Kristin Wilson
Wayne,OK
Summary
Offering over 17 years of healthcare experience, in a medical office and hospital setting. Highly accurate and efficient with strong time management skills and reliable, hardworking nature. Eager to contribute to team success through hard work, attention to detail and excellent organizational skills.
Overview
17
17
years of professional experience
Work History
Patient Access Rep II
Mercy
2019 - Current
- Identify insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Utilize knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Obtain patient's insurance information and determined eligibility for benefits for specific services rendered.
- Secure patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Track referral submission during facilitation of prior authorization issuance.
- Analyze medical records and other documents to determine approval of requests for authorization.
- Authorize surgical requests in accordance with applicable plan guidelines.
- Maintain accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
CSR III Operations
Maximus
2022 - 2022
- Evaluated needs of caller to determine best course of action to assist in scheduling COVID-19 vaccine appointment
- Transferred/referred caller to appropriate entities according to established guidelines
- Facilitated fulfillment of caller requests for materials via mail, email, or download
- Maintained current understanding of CDC information on regulations, policies, and procedures in order to provide knowledgeable responses to numerous telephone inquiries in courteous, timely and professional manner
- Adhered to Privacy Act as it relates to confidentiality of information provided by callers
- Responded to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate
- Escalated calls or issues to appropriate designated staff for resolution, as needed
- Tracked and documented all inquiries using applicable systems
- Utilized databases and written materials to look up and provide information to telephone inquiries
Patient Intake Coordinator
Integrated Medical Delivery
2009 - 2019
- Coordinated patient scheduling, check-in, check-out and payments for billing
- Received, recorded and addressed incoming and outgoing communication via telephone and email
- Timely and accurate patient registration, verified insurance coverage and obtained benefits
- Scheduled appointments for pain management, radiology and spinal surgery
- Obtained prior authorizations
- Trained and mentored new personnel
- Interacted with insurance providers via phone, email and written correspondence to obtain necessary documents to complete registration
ER Registrar
Shore Medical Center
2007 - 2009
- Coordinated patient scheduling, check-in, check-out and payments for billing
- Transmitted medical records and correspondence on behalf of patients and practitioners
- Transcribed physician notes, detailing diagnoses or recommendations
- Obtained insurance card copies and validated insurance information via insurance eligibility tool
- Explained consent forms, patients' rights, and other registration documents
- Assembled and disassembled patient charts or departmental documents according to facility policies
- Collected patient copays and balances
- Managed registration desk by answering telephones and greeting incoming patients
- Coordinated patient admission needs and bed assignment
Education
Associate of Science - Healthcare Administration
Oklahoma State University
Oklahoma City, OK12.2017
Skills
- EPIC Systems
- AS400
- Cerner Software
- Citrix Software
- CareTracker
- NextGen
- Salesforce
- Genesys
- VMware
- Amazon Workspaces
- Five9
- Slack
- Prior Authorizations
- Referrals
- Payment posting
- Referral Coordination
- Registration and Admissions
- Financial Procedures Adherence
- Quality Assurance
- Medical Terminology
- EMR
- Payment Processing
- Charge Entry
Timeline
CSR III Operations
Maximus
2022 - 2022
Patient Access Rep II
Mercy
2019 - Current
Patient Intake Coordinator
Integrated Medical Delivery
2009 - 2019
ER Registrar
Shore Medical Center
2007 - 2009
Associate of Science - Healthcare Administration
Oklahoma State University
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