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.
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, CA
01.1995
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
Billing & Collections Manager at Medical Center Orthotics & Prosthetics (MCOP)Billing & Collections Manager at Medical Center Orthotics & Prosthetics (MCOP)
Community Care Coordinator & Orthotic Fitter at Hanger Clinic: Prosthetics & OrthoticsCommunity Care Coordinator & Orthotic Fitter at Hanger Clinic: Prosthetics & Orthotics