Work Preference
Summary
Overview
Work History
Education
Skills
References
Timeline
RegisteredNurse
Misti Gallion
Open To Work

Misti Gallion

Walhalla,USA

Work Preference

Job Search Status

Open to work
Desired start date: Immediately

Desired Job Title

Patient Access SpecialistPatient Service RepresentativeAdmissions CounselorCustomer Service/Data Entry

Work Type

Full Time

Location Preference

On-SiteRemote
Location: Walhalla, USA, USWest Union, SCClemson, SCWestminster, SC
Open to relocation: Yes

Salary Range

$45000/yr - $200000/yr

Summary

Dynamic Patient Access Specialist with extensive experience at the Medical Group of the Carolinas, excelling in insurance verification and appointment scheduling. Proven ability to train staff and enhance patient care coordination. Skilled in HIPAA compliance and conflict resolution, ensuring a seamless patient experience while maintaining high standards of service.

Overview

23
23
years of professional experience

Work History

Patient Access Specialist

Medical Group of the Carolinas - Division of Surgery of Pelham
Greer, South Carolina
01.2024 - Current
  • Facilitated patient registration and appointment scheduling for surgical services.
  • Managed insurance verification and benefits explanation for patients.
  • Trained new staff on patient access procedures and systems.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified patient insurance coverage, collected copays and other payments, processed credit card transactions.
  • Worked closely with departmental staff members in order to ensure proper coordination of care across multiple departments.
  • Verified demographics and insurance information to register patients in computer system.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.

Patient Service Representative

The Hand Center- Prisma
08.2017 - 08.2020
  • Verified insurance eligibility and coverage for patients.
  • Entered patient demographic and insurance data into electronic medical record system.
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Took copayments and compiled daily financial records.
  • Assisted patients in filling out check-in and payment paperwork.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Used Epic software to schedule appointments.
  • Handled customer service inquiries in person, via telephone and through email.
  • Balanced deposits and credit card payments each day.
  • Resolved billing inquiries and disputes in timely fashion.
  • Investigated insurance claims denials and appeals.

Admissions Counselor

Greenville Health System
11.2014 - 08.2017
  • Assisted in patient admission process based on federal and state laws.
  • Completed preliminary paperwork for incoming and outgoing patients.
  • Confirmed all insurance benefits met standards of admissions as dictated by policy.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Assisted in recruiting, hiring and training of team members.
  • Epic Super User
  • Trainer
  • Conducted New Hire Interviews

Store Manager/Baker

Cupcake Creations
05.2009 - 02.2011
  • Managed inventory control, cash control, and store opening and closing procedures.
  • Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
  • Rotated merchandise and displays to feature new products and promotions.
  • Completed point of sale opening and closing procedures.
  • Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
  • Set effective store schedules based on forecasted customer levels, individual employee knowledge, and service requirements.
  • Reconciled daily sales transactions to balance and log day-to-day revenue.
  • Supervised guests at front counter, answering questions regarding products.
  • Trained new employees on proper protocols and customer service standards.
  • Assisted in recruiting, hiring and training of team members.

Customer Service/Data Entry

Verizon Wireless
08.2006 - 04.2007
  • Built strong relationships with customers and colleagues by providing friendly and personable service.
  • Responded to customer calls and emails to answer questions about products and services.
  • Collaborated with other departments to guarantee customer satisfaction.
  • Organized and scheduled customer orders to appropriate departments.
  • Refunded money and adjusted bills to resolve customer service or billing complaints.
  • Managed 100+ incoming calls each day with utmost professionalism and knowledgeable service.
  • Completed bill analysis to compare companies and show customers savings.

Customer Service/Data Entry

MCI
09.2002 - 08.2006
  • Greeted customers from inbound calls with goal of first call resolution.
  • Helped customers complete purchases, locate items, and join reward programs.
  • Entered phone calls, emails or hard copy information into computerized maintenance management system.
  • Researched and answered customer work order status inquiries.
  • Represented company professionally in situations, working through challenging phone calls and cultivating positive interactions by remaining calm and poised.
  • Used computer databases to keep track of phone calls, confidential notes about conversations and customer contact information.
  • Established professional relationships with clients and call center team members to boost trust, rapport and reliability.
  • Utilized innovative sales techniques to upsell products and services.
  • Conducted 75 + outbound phone calls daily to reach potential clients and market products and services.
  • Completed full bill analysis to show customer savings when switching.
  • Trained new employees.

Education

HS Diploma -

Blue Ridge High School
Greer, SC
01.2003

Skills

  • Patient registration
  • Insurance verification
  • Appointment scheduling
  • HIPAA compliance
  • Electronic medical records
  • Coordination of care
  • Team collaboration
  • Staff training
  • Conflict resolution
  • Authorization verification
  • Office workflow support
  • Self motivation
  • Procedure scheduling
  • EPIC software
  • Payments processing
  • Medical coding
  • Epic Trainer

References

References available upon request.

Timeline

Patient Access Specialist

Medical Group of the Carolinas - Division of Surgery of Pelham
01.2024 - Current

Patient Service Representative

The Hand Center- Prisma
08.2017 - 08.2020

Admissions Counselor

Greenville Health System
11.2014 - 08.2017

Store Manager/Baker

Cupcake Creations
05.2009 - 02.2011

Customer Service/Data Entry

Verizon Wireless
08.2006 - 04.2007

Customer Service/Data Entry

MCI
09.2002 - 08.2006

HS Diploma -

Blue Ridge High School

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Misti Gallion