Summary
Overview
Work History
Education
Skills
Accomplishments
Hero award/Community April 2024
Timeline
Generic

Kelley Esparza

Sioux Falls,SD

Summary

Accomplished Patient Access Representative at Sanford USD Medical Center, adept in registration management and providing exceptional customer service. Demonstrated expertise in insurance verification and problem-solving, contributing to improved revenue cycle management. Fostered teamwork and confidentiality compliance, enhancing patient support and operational efficiency.

Overview

19
19
years of professional experience

Work History

Patient Access Representative

Sanford USD Medical Center and Hospital
03.2024 - Current
  • Greet patients and visitors in professional, friendly manner upon arrival.
  • Confirm and update patient demographic details in EPIC healthcare system.
  • Facilitate communication between patients, visitors and healthcare professionals along with providing emotional support during difficult time depending on department ER, Lab, Admissions or Labor and Delivery.
  • Ensuring accurate billing between clinical departments by working several WQ's ensuring smooth communication for proper revenue cycle management.
  • Contribute to positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • Navigating various software programs is essential, including those for appointment scheduling, electronic health records, and insurance verification systems.
  • Maintain high level of control over confidential medical information ensuring patient confidentiality by complying with HIPAA guidelines in all interactions.
  • Assist in training of new Patient Access Representatives by imparting knowledge and experience.

Learning and Development Senior Facilitator

Wells Fargo
04.2005 - 02.2024
  • Prepared instructional materials for group and one-on-one use to comply with established curriculum.
  • Documented class attendance and participation and provided feedback to management.
  • Administered assessments before, during and after courses.
  • Led "Train the Trainer" sessions, mentored and coached peer facilitators with shared objective of developing high-performing and engaged employees.
  • Maintained compliance with company standards, regulatory requirements, and quality goals.
  • Collaborated with Instructional Design team to develop, and maintain learning curriculum and reference-material documentation, related to auditing processes and training manuals, which support all affected areas of Fraud Claims Assistance Center.
  • Evaluated success of training programs and recommended improvements to upper management to enhance effectiveness.
  • Prepared instructional materials for group and one-on-one use to comply with established curriculum.
  • Partnered with stakeholders to conduct needs assessments and deliver training proposals
  • Maintained inclusive learning environment to enable learners to gain maximum benefit from lessons.
  • Built strong relationships with customers through positive attitude and attentive response.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Solicited class feedback to identify and improve on areas of weakness.

Account Payable and Receivables

Hot Stuff Foods/Orion
04.2005 - 08.2007
  • Reached out to vendors and customers to verify information and follow up on client issues.
  • Maintained records by imaging invoices, debits, and credits.
  • Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
  • Reconciled company bank, credit card and line of credit accounts, investigating, and resolving discrepancies to keep accounts audit-ready.
  • Entered figures using 10-key calculator to compute data quickly.
  • Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
  • Collaborated with sales team members to stay current on inventory levels, complete accurate orders, and resolve item issues.

Education

High School Diploma -

Washington High School
Sioux Falls, SD
05.1985

Skills

  • Registration management
  • Registration and Admissions
  • Insurance Verification
  • Problem-Solving
  • Customer Service
  • Multitasking and Organization
  • Medical Terminology

Accomplishments

  • Achieved Community Hero of the Month Award April 2024 through effectively helping with a patient and her family in Lab.

Hero award/Community April 2024

I was working at MB2 lab when a patient with quadriplegia came in with her patient to have labs drawn. The mother stated right away to me that her daughter was a very "hard poke". This message was also relayed to the phlebotomist. The patient was taken by the phlebotomist to have the lab drawn and they attempted the lab draw for about 20 minutes with no success. I overheard staff telling the patient that the would have to come back at another time to retry . The parents became very upset by this , explaining how much work it is to get their daughter ready and transported to the hospital for this and that rescheduling another date was going to be a huge inconvenience. 

 Overhearing this, I inquired with the phlebotomist on whether they had access to the "vein finder" like staff can use in ER, where I normally work. The phlebotomist stated that they did not, but if I had a "connection" in the ER that I could call, ad they would be more then happy to accept the help. I called over the ER Coordinator and explained the patient's situation and coordinator stated that ER flight team was available. Within a few moments, the flight team came over and brought some warmers and within in about 15 minutes were able to get the lab draw done. The parents thanked me for going above and beyond to find a solution for their daughter that day and not having to reschedule. 

Timeline

Patient Access Representative

Sanford USD Medical Center and Hospital
03.2024 - Current

Learning and Development Senior Facilitator

Wells Fargo
04.2005 - 02.2024

Account Payable and Receivables

Hot Stuff Foods/Orion
04.2005 - 08.2007

High School Diploma -

Washington High School
Kelley Esparza