Dedicated Healthcare Representative with extensive medical services background and strong work ethic. Managed patient-related concerns and needs at large medical facilities and achieved both business expectations and patient satisfaction. Excellent communication skills and in an empathetic nature enabled the achievement of positive outcomes not only for the continuity of care for the patient but also for the business needs of the facility. Have learned that Healthcare is not a one-size-fits-all business, so being proactive and delicate to patients' needs and concerns has lead to connecting and creating rapport naturally. Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at a large medical facility and helped 80 patients or more a day. Excellent communication skills and empathetic nature enabled achievement of positive outcomes.
Overview
15
15
years of professional experience
Work History
Patient Access Liaison/Patient Line-ASCC
UCHealth University Of Colorado Hospital
04.2019 - 01.2023
Answering inbound call from patient requesting appointments with their medical providers
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits. Connecting with patient creating rapports with them to schedule or communicate on their behalf for medical needs
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Communicate with clinical staff to ensure best patient care
Triage emergent call/ connect with proper medical staff
Contact pt outbound to schedule appointment, gain medical information
Research medical chart for referral information
Organize and distribute appropriate faxes and medical records to correct department or patient charts, Schedule returning appointments in accordance with physician and/or office guidelines, and provide patients with appointment details such as time, location, directions, instruction sheets, and other details
Support philosophy, mission, vision, and values of UCHealth
Phoned and/or faxed requests processed promptly and timely manner within 1-3 minutes
Obtains and communicates messages with accuracy in timely manner
Communicate with patients and physician staff on test preparation and registration information
Establishes and maintains working knowledge and vocabulary of procedures scheduled
Displays confidence when scheduling difficult or interdepartmental requests
Assists in scheduling patients for services with outside facilities
Assist in solving patient/physician office / departmental concerns/complaints received, in timely and satisfactory manner
Accepts additional assignments as directed by manager or Director of department
Patient Access Representative
UCHealth University Of Colorado Hospital
12.2017 - 04.2019
Greeted and assisted patients with check-in/check-out procedures
Stayed calm under pressure and successfully dealt with difficult situations.
Contribute to overall patient satisfaction by consistently providing superior customer service to all patients and their families
Demonstrate sense of urgency to all tasks and respond accordingly
Educating patient regarding their rights, system services, and other patient services
Verify insurance coverage and eligibility; respond to patient inquiries regarding basic insurance questions
Verify insurance coverage and eligibility; respond to patient inquiries regarding basic insurance questions
Collecting copay/balancing all clinical deposits end of day
Prep reception area for following day/Close clinic
Scheduler Coordinator
VASCULAR INSTITUTE OF THE ROCKIES
08.2015 - 04.2016
Performs scheduling both intra- and inter-departmentally as requested by physician orders
Researching ICD10/ CPT procedure codes to apply to procedures
Resource to all department personnel (surgeons, medical secretaries, nurses, residents, etc.) on daily activity
Assists patients with setting up payment plans, and collects pre-surgical deposits
Communicates with all departments to maximize efficiency and expedite admission process
Coordinates services and provides special instructions as requested by patients, internal physicians and referring physicians
Counsels patients pre-operatively regarding their potential financial obligations, and provides information about patient insurance coverage
Ensures accuracy of system-wide master patient index through validation and capture of patient demographic data
Enters all updates, correction and changes to scheduled procedures/surgeries
Enters appointment into respective programs, both routine and emergency add-on
Identifies services out of insurance plan or requiring referrals; may inform patient of courses of action
Notifies patients of their arrival times per area protocols
Other duties as assigned
Receives orders and processes as indicated by provider and schedules according to protocol
Serves as liaison with admitting office regarding ,update admission information and cancels reservations
Validates and captures primary, secondary and tertiary insurance coverage to ensure accurate billing
Resolved scheduling conflicts to maintain high-quality patient services
Arranged pre-procedures and post-procedure appointments for procedures patients
Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment
Patient Access Representative
PARKER ADVENTIST HOSPITAL
08.2014 - 02.2015
Demonstrate a sense of urgency to all tasks and respond accordingly to Emergency department protocol
Maintains professional communication with various PAR staff, medical center staff, physicians, guests, and patients regarding admitting services rendered at Parker Adventist Hospital
Communication may consist of telephone correspondence or in-person contact
Navigating electronic health records
Performs other duties and responsibilities as assigned by unit team manager or other PAS management personnel
Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors
May also assist with scheduling and coordinating post-discharge care for patients
Communicated and greeted all first responders when escorting patient's into the ED
Notified the entire hospital about hospital capacity status called hospital codes, and administrator fire drills per Parker Fire Department
Stayed calm under pressure to and successfully dealt with difficult situations.
Medical Receptionist/Scheduler, Receptionist (Front Desk)/Administrative Assistant
OFFICE TEAM
06.2013 - 01.2014
Open clinic up daily/Prep waiting area
Create new patient charts
Greeted incoming visitors and patients professionally and provided friendly, knowledgeable assistance.
Assist patients with checking in and out, scheduling appointments, and insurance verification
Establish effective rapport with other employees, customers, clients, patients, families, and physicians
For non-insured patients, discuss established self-pay rate and collect monies
Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone
Perform day-end processes as set by office protocol
Perform other duties as assigned
Professional work environment
Serve, for medical office
Special projects as assigned by Manager or Supervisor
Registrar PRN
Spalding Rehabilitation Hospital
10.2011 - 03.2012
Gathers and enters in computer all necessary registration information from patient/family
In 24-hour, 7 days week environment, collects and documents patient information demographics, insurance, and contact information in electronic health-record and or other electronic systems in accordance with established registration standards policies
Input and retrieve information from computer
Facilitates phone consults, coordinates transfer of patients to other facilities and schedules follow-up appointments
Correctly identifies patients, generates patient identification bracelets, medical record demographic sheet, and labels
Applies correct identification bracelet on patient
Provides information to patients regarding Patients Bill of Rights, Notice of Privacy Practice per federal regulations
Register patients from hospital and physician clinic services in healthcare setting
Register patients for hospital and physician clinic services in healthcare setting
Service Associate
KAISER PERMANENTE
12.2007 - 03.2011
Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Schedule patients clinical appointments with provider
Provided exceptional customer service to patients, answering questions and addressing concerns.
Verified insurance eligibility and coverage for patients.
Connect patients with correct staff according to their medical needs
Leadership role; Union Steward, representing employees on any employment issues or concern concerning disciplinary action taken by their departmental superior.
Developed and implemented customer service policies and procedures.
Responded proactively and positively to rapid change.
Provided excellent patient care via phone by responding to requests, assisting with product selection and handling ordering functions.
Education
Associate of Arts - HealthCare Administration
UNIVERSITY OF PHOENIX
Tempe, AZ
03.2019
Skills
HIPAA Regulations Complaint
Referral Coordination/ Communicator
Phone etiquette
Exceptional Customer Service
Team Collaborator
Electronic Medical Record (EMR) Systems (Epic)
Computer savvy (Multi-screens at once)
Electronic Medical Record (EMR) Systems
Team collaborator
Support philosophy, mission, vision and values UCHealth has in facilities and community
Microsoft Software (Word, Excel, Outlook, Teams chat)
Adaptable, Detail Oriented and Accountability
Timeline
Patient Access Liaison/Patient Line-ASCC
UCHealth University Of Colorado Hospital
04.2019 - 01.2023
Patient Access Representative
UCHealth University Of Colorado Hospital
12.2017 - 04.2019
Scheduler Coordinator
VASCULAR INSTITUTE OF THE ROCKIES
08.2015 - 04.2016
Patient Access Representative
PARKER ADVENTIST HOSPITAL
08.2014 - 02.2015
Medical Receptionist/Scheduler, Receptionist (Front Desk)/Administrative Assistant
Surgical Coordinator - Ocular-plastics at UCHealth University Of Colorado HospitalSurgical Coordinator - Ocular-plastics at UCHealth University Of Colorado Hospital