Accomplished Senior Patient Access Representative with a proven track record at CHRISTUS Trinity Mother Frances Health System, enhancing patient satisfaction and reducing insurance claim denials through expert insurance verification and HIPAA compliance. Skilled in customer service and team collaboration, I have significantly contributed to streamlined operations and improved team efficiency.
Overview
21
21
years of professional experience
Work History
Senior Patient Access Representative
CHRISTUS Trinity Mother Frances Health System
03.2019 - Current
Reduced insurance claim denials by diligently verifying patients' insurance coverage and eligibility.
Improved patient satisfaction by providing timely and accurate appointment scheduling.
Managed high call volumes while maintaining exceptional customer service standards for patients and healthcare providers alike.
Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
Trained new Patient Access Representatives, contributing to a more skilled and efficient team.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Stayed calm under pressure to and successfully dealt with difficult situations.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Insurance Specialist
ETMC/Ardentt
06.2012 - 09.2015
Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
Processed eligibility and benefits verification and authorization requests.
Communicated effectively with members of operations, finance, and clinical departments.
Referral Representative
ETMC/Ardent
05.2003 - 01.2015
Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
Enhanced company reputation by providing exceptional customer service and support.
Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
Scheduled appointments in a timely manner for those needing to see an Orthopedic or GI specialist.
Medical. Office Receptionist
ETMC/Ardent
02.2012 - 05.2012
Improved patient satisfaction by efficiently managing front desk operations and addressing inquiries professionally.
Increased office productivity by multitasking efficiently during peak hours, handling multiple responsibilities simultaneously.
Handled sensitive situations compassionately when dealing with distressed patients or families during difficult times.
Education
High School Diploma -
John Tyler High School
Tyler, TX
Associate of Applied Science - Medical Coding And Billing
Grantham University
Lenexa, KS
Skills
HIPAA Compliance
Insurance Verification
Appointment Scheduling
Medical billing knowledge
Patient Registration Expertise
Customer Service
Multitasking and Organization
Team Collaboration
Money Handling
Patient check-in
Phone and Email Etiquette
Medical Terminology
Timeline
Senior Patient Access Representative
CHRISTUS Trinity Mother Frances Health System
03.2019 - Current
Insurance Specialist
ETMC/Ardentt
06.2012 - 09.2015
Medical. Office Receptionist
ETMC/Ardent
02.2012 - 05.2012
Referral Representative
ETMC/Ardent
05.2003 - 01.2015
High School Diploma -
John Tyler High School
Associate of Applied Science - Medical Coding And Billing
Clinic Patient Representative Senior Float Pool at CHRISTUS Trinity Mother Frances Health SystemClinic Patient Representative Senior Float Pool at CHRISTUS Trinity Mother Frances Health System
Emergency Room Registered Nurse at CHRISTUS Trinity Mother Frances Health SystemEmergency Room Registered Nurse at CHRISTUS Trinity Mother Frances Health System