Mary Jones
Nashville,TN
Summary
Adept at enhancing operational efficiency and patient satisfaction, my tenure at Matthew Walker Comprehensive Health Center Inc. showcased my proficiency in Next Gen 5 and exceptional customer service skills. I excelled in training staff, managing financial reconciliations, and ensuring HIPAA compliance, significantly contributing to the center's success.
Overview
10
10
years of professional experience
Work History
Patient Business Representative II
Matthew Walker Comprehensive Health Center
08.2021 - Current
- Trained new staff members on office procedures, policies, and software systems, contributing to a cohesive work environment.
- Enhanced patient satisfaction by providing efficient and professional customer service.
- Managed daily cash reconciliation accurately, ensuring proper accounting practices were followed at all times.
- Collaborated closely with the office manager in reviewing monthly reports, identifying areas for improvement in operational efficiency.
- Ensured compliance with HIPAA regulations through proper handling of sensitive patient information.
- Handled high volume of incoming calls professionally, directing inquiries to the appropriate department
- Assist with the development of policies and procedures, which focus on the quality of customer service provided to patients
- Participate in the procedures for training PBRs and ensuring staff is meeting performance expectations, complying with departmental and organizational policies and procedures and correcting poor performance (as directed)
- Responsible for quality monitoring activities for PBRs
- Develop detailed daily, weekly and monthly PBR reports
- Schedule patient appointments and provide basic service information.
- Input data entries and relevant information into Nextgen computerized system.
- Greet patients and perform excellent customer service skills.
- Receive and direct patient flow.
- Responsible for checking in and discharging all patients after service visit
- Process, balance, and post all day financial batch collections for the day
- Responsible for insurance verification and patient registration
- Must be able to work all medical and specialty suites
Patient Business Representative
Matthew Walker Comprehensive Health Center Inc
07.2020 - 08.2021
- Utilize the (ICS) for scan charts in electronics medical records. Also did referrals to the specialists providers.
- Updated patient demographics, Acted as the primary liaison between patients and doctors, familiar with Health Informatics, greets patients and visitors, verifies and enters demographic information.
- Obtains and verifies insurance authorization, utilizing passports, completes medical records release requests, review patient's medication needs and advises, confirms patient appointments.
- Abide by HIPPA regulations, attention to detail and excellent customer service. Print medication summary profile.
- Scheduled appointments collect co-payments and reconciles all daily reports and deposits for accuracy. Also makes pre and post calls for the providers, familiar with EOB reports and posting money.
Front Office Clerk
Houghston Clinic (Skyline Covid Closer)
07.2019 - 07.2020
- Maintained a professional and welcoming atmosphere, resulting in repeat business from satisfied customers.
- Directed phone inquiries, answered customer questions, and scheduled appointments.
- Improved overall organization of the front office by implementing efficient filing systems for important documents such as registration forms and invoices.
- Resolved guest issues promptly and effectively, demonstrating excellent customer service skills.
- Verified insurance using Passport Software.
- Verified that the Vendor received the proper information pertaining to the clients.
Front Office Representative
Tennessee Orthopedic Alliance
10.2018 - 06.2019
- Utilize the (ICS) for scan charts in medical records.
- Updated Patient demographics.
- Verified insurances using Passport Software.
- Abided by HIPPA regulations.
- Scheduled appointments, collected co-payments, also made pre and post calls for the providers.
Precert and Referral Specialist
New Light Imaging Vanderbilt Hospital (Billing)
09.2016 - 09.2018
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Streamlined referral processes for increased efficiency, resulting in timely appointments for patients.
- Experience with electronic medical records in (EMR) software.
- Pulling and logging information from (EMR) to (HER) software.
- Documenting new charts in (EMR) software.
- Outstanding Customer Service skills in both telecommunications and person to person.
- Ability to multi-task and self-motivated.
Patient Business Representative
Matthew Walker Comprehensive Health Center Inc
09.2014 - 09.2016
- Utilize the (ICS) for scan charts in medical records.
- Updated Patient demographics.
- Verified insurances using Passport Software.
- Abided by HIPPA regulations.
- Scheduled appointments, collected co-payments, also made pre and post calls for the providers.
Education
Associate of Science - Health Information Management
National College of Technology
Nashville, TN03.2017
Skills
- Microsoft Office
- Appointment Scheduling
- Healthcare regulations
- HIPAA understanding
- Excel Spreadsheet
- Medical Terminology/Ethics
- Charge Entry and Payment Posting
- Insurance Verification/Website Ever Core, BCBS, UHC, Humana, AIM/Passport
- Scanning and Filling in EHR and EMR
- Patient Registration and Precertification
- Next Gen 5/Epic Software/Star Panel/Centricity
Timeline
Patient Business Representative II
Matthew Walker Comprehensive Health Center
08.2021 - Current
Patient Business Representative
Matthew Walker Comprehensive Health Center Inc
07.2020 - 08.2021
Front Office Clerk
Houghston Clinic (Skyline Covid Closer)
07.2019 - 07.2020
Front Office Representative
Tennessee Orthopedic Alliance
10.2018 - 06.2019
Precert and Referral Specialist
New Light Imaging Vanderbilt Hospital (Billing)
09.2016 - 09.2018
Patient Business Representative
Matthew Walker Comprehensive Health Center Inc
09.2014 - 09.2016
Associate of Science - Health Information Management
National College of Technology
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