Cordial Patient Access Representative with eight-year track record of successfully handling busy medical office tasks to serve diverse populations. Career-minded and organized professional skillful in maintaining patient accounts, arranging immediate medical care and verifying insurance claims. Familiar with medical and clinical terminology coupled with proficiency in MS Office.
Overview
19
19
years of professional experience
Work History
Patient Service Specialist
University of Texas Medical Branch
League City, TX
01.2023 - Current
Scheduled and confirmed patient appointments with patients and healthcare professionals.
Obtained insurance verification and authorization to submit financial clearance of patient accounts.
Collaborated with clinical and administrative staff to meet patient needs.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
Ensure compliance with Medicare and third party coverage
Create estimates and update patient records
Ran credit card batches and balanced deposits on daily basis.
Owner and Manager
Rose Petal Flowers
Dickinson, TX
01.2014 - 12.2022
Managed the daily deposits and financial reporting
Managed the needs/requirements of high revenue commercial accounts through extensive follow-up procedures
Promoted business on social media platforms to maximize brand identity and generate revenue.
Oversaw staff hiring, initiating new training and scheduled processes to streamline operations.
Analyzed client business needs and assisted in determining appropriate resources and strategies.
Coordinated with technical and IT teams to develop company website and create online advertisements.
UNIVERSITY OF TEXAS MEDICAL BRANCH Office Administ
University of Texas Medical Branch, Institute Clinical and Translational Research
12.2009 - 08.2011
Provided executive level administrative support to the director of the department
Planned and organized company-hosted conferences and events via collaboration with internal stakeholders and outside services suppliers.
Responded as first line of contact to customer inquiries and complaints, resolving when possible and escalating to technical or business experts as necessary.
Generated spreadsheets and other visuals and documents to portray marketing, purchasing, sales and competition trends and comparisons.
Arranged business travel plans for leadership staff and coordinated tracking, reporting and reimbursement of expenses.
Billing Specialist
University of Texas Medical Branch, Physician Billing Services
12.2007 - 12.2009
Provided executive level administrative support to the director of the department
Managed department correspondence, travel, meetings and conferences
Prepared and processed travel arrangements for department
Answered multiple phone lines in a timely manner and directed callers to the appropriate person
Assisted Medicaid in pulling Explanation of Benefits (EOBs) and rebill reject claims in a timely manner
Worked with team members and leadership to identify and develop process improvements.
Patient Service Representative
University of Texas Medical Branch, Hospital Patient Finance
Galveston, TX
11.2006 - 12.2007
Provide accounting and communication skills to management and explanation of the patient billing process and the collection of patient accounts
Obtained insurance verification and authorization to submit financial clearance of patient accounts.
Checked claims for errors, corrected issues and mailed out updated documents.
Ensured accounts were worked thoroughly, accurately, and in a timely manner enter notes into system of any changes in status as changes occurred
Handled all in-patient claims under Medicaid and worked billing rejects
Review patient’s accounts to verify discrepancies
Performed all aspects of customer support
Initiated, followed, and completed the appeal process associated with Medicaid/Star/MK HMO denials or payment errors within 30 days of receipt
Responded quickly to patient's concerns/questions
Reviews denials and billing issues identified
Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Coordinated with patients and healthcare professionals to meet patient needs.
Documented and managed patient information in computer system.
Accounting Clerk II
University of Texas Medical Branch, OB-GYN
Dickinson, TX
01.2005 - 11.2006
Assisted Accounting Manager in daily financial processing, including monitoring of cash receipts, billing, and deposits
Developed policies and procedures for community based clinics
Posted credit card transactions, and reconciled monthly reports
Load all outpatient accounts for RMCHP and verify/print face sheets for claims to be billed
Updated accounting ledger and journals with updated transaction information.
Conducted research regarding payments for the department of Hospital Patient Finance and Physician Billing Services
Verify deposits for community based clinics and entry data for cash receipts
Reconciles credit card receipts to data provided by the credit card company Global Services
Education
Administrative Support Certificate -
Galveston College
01.2011
Skills
Team Leadership
Focus and Follow-Through
Finance and Accounting Oversight
Quality Assurance
Goal Setting
Problem-Solving Abilities
Customer Service
Strong Organizational Skills
Multitasking and Time Management
Microsoft Office
Insurance Verification
HIPAA Compliance
Flexible Schedule
Insurance Billing
Collections
Records Management
Timeline
Patient Service Specialist
University of Texas Medical Branch
01.2023 - Current
Owner and Manager
Rose Petal Flowers
01.2014 - 12.2022
UNIVERSITY OF TEXAS MEDICAL BRANCH Office Administ
University of Texas Medical Branch, Institute Clinical and Translational Research
12.2009 - 08.2011
Billing Specialist
University of Texas Medical Branch, Physician Billing Services
12.2007 - 12.2009
Patient Service Representative
University of Texas Medical Branch, Hospital Patient Finance