Dedicated medical professional with well-versed healthcare experience and a strong medical ethic. Detail-oriented team player with a positive attitude and strong organizational skills. Ready to bring 15 years of relevant work experience to your team.
Overview
15
15
years of professional experience
Work History
Patient Service Specialist II
Baylor Scott & White Health
12.2016 - Current
Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
Provided exceptional customer service to patients, answering questions and addressing concerns.
Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
Assisted patients in filling out check-in and payment paperwork.
Inputted accurate patient demographic, insurance, billing and payment information in EPIC.
Collected patient co-pay and issued receipt to confirm payment.
Managed patient registration process, confirming data accuracy and completeness.
Provided patient with after-visit summary and scheduled next appointment and/or referral appointment to maintain continuous care and facilitate treatment plan.
Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
Verified insurance eligibility and coverage for patients.
Investigated, triaged and resolved patient issues to encourage positive experience during patient visit.
Obtained insurance prior authorization for referrals and radiological imaging.
Investigated insurance claims denials and appeals.
Resolved billing inquiries and disputes in timely fashion.
Handled customer service inquiries in person, via telephone and through email.
Drove proactive patient outreach activities to schedule appointments and follow-up on care and health maintenance.
Built and maintained positive working relationships with patients and staff.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Obtained insurance authorizations for such appointments.
Ordered gases and coordinated scheduling of representatives for such procedures.
Effectively communicated between patient and physician practices.
Conducted daily meetings to ensure preparedness in relation to staffing, materials, patient care and scheduling for next day.
Compiled and reported hospital operating room statistics.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Reconciled nurses electronic charting in correlation to billing in order to ensure proper documentation of implants, tools and base-time/incremental-time charges relating to anesthesia, procedure and recovery times.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Engaged with patients to provide critical information.
Compiled and maintained patient medical records to keep information complete and up-to-date.
Facilitated communication between patients and various departments and staff.
Procedure Scheduler
Austin Gastroenterology
02.2010 - 02.2011
Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
Performed various administrative tasks by filing, copying and faxing documents.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Scheduled endoscopy procedures for patients in respective doctor's calendars.
Educated patients on proper directions for procedure preparedness.
Communicated with surgical centers and hospitals to facilitate proper scheduling of patient procedures and provided completed and coded scheduling forms to those facilities.
Collaborated with healthcare staff to verify alignment of appointment scheduling with clinic protocols.
Education
No Degree - Nursing
Austin Community College
Austin
Skills
EPIC and Athena Fluent
HIPAA Compliance
Referral Coordination and Tracking
Medical Insurance
Obtaining Authorizations
Organization and Time Management
Investigate Complaints
Insurance Information Collection and Verification
Medical Coding (IDC-9/ICD-10, CPT, HCPCS and Diagnosis Codes)
Community Health Worker at Baylor Scott&White Quality Alliance, Baylor Scott&White HealthCommunity Health Worker at Baylor Scott&White Quality Alliance, Baylor Scott&White Health