Skilled Healthcare Operations Professional, well-versed in providing high quality Patient Access Support. Dedicated leader with -15+years. Professionally trained Patient Advocate with experience ensuring high standard culturally competent care servicing wide varieties of patients with diverse needs.
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation
Maintained updated knowledge of coding requirements, through continuing education and certification renewal
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing
Evaluated patients' financial status and established appropriate payment plans
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner
Maintained strict patient and physician confidentiality.
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.
Supervisor Patient/Lead Access Representative III
Emory Healthcare/Winship Cancer Institute
03.2010 - 05.2016
Responsible for leading a team of 12 including overseeing patient pre-registration of scheduled accounts,
verifying insurance coverage, benefits, and obtaining pre-certification,Medicare,Medicaid
Coordinated front desk flow lab process ordering, activating of patient arrival/lab orders
Verified patients' insurance eligibility and collected patient responsibility payments
Maintained patient charts for Business Office and Medical Records
Efficiently expedited patient records between Business Office, Medical Records, and Registration
Gave demographic information to insurance companies and called physicians' offices if clinical information
is needed for pre-certification and verified the information obtained
Centricity, Healthquest, IDX, Eemer, Powerchart and Front Runner
Improved out Patient Laboratory processes through innovative observation, implemented a new intake
procedure; that resolved patient wait and delays
Led the planning and achievement of goals and objectives consistent with the agency mission and
philosophy.
Lead Medical Assistant III, Medical Records Technician
Emory University Orthopedic & Spine Hospital
01.2003 - 03.2010
Maintained accurate records of patient care, condition, progress and concerns
Monitored vital signs, such as blood pressure and pulse
Provided pre- and post-operative care
Performed procedures and uses equipment as delegated by a licensed professional, including blood draws
Foley catheter removal and EKGs
Supported diagnostic procedures, assisted with technical nursing treatments and entered information in
patient records and charts
Monitored expiration of medical supplies and medications.
Education
Bachelor of Arts - Healthcare Administration
Cappella University
Graduate -
Associate of Arts - Medical Assisting, LPN/Healthcare
Darton College Graduate
Albany, GA
Skills
Customer Service
Insurance Verification
HIPAA Compliance
Patient Registration
Accomplishments
Naham Member, CPAR, CHAA and Medical Assistant III
APPLICATIONS/SOFTWARE
AHIQ, Forms on Demand, Financial Estimate Tool, Quadra Med, Wells Fargo, RevRunner, Picis, Cerner