurse regarding our clinic and what was done for the patient and what the Patient needs for future appointments
- Make sure patients has authorizations from insurance companies regarding testing and treatments and all other medical office functions
- Promoted kind, compassionate environment, utilizing active listening and effective communication skills for cancer patients receiving treatment.
Medical Secretary
COLUMBIA UNIVERSITY / NEW YORK PRESBYTERIAN HOSPITAL
NEW YORK, NY
10.2014 - 03.2016
- Answered and screened a high volume of phone calls for infectious Diseases and Primary care physicians
- Scheduled appointments, prepared patient charts, and processed co-pays, Process referrals for patients being referred to specialists
- Verify patient insurance information and to obtain prior authorizations for surgeries and scans – ensure diagnosis codes and that patient/physician information are entered accurately
- Notify patients regarding insurance coverage and any upcoming/pending financial responsibilities
- Maintain strict control over medical records – both print and electronic
- Ensure patient and lab requests are handled in a timely manner and all other medical office functions
- Triaged and routed phone calls, took messages and followed-up to verify receipt of critical information
- Reviewed patient charts for completeness and accuracy and verified missing information
- Safeguarded confidentiality of patient information by consistently following patient protection standards
- Scanned reports, patient consent forms and chart forms into patient record
- Coordinated patient appointments and provided instructions for examinations and procedures.
Insurance Verification Specialist
ALPHA 3T MRI AND DIAGNOSTIC IMAGING CONSULTANTS
NEW YORK, NY
04.2012 - 08.2012
- Managed phone inquiries, scheduled scans, prepared patient charts, and processed co-pays and referrals
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
- Followed specific security rules and guidelines to protect patient medical records and payment card information
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling
- Checked documentation for appropriate coding, catching errors and making revisions
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
- Updated patient and insurance data and input changes into company computer system.
Administrative Assistant
NEW YORK HOSPITAL OF QUEENS
NEW YORK, NY
12.2011 - 05.2012
- Managed phone inquiries, scheduled appointments, prepared patient charts, and process co-pays, called pharmacies for prescription refills
- Patient check-in and check-out process to facilitate daily office operations
- Verified insurance, notified patients regarding coverage and referrals
- Assisted with other administrative and office functions as needed.
Intake Coordinator
TRINITY HOME CARE/WALGREEN'S HOME INFUSION & RESPIRATORY SERVICES
COLLEGE POINT, NY
09.2010 - 11.2011
- Secured referrals for Infusion Therapy and Home Health from referral sources to generate new business – ensured the clinical/care manager and pharmacist received the referral in a timely manner
- Collaborated with the clinical/care manager to process subcontracted services
- Processed intake forms - ensured forms were clear and legible
- Verified insurance and notified patients regarding coverage and financial responsibilities – collaborated with pharmacist to ensure prescription codes were entered accurately
- Quickly resolved reimbursement issues – maintained and distributed the referral log
Clinical Administrative Coordinator
UNITED HEALTH GROUP/AARP MEDICARE COMPLETE
PHOENIX, AZ
01.2009 - 03.2010
- Verified insurance eligibility and benefits and processed prior authorizations for Evercare and Secure Horizons – AARP Medicare Complete Plan
- Collaborated with providers to communicate notification requirements to enrollees
- Redirected calls to appropriate care management team – maintained superior levels of patient service satisfaction.
Pre-Certification Coordinator
NEW YORK WEILL CORNELL MEDICAL COLLEGE
NEW YORK, NY
04.2007 - 01.2009
- Coordinated scheduled and pre-authorized procedures – updated the authorization numbers in the hospital's database to generate a list of authorizations still needed and approved
- Processed co-payments and insurance payments and posted payments to accounts
- Corrected inaccurate CPT and ICD9 codes to ensure data integrity
- Oversaw the Evening Surgery Clinic front desk when needed
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients
- Notified ordering providers of denied authorizations
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers
- Clarified patient inquiries and questions to update patient account information in computer system.
Medical Secretary/Administrative Assistant/Registrar
TEMPORARY EXCELLENCE MEDICAL STAFFING
NEW YORK, NY
11.2005 - 03.2007
- Answered phone calls to provide assistance, information and medical personnel access
- Conducted patient intake interviews to collect medical information and insurance details
- Compiled physical and digital documents, charts and reports
- Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services
- Reached out to patients to obtain payments and clear outstanding balances
- Documented and responded to incoming correspondences to address questions
- Verified insurance coverage, obtained preauthorizations and updated charts in IDX and Eagle Systems.
Patient Financial Advisor/Admissions
NEW YORK PRESBYTERIAN MEDICAL CENTER, MORGAN STANLEY CHILDREN'S HOSPITAL
NEW YORK, NY
12.2003 - 10.2004
- Greeted and processed patients being admitted to the emergency room - obtained and process patient's demographic and insurance information to enter into the IDX and EAGLE registration system
- Maintained appointments and retrieved lab and radiographic data from the clinic information systems
- Verified insurance and notified patients regarding coverage and financial responsibilities – ensured diagnosis codes and patient/physician information are entered accurately
- Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses
- Helped patients complete paperwork and explained processes and procedures.
Office PCA / Patient Accounts Rep
MIC'S WOMEN'S HEALTH SERVICES
New York, NY
03.1992 - 10.2004
- Answered phones to direct callers, schedule appointments and provide general office information
- Directed clients and guests to correct departments, rooms and staff members
- Obtained scanned records and uploaded to database
- Handled payment processing and provided customers with receipts and proper bills and change
- Compiled physical and digital documents, charts and reports
- Checked patients in and out for appointments and collected co-payments
- Informed patients of financial responsibilities prior to rendering services
- Answered multi-line phone system and directed callers to requested personnel and departments
- Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants
- Called patients to confirm scheduled appointments and obtain additional details.
Education
Coursework in Fashion & Merchandising - Administration, Pattern Making Technology
BROOKLYN TRAINING CENTER
FASHION INSTITUTE oF TECHNOLOGY
Skills
- Obtained CPR/AED Certificate 2022
- Prior Authorizations
- Epic System
- ICD-10 / CPT Coding
- Payment Posting
- EMR updating
- Patient registration
- Admitting coordination
- Call screening
- Insurance verification
- Healthcare system navigation
- Coordinate referrals
- Prepare reports
- Customer service
- Patient intake
- Verbal and Written Communication
- Resolving Problems
- Calm Under Pressure
- Patient Confidentiality and Data Security
- Registration and Admissions
- Customer Service
- Financial Procedures Adherence
- Problem-Solving
- Insurance Company Knowledgeable
- Documenting and Recording Information
- Microsoft Office
- Caring and Empathetic
- Quality Standards and Protocols
- CPR Certified
- Appointment Scheduling
- Epic Systems
- Telephone Etiquette
- Payment Scheduling and Collection
Timeline
Medical Receptionist
ProHealth Medical Group / UHG
01.2023 - 04.2023
Patient Access Coordinator
Novant Health, Forsyth Medical Center
07.2022 - 10.2022
Patient Access Representative
RWJ BARNABAS HEALTH / RUTGERS CANCER INSTITUTE
01.2020 - 09.2020
Medical Secretary
COLUMBIA UNIVERSITY / NEW YORK PRESBYTERIAN HOSPITAL, DOCTORS COMPREHENSIVE CANCER CENTER
08.2016 - 10.2017
Medical Secretary
COLUMBIA UNIVERSITY / NEW YORK PRESBYTERIAN HOSPITAL
10.2014 - 03.2016
Insurance Verification Specialist
ALPHA 3T MRI AND DIAGNOSTIC IMAGING CONSULTANTS
04.2012 - 08.2012
Administrative Assistant
NEW YORK HOSPITAL OF QUEENS
12.2011 - 05.2012
Intake Coordinator
TRINITY HOME CARE/WALGREEN'S HOME INFUSION & RESPIRATORY SERVICES
09.2010 - 11.2011
Clinical Administrative Coordinator
UNITED HEALTH GROUP/AARP MEDICARE COMPLETE
01.2009 - 03.2010
Pre-Certification Coordinator
NEW YORK WEILL CORNELL MEDICAL COLLEGE
04.2007 - 01.2009
Medical Secretary/Administrative Assistant/Registrar
TEMPORARY EXCELLENCE MEDICAL STAFFING
11.2005 - 03.2007
Patient Financial Advisor/Admissions
NEW YORK PRESBYTERIAN MEDICAL CENTER, MORGAN STANLEY CHILDREN'S HOSPITAL
12.2003 - 10.2004
Office PCA / Patient Accounts Rep
MIC'S WOMEN'S HEALTH SERVICES
03.1992 - 10.2004
Coursework in Fashion & Merchandising - Administration, Pattern Making Technology
BROOKLYN TRAINING CENTER
FASHION INSTITUTE oF TECHNOLOGY
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