MARGARET PAPESH
Seattle,WA
Summary
Patient Service Specialist and Medical Biller with extensive expertise in customer service and medical billing systems, including Cerner, Epic, and Opie Prosthetics & Orthotics. With over two decades of experience, excels in managing patient intake, financial authorizations, and document management while ensuring compliance with Medicare and Medicaid billing standards. Highly skilled in fostering a collaborative environment, enhancing departmental efficiency, and delivering exceptional patient experiences.
Overview
24
24
years of professional experience
1
1
Certification
Work History
PSSIII
Harborview Medical Center Prosthetics & Orthotics
05.2019 - Current
- Expertly processed prior authorizations, collaborating with Medical Center Financial Clearance Team and managing Labor and Industries claims for optimal reimbursement.
- Mentored new staff and residents, sharing innovative work management strategies to foster a cohesive and efficient front desk team.
- Resolved patient eligibility issues through Availity and pre-authorization process to streamline administrative and clinical workflows to reduce waste and ensure effective billing standards.
- Facilitated seamless communication between staff and leadership, addressing critical needs in huddles and monthly meetings to drive continuous improvement.
- Optimized workload management using electronic health record system, enhancing efficiency for multiple clinicians and expediting DME device billing through daily Epic processing.
- Train new staff and residents, fostering a supportive and knowledgeable team.
- Oversee HIPAA compliance billing for Medicare and Medicaid, ensuring accuracy.
- Extensive knowledge of Medicare and Medicaid compliance regulations and HIPAA regulations . Managing high-volume referrals and communication with Doctors abstracting clinic notes for medical justification and compliance reporting .
- Offered clear explanations to help patients and families understand hospital policies and insurance billing . Expert track record of medical documentation compliance to avoid surprise bills for patients while optimizing department revenue integrity and high scores on billing reimbursements .
Administrative Assistant III
University of California Davis Medical Center
01.2019 - 03.2019
- Coordinated clerical tasks for Kidney Transplant; ensured efficient scheduling and documentation.
- Managed Kaiser referrals and authorizations, enhancing patient access to education classes.
- Streamlined paper-based referral processes, supporting referral coordinators effectively.
- Facilitated seamless documentation flow, contributing to improved departmental operations.
Patient Service Specialist II
University of Washington at Harborview Medical Center
06.2016 - 09.2018
- Coordinated front desk for Gastroenterology, Vascular and Infusion departments, enhancing workflow efficiency.
- Authored a procedure manual, boosting employee accuracy and productivity by 75%.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Abstracted medical records for surgeons medical review for intake of Colonoscopies and Endoscopy procedure scheduling.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to obtain a variety of outside records through research and Care Everywhere Epic portal for new patient intake .
- Scheduled and confirmed appointments, optimizing professionals' time and space management.
- Increased department compliance by 85% in photo ID scanning and patient record accuracy.
- Managed Inpatient Surgery, Ortho Trauma calls effectively paging Resident Doctors and Casting Techs for Vascular Emergencies.
- Streamlined front desk operations, creating a standard procedure manual that boosted employee accuracy and productivity by 75%, enhancing overall efficiency.
- Verified patient insurance in Epic Registration and queried insurance eligibility in Availity portal to finalize Financial Access update notes for Epic Billing System.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Delivered support to medical staff in completion of patient paperwork.
Financial Patient Specialist
Group Health Cooperative
02.2016 - 06.2016
- Educated members on coverage claims, enhancing understanding and satisfaction.
- Processed insurance payments efficiently, ensuring timely and accurate transactions.
- Resolved billing issues using Epic software, improving payment processing accuracy.
- Delivered exceptional customer service, fostering a respectful and inclusive environment.
- Streamlined claims processing using Epic software, enhancing efficiency in handling patient billing issues and premium payments for diverse healthcare stakeholders.
- Optimized member education strategies, leading to improved understanding of coverage claims and insurance policies across various stakeholder groups.
Medical Records Abstractor Coordinator
Virginia Mason Medical Center
12.2010 - 10.2015
- Provided Superior Customer Service for callers and in person to the public, for requests to redact records, specific records requests, and interpretation of each individual's needs.
- Abstracted both archived and paper charts of medical records for various requests for internal doctors, patients and outside facilities.
- Expert in Cerner EHR document reviewer for medical center doctors for redactions and research of archived projects dating back five decades via paper charts.
- Primary customer service specialist for incoming requests of records for Law Offices, Mental Health facilities and a huge array of outside providers for continuity of care.
- Expert at fielding calls to determine if request could be processed in regards to POA on file, Guardian POA on file, or HIPPA appropriate releases . Became a Master Class at scrutinizing incoming calls for proper medical release compliance .
Document Management Specialist
Harborview Medical Center
01.2008 - 12.2010
- Facilitated ER admissions, ensuring accurate documentation for efficient patient care.
- Streamlined intake processes, enhancing response times in high-pressure situations.
- Processed medical records from various Inpatient and ER Departments for real time scanning into Epic EHR . Worked one on one with doctors and nurses to facilitate needed records for urgent imaging and surgery preparations assisting doctors to make immediate decisions for care plan.
- Managed critical paperwork, contributing to improved departmental coordination.
- Supported underserved populations, fostering a responsive healthcare environment.
- Streamlined admission processes, enhancing efficiency in patient intake and documentation flow for emergency department staff and diverse, high-needs guests.
Lead Bank Teller
Key Bank National Association
01.2002 - 01.2008
- Balanced financial transactions, managed vault, enhanced accuracy with 10-key skills.
- Delivered exceptional service for deposits, mortgages, and certificates via multiple channels.
- Supported 100 clients with personalized communication, boosting satisfaction and retention.
- Trained in banking operations, applying skills to optimize workflow and client interactions.
Education
Vocational Certification - Office Information Systems
Butte College
Oroville, CA01.1995
Skills
- Customer Service
- Medical Billing (Skillful)
- Coding
- HIPAA Compliance (Experienced)
- Epic
- Cerner
- Availity
- Opie
- Scheduling
- Financial Authorization
- Patient Intake
- Document Management
- Banking
- Cash Handling
- Sales
- Project planning
- Task prioritization
Certification
- Medical Billing and Coding Certification
- San Francisco State
- Present
Timeline
PSSIII
Harborview Medical Center Prosthetics & Orthotics
05.2019 - Current
Administrative Assistant III
University of California Davis Medical Center
01.2019 - 03.2019
Patient Service Specialist II
University of Washington at Harborview Medical Center
06.2016 - 09.2018
Financial Patient Specialist
Group Health Cooperative
02.2016 - 06.2016
Medical Records Abstractor Coordinator
Virginia Mason Medical Center
12.2010 - 10.2015
Document Management Specialist
Harborview Medical Center
01.2008 - 12.2010
Lead Bank Teller
Key Bank National Association
01.2002 - 01.2008
Vocational Certification - Office Information Systems
Butte College
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