Kenzi Simms
Douglasville,USA
Summary
Dynamic Patient Access Representative with extensive experience at Wellstar Douglas Hospital, excelling in patient registration and insurance verification. Proven track record of maintaining 99% registration accuracy while delivering exceptional customer service. Skilled in financial counseling and effective communication, ensuring seamless patient experiences and operational efficiency.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Access Representative II Float
Wellstar Douglas Hospital
Douglasville, Georgia
11.2022 - Current
- Register patients in all outpatient areas, such as the Surgery Center, Stat Clinic, Douglas Imaging Center and Hospital Outpatient Imaging.
- Contact Scheduled patients to obtain pre-admission information, explain financial policies, estimates and self pay balances.
- Trained new hires in registration procedures and patient interactions.
- Document concise and understandable notes regarding patient or guarantor interaction.
- Maintain a 99% yearly Registration Accuracy.
- Resolve errors and applicable claims, DNB, OIG, and patient work queues in all PAS areas.
- Provided backup support for Financial Counselors in Business Office, ensuring continuity of operations.
- Completed special tasks and projects for Emergency Department and Outpatient Imaging Supervisors to enhance operational efficiency.
PAS Financial Counselor III
Wellstar Douglas
Douglasville, GA
08.2022 - 10.2022
- Coordinated financial counseling activities across Admitting, Outpatient Registration, Emergency Registration, Utilization Review, Nursing, Social Services, and Patient Financial Services to streamline patient access to financial resources.
- Obtained payments on patient accounts during pre-admission, inpatient, and outpatient phases, ensuring timely revenue collection.
- Interview all inpatient and (self-pay) outpatients at the time of registration, or at least within 24 hours of admission, to complete insurance and financial information, explaining financial policies and collecting the established self-pay balance, via teams, phone or in office appointments.
- Verifies insurance benefits and coverage for inpatients and outpatients. Verifies and post transactions.
- Establishes financial arrangements to reduce financial risk for WHS, helping to ensure that WellStar is reimbursed for its services.
- Responded promptly and efficiently to patient inquiries regarding charges and account settlements, enhancing patient understanding and satisfaction.
- Collected and responded to patient information through phone calls and written correspondence, ensuring clear communication.
- Reviewed daily patient census and conducted visits to assess patient needs and provide support.
- Completed appropriate errors and issues in the Work Queues.
Patient Access Specialist II Emergency Department
Wellstar Douglas
Douglasville, GA
10.2020 - 06.2022
- Arrived and Registered patients arriving by Ambulance and walk-ins.
- Collected complete and accurate demographics, financial, and insurance information to facilitate billing.
- Secured customer consent and attestations for services provided.
- Coordinated collection of estimated patient liabilities, ensuring timely receipt of co-payments and addressing unmet deductibles.
- Verified insurance benefits and coverage.
- Analyzed and rectified customer concerns using established procedures.
- Utilized ED computers and wow's to access and/or update customer records, verification and post transactions.
- Followed established procedures for processing receipts, cash and etc.
- Established financial agreements to mitigate financial risk, ensuring WellStar received appropriate reimbursement for services.
(Health Advocates) Covid-19 Administrator
Dept. of Public Health
Newnan, GA
05.2020 - 09.2020
- Streamlined registration process for seniors undergoing testing, enhancing accessibility and efficiency.
- Comply with laws and regulations regarding confidentiality and privacy of information collected.
- Coordinated setup and breakdown of the clinical mobile site to ensure operational readiness and smooth functioning.
- Adhere to strict PPE requirements for medical providers and staff, performing live testing.
- Performed all site tasks as a backup in case of absence or high demand.
- Monitored supply inventory and ordered necessary supplies for testing site to maintain optimal operations.
- Ensure that all safety precautions, HIPAA requirements and data entry are accurate and acknowledged during the collection process, using Microsoft Dynamics.
- Address customer complaints and services issues.
Patient Access (Registration)
Tanner
Villa Rica, GA
09.2019 - 04.2020
- Registered patients for the Emergency Room, Outpatient Radiology Lab, Inpatient, direct admissions and Observations stays.
- Registered all new patients efficiently and courteously, ensuring a positive first impression.
- Promptly and compassionately greeted and assisted all patients in a timely manner.
- Verified insurance eligibility and collected patient responsibility payments to facilitate seamless patient access.
- Obtained complete and accurate demographic and financial information.
- Assisted with scheduling and bed management.
- Achieved 99% accuracy in patient information management, contributing to operational reliability.
- Ensured HIPAA compliance.
Medical Management Assistant/UM Consultant-Remote
Johns Hopkins Health Care
Glen Burnie, MD
01.2017 - 03.2020
- Provide consultation and assistance to other JHHC Depts. in resolving pending claims accurately.
- Managed precertification authorizations for all John Hopkins Facilities using the Epic system.
- Enter authorizations in MC400, CMS, MSR, Aerial and Healthsuite, across all lines of business, benefit levels and authorization classes.
- Accept, process and meet standard turnaround time for daily denial letters received from Med Review UR RN.
- Adequately cross-cover for other MMAs and Intake Coordinators as the needs arise to ensure smooth workflow.
- Compile, analyze and organize information from multiply sources to carry out assignments in a timely and high-quality way.
- Managed daily tasks independently from home, ensuring consistent workflow with minimal supervision.
- Make decisions regarding work processes based on the established guidelines.
- Collaborated with IT and software consultants on special projects to enhance system functionality.
Education
Associate of Science - Science
University of The District of Columbia
Washington, DC05-2014
Certification - Home Health Provider
VMT
Washington, DC06-2012
Certification - Medical Assistant
Sanz/Med Tech
Washington, DC06-2005
High School Diploma -
Phelps Career Senior High
Washington, DC06-2002
Associate of Applied Science - Nursing
Gadsden State Community College
Gadsden, AL05-2026
Skills
- Payment processing
- Problem solving
- Insurance verification
- Multitasking and organization
- Referral coordination
- Scheduling diagnostic procedures
- Electronic health records
- Financial counseling
- Customer service
- Effective communication
- Revenue cycle management
- Registration and admissions
Certification
- Registered Medical Assistant
- CRCR
- Home Healthcare Provider
- BLS & CPR
Timeline
Patient Access Representative II Float
Wellstar Douglas Hospital
11.2022 - Current
PAS Financial Counselor III
Wellstar Douglas
08.2022 - 10.2022
Patient Access Specialist II Emergency Department
Wellstar Douglas
10.2020 - 06.2022
(Health Advocates) Covid-19 Administrator
Dept. of Public Health
05.2020 - 09.2020
Patient Access (Registration)
Tanner
09.2019 - 04.2020
Medical Management Assistant/UM Consultant-Remote
Johns Hopkins Health Care
01.2017 - 03.2020
Associate of Science - Science
University of The District of Columbia
Certification - Home Health Provider
VMT
Certification - Medical Assistant
Sanz/Med Tech
High School Diploma -
Phelps Career Senior High
Associate of Applied Science - Nursing
Gadsden State Community College