Monica Bedonie
OptumHealth
CAPECORAL,FL
10
years of professional experience
Results-driven Patient Access Representative with over 10 years in healthcare administration. Skilled in communication and critical thinking, enhancing operational efficiency and patient satisfaction. Focused on fostering collaboration and improving service delivery. Ready to apply a detail-oriented approach and strong time management skills to tackle challenges and drive growth.
Work History
Patient Access Representative
10 Years 1 Month- Coordinated insurance verification procedures to enhance authorization efficiency and minimize claim denials.
- Facilitated patient registration processes to ensure accurate data collection and compliance with healthcare regulations.
- Managed scheduling for appointments, optimizing patient flow and resource allocation within the office.
- Provided support during patient check-in, addressing inquiries and fostering a welcoming environment.
- Trained new staff on systems and protocols, enhancing team performance and service delivery standards.
- Implemented process improvements that streamlined operations and reduced wait times for patients.
- Analyzed workflow efficiency metrics, driving strategic decisions to optimize access services across departments.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
- Demonstrated excellent problem-solving skills by identifying potential bottlenecks within the registration process and implementing effective solutions to address them.
- Increased efficiency in managing high call volumes by developing effective phone triage techniques for prioritizing urgent matters.
- Reduced financial loss through diligent monitoring of outstanding balances and proactive collection efforts with patients and insurers.
- Strengthened relationships with insurance providers, facilitating swift resolution of coverage queries.
- Supported clinical staff by preparing accurate patient documentation and records ahead of appointments.
- Maintained high standards of confidentiality and privacy, strictly adhering to HIPAA regulations.
- Fostered a culture of continuous improvement, suggesting process enhancements that were implemented clinic-wide.
- Improved operational efficiency, organizing patient documentation and streamlining access to information.
- Streamlined appointment scheduling for optimal clinic flow, reducing wait times significantly.
- Optimized resource allocation by effectively managing patient flow and scheduling.
- Improved patient satisfaction by efficiently managing registration and intake processes.
- Increased efficiency in the billing process by accurately capturing chargeable services during patient registration.
- Reduced patient anxiety by providing clear explanations of procedures and addressing concerns compassionately.
- Facilitated smoother patient visits, coordinating with healthcare providers to ensure timely service.
- Contributed to revenue cycle improvements by identifying and rectifying billing discrepancies.
- Enhanced data accuracy with meticulous verification of patient information and insurance details.
- Ensured seamless operation of front office, efficiently handling multiple administrative tasks simultaneously.
- Enhanced patient experience, ensuring a welcoming environment from first point of contact.
- Enabled better patient care with thorough pre-visit preparations and clear communication of patient needs.
- Achieved high levels of accuracy in patient data entry, minimizing errors and enhancing record reliability.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Obtained payments from patients and scanned identification and insurance cards.
- Prepared and processed patient referrals and transfer requests.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Processed medical insurance claims and payments.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Assisted with medical coding and billing tasks.
Fiscal Service Specialists II
2 Months- Provided clerical assistance to various companies on contract.
- Answered and returned phone calls from patient and business.
- Did charge entry, payment posting, EOB posting, printing and mailing patient statements. Answered and returned phone calls from patient and business.
- Used AHCCCS Website, Medware and Neomatrix.
- Improved customer satisfaction by addressing and resolving service-related issues promptly and professionally.
- Achieved high levels of productivity by optimizing workload management methods and prioritizing tasks according to urgency.
- Streamlined service processes for quicker response times, enhancing overall customer experience.
Education
Associate of Science - Science Education
Skills
Medical terminology
Data entry
Financial transaction management
Time management and organization
Communication
Detail-oriented
Critical thinking
Teamwork
Adaptability and flexibility
Computer proficiency
Quick Learner
Stress Tolerance
Timeline
Patient Access Representative
OptumHealth
05.2016 - 06.2026Read More
Fiscal Service Specialists II
AZ Department of Health Services
03.2016 - 05.2016Read More
Dine College
Associate of Science from Science Education
Read More