Summary
Overview
Work History
Education
Skills
Additionalinformation
Timeline
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Kenneth Commerford

Santa Rosa,CA

Summary

My professional career has been primarily in the medical industry. My strong communication and collaborative skills are my strong suit.

Overview

22
22
years of professional experience

Work History

Patient Access Rep

Access Health
04.2024 - Current
  • Check in patients into the Urgent Care and Concierage Care Clinics.
  • Enter patient demographics and insurance information. Going over with patients what insurance companies we are contracted with.
  • Scheduling patient appointments in person and over the phone using our EMR system.
  • Processing referrals for imaging facilities, lab work, and physician specialty groups. Also, obtain authorizations if the insurance company requires it.

Patient Access Specialist

Queen of the Valley Medical Center
09.2017 - 04.2024
  • Registers emergency room patients for trauma medical center in Napa
  • Ensures accuracy of all patient information and adherence to HIPAA regulations
  • Inputs patient insurance and demographic information into center database
  • Coordinates transfers of patients to other medical facilities as needed.

MRI and Radiology Patient Scheduler

Simon-Med Health Diagnostics
01.2015 - 04.2018
  • Schedules patients for outpatient imaging facility with four North Bay locations that serve 10 targeted physicians
  • Resolves physician billing issues, ensures physicians receive patient imaging data in timely fashion and handles other administrative concerns, resulting in retention of key accounts and increased referral business
  • Liaises between marketing team, physicians and Simon-Med administrators to ensure accurate transmission of patient data and clear understanding of issues
  • Creates charts, reports and other important patient information for physicians
  • Verifies patients' health insurance coverage and billing information.

Patient Access Specialist

Sonoma West Medical Center
01.2015 - 09.2017
  • Registers emergency room patients for small Sonoma County medical center
  • Ensures accuracy of all patient information and adherence to HIPAA regulations
  • Inputs patient insurance and demographic information into center database
  • Coordinates transfers of patients to other medical facilities as needed.

Patient Resource Specialist

Intake Coord
01.2008 - 05.2015
  • Served as first-line contact for business, clinical and non-clinical communications as Patient Resource Specialist for international biotech company
  • Answered phone calls to resolve questions regarding Genentech/Roche
  • Triaged and routed calls to appropriate departments in timely fashion
  • Averaged 623 cases per month (3% above mean) with 93% Call Quality Monitoring Average, far exceeding 70% target
  • Identified calls that required escalation and channeled accordingly
  • Discerned trends by tracking/documenting calls and communicating findings to relevant in-house departments
  • Provided technical phone support for MD office portals and troubleshot issues across multiple platforms and browsers
  • Received/completed all new/updated MD office portal registrations, created new portal accounts and managed MD office profiles
  • Supported portal utilization/expansion by providing incoming caller support and feedback/recommendations to Genentech/Roche call centers
  • Documented internal/external interactions in SFDC Case Management Systems and accurately entered all patient/physician information into appropriate databases
  • Managed SFDC-Case Management Systems to ensure they were up to date
  • Solved adverse situations and problems by utilizing multiple systems and databases, and by collaborating with multiple in-house partners
  • Served as gatekeeper for database that housed information/resources tapped by peers for fielding incoming calls, and ensured database was current and accurate
  • Conducted benefit investigations for Coverage/Reimbursement Team that resulted in lessening of team work load during busiest period of 2014
  • Facilitated absorption of non-clinical sector of Roche Medical Call Center Dept
  • After Genentech/Roche merger, and created new produce knowledge base
  • Completed submissions of Potential Adverse Events identified on internally faxed documents to US Drug Safety Department and identified gaps in event reporting
  • Processed reimbursement documents as Intake Coordinator
  • Promoted to Patient Resource Specialist from Intake Coordinator after 1 year.

Acct. Exec./Authorization Specialist/MRI Scheduler

Insight Health Corp
01.2003 - 01.2007
  • Procured minimum of 40 MRI scans daily as Account Executive for private health care facility/services provider by developing sound relationships with 600+ physicians and by educating physician office staff on company benefits
  • Provided timely insurance company authorizations for five company locations as Authorization Specialist, resulting in promotion to Account Executive
  • Maximized appointments as MRI Scheduler and screened patients to ensure they could safely undergo MRI scans, resulting in Authorization Specialist promotion.

Education

High School Diploma -

Piner High School
Santa Rosa, Ca
06.1987

Skills

  • Medical Office Experience
  • Medical Scheduling
  • Medical terminology
  • Microsoft Office
  • Insurance verification
  • ICD-10

Additionalinformation

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Timeline

Patient Access Rep

Access Health
04.2024 - Current

Patient Access Specialist

Queen of the Valley Medical Center
09.2017 - 04.2024

MRI and Radiology Patient Scheduler

Simon-Med Health Diagnostics
01.2015 - 04.2018

Patient Access Specialist

Sonoma West Medical Center
01.2015 - 09.2017

Patient Resource Specialist

Intake Coord
01.2008 - 05.2015

Acct. Exec./Authorization Specialist/MRI Scheduler

Insight Health Corp
01.2003 - 01.2007

High School Diploma -

Piner High School

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Kenneth Commerford