NAKIA GOMES
Saint Mary's Hospital Oncology Center
Waterbury,CT
8
years of professional experience
Results-driven Patient Access and Healthcare Administrative Professional with over 5 years of experience in patient registration, scheduling, insurance verification, authorizations, and front-office operations. Proven track record in optimizing patient intake, reducing wait times by 30%, and increasing claim approvals by 20% through rigorous insurance verification and billing support. Skilled in managing high-volume patient interactions, coordinating multi-provider schedules, and maintaining meticulous electronic health records in fast-paced medical environments.
Work History
Oncology Patient Access Representative
7 Months- Check in and register 50–100 patients daily, accurately capturing and verifying demographic, insurance, financial, and clinical data.
- Generate clinical visit documentation and obtain patient or legal guardian signatures for assignment of benefits, authorizations, and consents.
- Manage registration and patient access work queues to ensure account integrity and accuracy for service delivery and billing.
- Verify insurance eligibility and benefits to support timely access to outpatient oncology services.
- Audit registration records for accuracy and resolve insurance, billing, and financial inquiries.
- Collect copays and point-of-service payments while delivering compassionate, patient-centered customer care.
- Process pre-certifications and secure prior authorizations to prevent disruptions in scheduled patient care.
- Maintain comprehensive electronic health records using Epic EHR and related healthcare information systems.
- Provide administrative support to clinical staff and physicians to optimize daily workflow and patient throughput.
- Greet patients, manage multi-line telephone inquiries, and accurately route communications to appropriate clinical personnel.
- Safeguard protected health information (PHI) in strict compliance with HIPAA and hospital regulatory standards.
Lead Scheduler / Medical Receptionist
4 Years 1 Month- Managed daily appointment calendars for five healthcare providers, optimizing clinical schedules and provider productivity.
- Handled 30–50 patient inquiries daily, triaging calls and routing messages efficiently.
- Scheduled, rescheduled, and coordinated appointments in accordance with provider templates, clinical priorities, and patient needs.
- Coordinated specialist referrals and processed prior authorizations for medications and procedures.
- Verified insurance coverage and collected patient copayments during registration and intake.
- Registered new patients and updated demographic, clinical, and insurance records.
- Maintained confidential patient records using EHR and practice management systems in accordance with compliance standards.
- Delivered clear pre-appointment instructions and scheduling guidelines to patients to reduce no-show rates.
- Provided professional front-desk reception and telephone triage in a fast-paced medical practice.
- Performed electronic filing, document scanning, and general administrative support to maintain paperless office workflows.
- Collaborated with clinical staff and physicians to streamline daily operations and enhance patient flow.
- Liaised with medical billing staff to resolve coverage discrepancies and facilitate timely claim submissions.
- Spearheaded front-desk process improvements that increased check-in efficiency and elevated patient satisfaction.
Operations Manager
2 Years 11 Months- Directed daily shop operations, staff workflows, service scheduling, and client communications.
- Resolved customer inquiries and enforced rigorous quality-control benchmarks across all detailing services.
- Managed administrative reporting, inventory control, and continuous process improvements.
- Optimized scheduling systems and labor allocation to maximize shop productivity and throughput.
Education
High School Diploma
Skills
Patient Registration & Check-In
Patient Access Services
Multi-Provider Appointment Scheduling
Insurance Eligibility & Verification
Medical Records & Documentation
HIPAA Compliance
Telephone & Message Management
Epic EHR
EMR/EHR & Practice Management Systems
Medical Reception
Demographic & Insurance Data Entry
Specialist Referral Coordination
Prior Authorizations & Pre-Certifications
Point-of-Service Collections
Patient Billing Support
Patient & Provider Communication
Medical Terminology
Patient Flow Coordination
Team Leadership & Training
Microsoft Office: Outlook
Word
Excel
PowerPoint
Access
Personal Information
Title: Patient Access Representative | Lead Medical Scheduler
Timeline
Oncology Patient Access Representative
Saint Mary's Hospital Oncology Center
03.2026 - CurrentRead More
Lead Scheduler / Medical Receptionist
Scovill Medical Group
11.2021 - 12.2025Read More
Operations Manager
Auto Body Detailing
01.2019 - 12.2021Read More
Wilby High School
High School Diploma
Read More