Hi, I’m
Krushetta Kelly
Stone Mountain,GA
Summary
Accomplished Patient Access Representative with a proven track record at Emory Healthcare, excelling in HIPAA compliance and customer service. Demonstrated expertise in insurance verification and adept at enhancing patient care through effective communication. Skilled in EMR, Epic and maintaining quality assurance, significantly improving billing processes and patient satisfaction.
Overview
8
years of professional experience
Work History
Emory Healthcare
Patient Access Representative
09.2019 - Current
Job overview
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
Georgia Nephrology
Insurance Verification Specialist
05.2018 - 07.2019
Job overview
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Assisted with medical coding and billing tasks.
Red Rock Behavioral Health Services
Medical Records Specialist
11.2016 - 03.2018
Job overview
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Input data into computer programs and filing systems.
- Sorted and distributed incoming and outgoing medical records.
Education
Javelin Technical Training CenterAtlanta, GA
Medical Office Expert Diploma from Medical Front Office/Coding And Billing
02.2007
Skills
- Customer Service
- Insurance Verification
- HIPAA Compliance
- Patient Registration
- Appointment Scheduling
- Registration and Admissions
- Phone and Email Etiquette
- Medical Terminology
- EMR
- Quality Assurance
- Eligibility Determination
- Insurance Billing
Timeline
Patient Access Representative
Emory Healthcare
09.2019 - Current
Insurance Verification Specialist
Georgia Nephrology
05.2018 - 07.2019
Medical Records Specialist
Red Rock Behavioral Health Services
11.2016 - 03.2018
Javelin Technical Training Center
Medical Office Expert Diploma from Medical Front Office/Coding And Billing
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