LaQuacher Kidd
Sylacauga,AL
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Willingness to take on added responsibilities to meet team goals. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
21
21
years of professional experience
Work History
Access Representative Online
UAB/University of Alabama Health Services Foundation
12.2020 - 01.2022
- Review databases and other pertinent documentation to ensure that patients are scheduled for Primary Care, Family Medicine, and Resident Clinic appointments in a timely manner
- Work with all clinics and appropriate ancillary departments to ensure requirements are met through training, education, and consultation
- Maintain and remain current of insurance carriers and requirements to include a working knowledge of referral and pre-certification processes and medical necessity guidelines
- Demonstrate exceptional customer service to patients, referring sources both internal and external
- Effectively communicate information to patients as related to testing, required preparations, and financial obligations.
Credential Specialist in Training
UAB/University of Alabama Health Services Foundation
06.2020 - 12.2020
- Maintained active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid for the University of Alabama Health System Foundation
- Maintained individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications
- Maintained internal provider grid to ensure all information is accurate and logins are available
- Updated each provider's CAQH database file timely according to the schedule published by CMS
- Applied for and renewed annually all provider licenses; Professional, DEA, Controlled Substance
- Completed revalidation requests issued by government payers
- Completed credentialing applications to add providers to commercial payers, Medicare, and Medicaid
- Completed re-credentialing applications for commercial payers
- Credential new providers and re-credential current providers with hospitals at which they hold staff privileges
- Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing
- Maintained accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases
- Other duties as assigned.
Previewer- PAR I
UAB/University of Alabama Health Services Foundation
05.2017 - 12.2020
- Performed a variety of duties related to patient pre-arrival
- Previewed appointments, demographic set up, insurance verification, request referrals, answer phone calls and match previewed materials to initial charges
- Meet daily deadlines in a timely manner
- Performed clerical duties as needed.
Emergency Room Admissions Coordinators
Navigant Cymetrix University of Alabama at Birmingham
11.2018 - 02.2020
- Provide a range of intake and associated administrative services to patients being admitted to the hospital, emergency department or receiving outpatient services
- Obtain demographics, insurance and medical information
- Interface with insurers and members of the healthcare team
- Assesses a patient's financial status, identifying a source of payment, obtaining sufficient information to permit reimbursement, ensuring the information is complete and accurate
- Explains financial requirements to the patient or responsible party and collects deposits or deductibles as required
- Accurately completes forms and reports related to registration and disseminates to appropriate departments
- Performs other duties as assigned.
Previewer- PAR I
UAB/University of Alabama Health Services Foundation via Express Employment
10.2016 - 05.2017
- Performed a variety of duties related to patient pre-arrival
- Previewed appointments, demographic set up, insurance verification, request referrals, answer phone calls and match previewed materials to initial charges
- Meet daily deadlines in a timely manner
- Performed clerical duties as needed.
Customer Service-Data Entry Specialist
Express Employment
11.2015 - 05.2017
- Responsible for digitizing data for storage purposes
- Collected client information, maintained an organized filing system, and reviewed data for completeness and accuracy
- Processed various Excel spreadsheets and other sensitive information in a timely and efficient manner in a fast-paced office environment
- Assisted customers with complaints and questions, gave customers accurate up to date information about products and services, placed orders, and processed returns
- Prepared correspondences and fulfilled customer inquiries to ensure customer satisfaction in a timely manner with regards to confidentiality.
Alabama Organ Center- Screen routine referral calls
UAB/University of Alabama Health Services Foundation via Express Employment
05.2016 - 10.2016
- Received on the 205-731-9200 or 1800-252-3677 referral lines
- Responsible for the day to day medical and social screening to tissue and research donor referrals using the algorithm provided by the tissue processor and research partners to determine medical suitability
- Once medical suitability of the tissue or research donor is determined, the DRC will obtain medical examiner or coroner approval and obtain recorded telephone consent or will confirm by a hard copy of written consent from the next of kin
- After consent is obtained, the DRC will contact the appropriate tissue or research recovery team leader and provide a hard copy of their work-up to the tissue or research team leader for review
- When research permission is granted, the DRC will make initial contact with any research organization involved
- The DRC will also screen organ donor referrals and immediately contact the procurement coordinator on call with any heart-beating donor referral and also input donor information into the AOC database following each referral.
Transaction Specialist
SunGard WorkFlow Solutions
09.2007 - 02.2009
- Processed various types of Retirement Forms for TIAA-CREF
- Assisted customers with questions and concerns about their orders while performing general data entry and clerical duties in a team environment via telephone and online/offline.
Customer Service Representative
EBSCO Industries Inc.
03.2001 - 06.2002
- Assisted customers with questions and concerns about their orders while performing general data entry and clerical duties in a team environment via telephone and online/offline.
Education
Master of Science - Elementary Education
Jacksonville State University
Jacksonville, AL12.2004
Bachelor of Science - Marketing
Jacksonville State University
Jacksonville, AL12.1998
Skills
- Self-motivated
- Confidentiality on a Need-to-Know Basis
- Good communication and interpersonal skills
- Dependable
- Computer literate, above average in Microsoft Office
- Type 50 wpm
- Leadership experience
- Sense of Teamwork and Cooperation
- Organizational know-how
- People skills
- Collaboration of talent
- Problem-solving abilities
- Flexible and able to Cope effectively in an ever-changing fast-paced environment
- Professionalism and Ethics
- Documentation accuracy
- Patient Registration
- Insurance Verification
Timeline
Access Representative Online
UAB/University of Alabama Health Services Foundation
12.2020 - 01.2022
Credential Specialist in Training
UAB/University of Alabama Health Services Foundation
06.2020 - 12.2020
Emergency Room Admissions Coordinators
Navigant Cymetrix University of Alabama at Birmingham
11.2018 - 02.2020
Previewer- PAR I
UAB/University of Alabama Health Services Foundation
05.2017 - 12.2020
Previewer- PAR I
UAB/University of Alabama Health Services Foundation via Express Employment
10.2016 - 05.2017
Alabama Organ Center- Screen routine referral calls
UAB/University of Alabama Health Services Foundation via Express Employment
05.2016 - 10.2016
Customer Service-Data Entry Specialist
Express Employment
11.2015 - 05.2017
Transaction Specialist
SunGard WorkFlow Solutions
09.2007 - 02.2009
Customer Service Representative
EBSCO Industries Inc.
03.2001 - 06.2002
Master of Science - Elementary Education
Jacksonville State University
Bachelor of Science - Marketing
Jacksonville State University
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