Monique Hughes
Greensboro,NC
Summary
Empathetic Patient Access Representative known for high productivity and efficiency in task completion. Specialize in patient registration, insurance verification, and prior authorizations. Excel in communication, problem-solving, and time management skills, ensuring smooth operations within healthcare settings. Commit to delivering exceptional patient service by utilizing soft skills effectively in fast-paced environments.
Overview
17
17
years of professional experience
Work History
Patient Access Representative (Precertification)
Kettering Health
Miamisburg, Ohio
09.2021 - 05.2024
- Processed insurance verifications and authorizations to ensure coverage
- Handled confidential information adeptly while working remotely, upholding the integrity of patient data
- Answered phones promptly in a professional manner.
- Performed pre-registration functions such as verifying demographic information, and obtaining authorizations
- Actively participated in team meetings and training sessions.
- Facilitated communication between patients, staff members, and third party payers.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Collaborated with other departments to ensure quality customer service was delivered.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Ensured accuracy of all data entered into computer system.
Assistant Manager
The Lyden Company-True North Shell
Centerville, Ohio
12.2012 - 08.2021
- Delivered exceptional customer service, creating a hospitable and engaging atmosphere for patrons
- Accurate financial records and managed cash transactions, overseeing register functions with integrity
- Addressed customer grievances with prompt and effective resolutions, upholding the establishment's commitment to service excellence
- Supervised daily operations including scheduling shifts, assigning duties.
- Organized training sessions for new hires to familiarize them with the workplace environment.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
Shift Manager
Muy Hamburger LLC- Wendy's
Centerville, OH
05.2016 - 06.2019
- Managed team to provide high-quality customer service
- Performed inventory audits
- Ensured compliance with food safety regulations and quality standards.
- Helped employees accomplish tasks during peak periods.
- Enforced safety standards throughout the store including proper use of equipment.
- Trained new employees on company policies, procedures, and job responsibilities.
- Ensured completion of all opening and closing duties were completed accurately according to established guidelines.
- Managed daily cash intake by counting out registers and tabulating profits.
Crew Member
Wendy's/ McDonald's
Miamisburg, OH
10.2007 - 12.2012
- Streamlined food preparation and delivery processes, ensuring timely and satisfactory customer experiences
- Checked expiration dates on all products before serving them to customers.
- Completed opening and closing tasks such as setting up workstations, cleaning surfaces and restocking supplies.
- Performed cashier duties such as taking orders, collecting payments and providing change.
- Adhered to health department regulations regarding food handling procedures.
- Kept up-to-date knowledge of store policies regarding payments, returns and exchanges.
- Provided excellent customer service to maintain a positive atmosphere for guests.
- Assisted management team with inventory counts of food products and beverage supplies.
- Cleaned restaurant area by sweeping floors, wiping tables and emptying trash receptacles.
Education
Undergraduate Certification - Medical Billing and Coding
DeVry University
06.2020
Associate of Applied Science - Medical Lab Technician
Miami-Jacobs Career College
Dayton, OH09.2012
Diploma - Medical Assisting
Kaplan College
Miamisburg, OH02.2010
Skills
- Customer Service
- Medical Terminology
- Insurance Verification
- EMR Updating
- Phone and Email Etiquette
- Team Collaboration
- Eligibility Determination
- Communication
- Electronic Health Records (EHR) Proficiency
- Data Entry
- Empathy
- Computer Proficiency
- Attention to Detail
- Scheduling
- Remote Responsibility
- Teams Meetings
- Cash Transactions
- Management
- Microsoft Office Skills
- Patient Confidentiality
- Prior Authorization
- HIPAA Compliance
- Problem-Solving
- Insurance company knowledgeable
- Multitasking and Organization
Work Preference
Work Type
Full TimeLocation Preference
RemoteOn-SiteHybridImportant To Me
Company CultureWork-life balanceCareer advancementFlexible work hoursWork from home option401k matchPaid time offPaid sick leaveTimeline
Patient Access Representative (Precertification)
Kettering Health
09.2021 - 05.2024
Shift Manager
Muy Hamburger LLC- Wendy's
05.2016 - 06.2019
Assistant Manager
The Lyden Company-True North Shell
12.2012 - 08.2021
Crew Member
Wendy's/ McDonald's
10.2007 - 12.2012
Undergraduate Certification - Medical Billing and Coding
DeVry University
Associate of Applied Science - Medical Lab Technician
Miami-Jacobs Career College
Diploma - Medical Assisting
Kaplan College