Confident Patient Access Manager promoting effective communication, relationship building and time management skills. Offering 22 years of expertise in patient support roles. Driven and talented leader with aptitude for teamwork.
Overview
17
17
years of professional experience
Work History
SERVICE ACCESS MANAGER
Vascular Surgery And Vein Clinic Brier Creek
08.2021 - 05.2024
Managed front desk staff and Financial counselors at two clinics
Direct and coordinate all scheduling, check-in/check-out and financial service activities within clinic/department
Supervise and coordinate activities of clinic that includes maintaining systems for patient flow through clinic and utilization of clinic and ancillary facilities and manpower
Plan and schedule work for front end staff
Train new personnel
Plan and implement strategies to promote effective recruitment, retention and development of diverse work teams
Responsible for hiring, performance appraisals, promotions, vacation schedules and maintaining payroll records and time reports
Explain policies and procedures and resolve problems
Work directly with providers, patients and administrative staff to provide information and resolve problems
Collect and analyze data for preparation of composite reports and special projects
Generate reports relating to department performance, staff performance and financial performance
Cash Management, Insurance verification, Surgery verification, Pre-authorizations.
REFERRAL COORDINATOR
Duke Otolaryngology Of Raleigh
05.2016 - 08.2021
Scheduled appointments with specialists on behalf of clients.
Demonstrated strong attention to detail and organizational skills in managing high volume of referrals while maintaining exceptional levels of patient care.
Perform various appointment and access-related duties for Duke Otolaryngology of Raleigh including scheduling appointments from referral, following up on referrals faxed externally, and closing loop on all reconcilable referrals placed
Assist front desk with various needs and changes in physician schedules
Manage work queues
Cash manager
Insurance verification
Prepare clinic for next days patients
Schedule test procedures.
Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout referral process.
Accessed and reviewed patient records to verify receipt completed referral paperwork.
Provided thorough follow-up support after completion of referred services, ensuring proper billing procedures were followed.
FINANCIAL CARE COUNSELOR
Duke Otolaryngology Of Raleigh
03.2008 - 05.2016
Analyze insurance coverage and benefits for service to ensure timely reimbursement.
Built strong relationships with clients, fostering trust and confidence in counseling process.
Conducted thorough assessments of client financial situations, identifying opportunities for improvement and growth.
Obtain all Prior Authorization Certification and/or authorizations as appropriate.
Facilitate payment sources for uninsured patients.
Determine if patient's condition is result of accident and perform complete research to
Determine appropriate source of liability/payment.
Register and Pre-register patients with accurate patient demographic and financial data.
Resolve insurance claim rejections/denials and remedy expediently.
Calculate and collect cash payments appropriately for all patients.
Reconcile daily cash deposit. Evaluate diagnoses to ensure compliance with Local
Medicare Review Policy.
Perform those duties necessary to ensure all accounts are processed accurately and efficiently
Compile departmental statistics for budgetary and reporting purposes.
Explain bills according to PRMO credit and collection policies.
Implement appropriate collection actions and assist financially responsible persons in sponsorship and process patients in accordance with policy and procedure
Examine insurance policies and other third party sponsorship and process patients in accordance with policy and procedure.
Inform attending physician of patient financial hardship.
Complete managed care waiver form for patients considered out of network and receiving services at reduced benefit level.
Update billing system to reflect insurance status of patients.
Refer patients to Manufacturer Drug program as needed for medications.
Demonstrated ability planning, prioritizing, multitasking, and exercising good judgment to successfully meet project deadlines and implement project goals.
Experience researching, complying, analyzing, and summarizing data information
PATIENT SERVICE ASSOCIATE
Duke Otolaryngology Of Raleigh
03.2007 - 03.2008
Coordinated and participated in range of duties associated with daily clinic preparation process, patient identification, patient check in/out , charge posting, cash management and patient appointment scheduling
Provided customer service, message distribution, ancillary scheduling and preparation and referrals management.
Promoted welcoming atmosphere by greeting patients upon arrival, quickly addressing their needs, and answering questions clearly.
Assisted patients with insurance verification, ensuring accurate billing and prompt payment processing.
Maintained confidentiality by properly handling sensitive patient information in accordance with HIPAA guidelines.
Contributed to positive work environment by effectively collaborating with medical staff and other departments.
Supported clinical staff by organizing and maintaining patient records for easy access and updated documentation.
Managed multiple phone lines, addressing patient inquiries and directing calls to appropriate departments as needed.
Delivered support to medical staff in completion of patient paperwork.
Trained new staff on filing, phone etiquette and other office duties.
Education
Diploma -
Bunn High School
Bunn, NC
06.1987
Skills
Excellent oral and written communication skills
Organized
Customer Service
Epic-Maestro Care
Leadership
HIPPA Compliance
Insurance and Billing
Effective problem solving
Team Management
Insurance Verification
Diversity & Inclusion
Leadership Experience
Maestro Care (EPIC) Lead
Train FCC and Front Desk new hires
Work Culture Committee Member
Relay For Life of Vance County
Certificationstraining
HIPPA
Conflict Resolution
Customer Service Excellence
Financial Services Training
Occupational & Environmental Safety Office Training
References
DANIELLE COTTON, 919.772.9669
DIANE WADIA, 919.215.3007
KARLA DALRYMPLE, 919.622.9971
Timeline
SERVICE ACCESS MANAGER
Vascular Surgery And Vein Clinic Brier Creek
08.2021 - 05.2024
REFERRAL COORDINATOR
Duke Otolaryngology Of Raleigh
05.2016 - 08.2021
FINANCIAL CARE COUNSELOR
Duke Otolaryngology Of Raleigh
03.2008 - 05.2016
PATIENT SERVICE ASSOCIATE
Duke Otolaryngology Of Raleigh
03.2007 - 03.2008
Diploma -
Bunn High School
Similar Profiles
Jessica BrocknerJessica Brockner
Registered Nurse at UW Health Vascular Surgery, Vein, And PodiatryRegistered Nurse at UW Health Vascular Surgery, Vein, And Podiatry