Summary
Overview
Work History
Education
Skills
Timeline
Generic

Margaret Gove

Trenton,NJ

Summary

Cordial Patient Access Specialist with demonstrated customer service skills in all interactions, with both external and internal customers. Social and communicative with high regard for sensitive and confidential information. Clear understanding of HIPAA rules and insurance protocols. 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. Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring 40 years of relevant work experience to your team. I have a BA and am a veteran

Overview

39
39
years of professional experience

Work History

Patient Access Trainer/QA Specialist/IT Specialist

St. Francis Medical Center
05.1988 - 12.2022
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Collected and validated patient demographics and insurance information.
  • Obtained patient's insurance information and determined eligibility for bene
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Performed patient pre-admission, admission, transfer and discharge activities.
  • Prepared patient identification band and completed admissions papers.
  • Contacted insurance companies for patient medical billing operations.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Trained new staff on hospital processes and procedures.
  • Resolved patient billing issues in line with established guidelines.
  • Educated patients on importance of preventive health care and insurance coverage.
  • Coordinated patient's care by facilitating caregiver access to medical home providers and resources to meet patient needs.
  • Addressed bad debts in line with set protocols.
  • Contacted patients on annual renewal dates to offer assistance.

Patient Administration Specialist

USAF
01.1984 - 01.1988

Trained new recruits and new arrivals on all patient administrative policies and procedures

  • Answered incoming calls, scheduled appointments and filed medical records.
  • Provided excellent customer service to patients and medical staff.
  • Greeted and assisted patients with check-in procedures.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Facilitated communication between patients and various departments and staff.
  • Trained new staff on filing, phone etiquette and other office duties.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Compiled and maintained patient medical records to keep information complete and up-to-date.

Education

Bachelor of Arts - Psychology

The College of New Jersey
Trenton, NJ
12.1982

Skills

  • Counseling and Guidance
  • Patient Information Management
  • HCPCS Compliance
  • Call Screening
  • Authorization Verification
  • Performance Standards Compliance
  • Investigate Complaints
  • Patient Rights
  • Electronic Health Records Systems
  • Team Collaboration
  • Word Processing
  • Delinquent Accounts Monitoring
  • Insurance Billing

Timeline

Patient Access Trainer/QA Specialist/IT Specialist

St. Francis Medical Center
05.1988 - 12.2022

Patient Administration Specialist

USAF
01.1984 - 01.1988

Bachelor of Arts - Psychology

The College of New Jersey
Margaret Gove