Dedicated professional with a Bachelor’s Degree in Psychology seeking a challenging Business Administration position that will allow the use and growth of business professional skills, interpersonal abilities and career advancement. Capable Patient Representative 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.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Patient Service Specialist
University of Texas Medical Branch
11.2021 - Current
Checking patients in and out of the facility or office
Scheduling appointments and follow-up visits
Answering patient questions and addressing concerns
Verifying insurance coverage and benefits
Collecting co-pays and payments
Preparing charts and updating patient records
Completing insurance forms and obtaining patient data
Assisting patients with setting up online accounts
Working in collaboration with providers and care center staff to assess healthcare needs and support health and wellness goals
Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
Adapted quickly to changing policies or procedural updates within the clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
Enhanced clinic workflow by managing patient records and ensuring accurate documentation of medical histories.
Streamlined insurance verification processes for faster resolution of billing issues, resulting in increased revenue collection.
Educated patients on available resources such as financial assistance programs or support groups related to their specific medical conditions.
Provided exceptional customer service, resolving patient complaints promptly and professionally.
Promoted a positive atmosphere within the workplace by actively participating in team meetings and consistently demonstrating professionalism in all interactions.
Providing excellent customer service by promptly answering patient inquiries.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Addressed bad debts in line with set protocols.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Patient Service Specialist
Healthcare System Staffing
02.2021 - 11.2021
Checking patients in and out of the facility or office
Scheduling appointments and follow-up visits
Answering patient questions and addressing concerns
Verifying insurance coverage and benefits
Collecting co-pays and payments
Preparing charts and updating patient records
Completing insurance forms and obtaining patient data
Assisting patients with setting up online accounts
Working in collaboration with providers and care center staff to assess healthcare needs and support health and wellness goals
Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
Adapted quickly to changing policies or procedural updates within the clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
Enhanced clinic workflow by managing patient records and ensuring accurate documentation of medical histories.
Streamlined insurance verification processes for faster resolution of billing issues, resulting in increased revenue collection.
Educated patients on available resources such as financial assistance programs or support groups related to their specific medical conditions.
Provided exceptional customer service, resolving patient complaints promptly and professionally.
Promoted a positive atmosphere within the workplace by actively participating in team meetings and consistently demonstrating professionalism in all interactions.
Providing excellent customer service by promptly answering patient inquiries.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Addressed bad debts in line with set protocols.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Medical and Health Services Practice Manager
Brazosport Radiation Oncology
11.2012 - 02.2021
Compile, sort, and verify the accuracy of data before it is entered
Locate and correct data entry errors
Operate computers programmed with accounting software to record, store, and analyze information
Perform bookkeeping work, including posting data or keeping other records concerning costs of goods or services or the shipment of goods
Prepare itemized statements, bills, or invoices and record amounts due for items purchased or services rendered
Comply with federal, state, and company policies, procedures, and regulation
Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes
Enter claims information into database systems
Transmit claims for payment or further investigation
Receive, record, and bank cash, checks, and vouchers
Operate 10-key calculators and copy machines to perform calculations and produce documents.
Scheduler
IPH Home Healthcare & Hospice
04.2010 - 11.2012
Confer with patients/employees by telephone or in person to provide information about schedule
Keep records of customer interactions or transactions, recording details of inquiries, and complaints, or comments as well as actions taken
Distribute production schedules or work orders to employees
Review documents, such as production schedules, work orders, or staffing tables, to determine personnel or materials requirements or material priorities
Confer with department supervisors or other personnel to assess progress and discuss needed changes.
Administrative Officer Manager
TX Home Health
05.2006 - 04.2010
Confer with customers by telephone or in person to provide information about services
Keep records of customer interactions or transactions including recording details of inquiries, and complaints, or comments as well as actions taken
Answer telephones, direct calls, and take messages
Communicate with customers, employees, and other individuals to answer questions, disseminate or explain information, take orders, and address complaints
Maintain and update filing, inventory, mailing, and database systems, either manually or using a computer
Compile, copy, sort, and file records of office activities, business transactions, and other activities
Oversee the daily performance of computer systems
Read technical manuals, confer with users, or conduct computer diagnostics to investigate and resolve problems or to provide technical assistance and support.
Education
Bachelor of Science in Psychology -
University of Houston Clear Lake
Houston, TX
Associates of Biblical Theology -
International Miracle Institute
Pensacola, FL
Associate in Art -
Brazosport College
Lake Jackson, TX
Skills
Epic
Intellicorp (background check program)
Cerner Homework’s (Home Health Software Program)
Vision Share (MCR Eligibility)
Kinnser
PECOS
Microsoft Office
Oasis Validation Reports
HIQH/HIQA
LUPA and PECO’s Reports
Insurance Verifications (MCR & Private Ins)
Mosaiq
Medtrak
Appointment Scheduling
Patient confidentiality
Healthcare Systems Knowledge
Insurance Verification
Professionalism and Ethics
Medical Terminology
HIPAA Compliance
Customer Service
Patient Registration
Medical Billing
Eligibility Determination
Multitasking and Organization
Team Collaboration
Team Leadership
Money Handling
Patient check-in
Registration and Admissions
Phone and Email Etiquette
Insurance Billing
Payment Processing
EMR
Process Improvement
Scheduling Diagnostic Procedures
Call Screening
Fee Collection
EMR Updating
Referral Coordination
Administrative and Office Support
Medical insurance
Clerical and Filing Support
Registration and Scheduling
Attention to Detail
Data Collection
Insurance verifying
Insurance Authorizations
Reliability and Dedication
Building Rapport and Credibility
Benefits Explanation
Heartsaver CPR AED
Outbound Calling
Patient Intake
Insurance Forms Processing
Payment Collection
Word Processing
Payment Calculation
Accomplishments
Collaborated with team of 4 in the development of Infusion Referral Form.
Certification
Radiation Oncology Certified Coder – American Medical Accounting and Consulting
National Honors Society of Leadership and Success (Sigma Alpha Pi)
References
Sheila Coggins, 20 years, Personal Reference, 979-997-0553
Estafany Mireles, 1 year, Patient Service Specialist II (Team Lead), 956-274-5491
Korynne Kappler, 2.5 years, Sr. Practice Manager, 979-292-5260
Angelica Arrendondo, 1.5 years, Patient Service Supervisor, 830-275-6955
Dianna Brantley, 4 years, Executive Director, 830-822-2766
Daniel Garlitos, 5 years, Radiation Oncologist, 832-549-3961