Dynamic insurance verification specialist with a proven track record in delivering exceptional customer service at Endeavor Health and Premier Medical Group. Enhanced patient satisfaction through efficient registration and scheduling practices, while maintaining meticulous medical records that significantly improved data accuracy and operational efficiency. Core competencies include administrative process optimization and effective communication. Aiming to leverage expertise to further enhance patient care in a progressive healthcare environment.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Patient Services Representative
Endeavor Health
Elnhurst, IL
06.2024 - Current
Checked-in patients for scheduled appointments by verifying demographic information, updating as needed, collecting co-payments, verifying insurance coverage.
Guided patients through the completion of consent and other required medical forms.
Processed patient responsibility estimate determined by insurance at pre-registration.
Facilitated patient registration, verifying all required documentation is collected and filed properly.
Followed HIPAA guidelines when handling confidential patient information.
Provided detailed documentation of each call including notes on conversations with customers.
Answered patient inquiries, provided information on services, and directed callers to appropriate personnel.
Entered patient data into electronic health records accurately and efficiently.
Scheduled and confirmed patient appointments and consultations.
Patient Service Representative
Premier Medical group
Clarksville, TN
05.2023 - 06.2024
Processed insurance verifications and authorizations to ensure coverage of services.
Verified patients' insurance and payment methods during admissions or check-in processes.
Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Instructed patients on policies and required actions for different types of appointments and procedures.
Communicated financial obligations to patients and collected fees at time of service.
Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
Medical Records and Health Information Technician
Ahava Healthcare of Clarksville
Clarksville, TN
02.2018 - 03.2023
Maintained records management system to process personnel information and produce reports.
Entered data into electronic health record systems to ensure accuracy and completeness of medical records.
Organized medical charts by assigning codes to diagnoses and procedures using ICD-10-CM and PCS, CPT, and HCPCS coding systems.
Collected, sorted, and distributed incoming correspondence and reports related to medical records.
Maintained complete confidentiality in accordance with organization and legal requirements.
Processed and responded to external requests for medical records following established protocols.
Assisted with the release of confidential health information according to established procedures.
Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
Entered data in EMR database to record payer, authorization requirements and coverage limitations.
Scheduled and confirmed patient appointments and consultations.
Education
Certificate of Technical Studies - Medical Biller
AAPC Training
Salt Lake City, UT
04-2024
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FL
03-2021
Some College (No Degree) - Health Information Technology
Hopkinsville Community College
Hopkinsville, KY
Skills
Insurance Eligibility Verification
Efficient Medical Record Input
Patient Data Entry
Insurance Approval Coordination
Patient scheduling
Customer service
Healthcare Coding
Patient Registration
Transaction Processing
Medical billing
Health record management
HIPAA compliance
Specialized Knowledge in Insurance Coding
Certification
HIPPA Essentials for Healthcare Professionals Certificate, Ultimate Medical Academy
Certification of Completion, AAPC
Timeline
Patient Services Representative
Endeavor Health
06.2024 - Current
Patient Service Representative
Premier Medical group
05.2023 - 06.2024
Medical Records and Health Information Technician
Ahava Healthcare of Clarksville
02.2018 - 03.2023
HIPPA Essentials for Healthcare Professionals Certificate, Ultimate Medical Academy
Certification of Completion, AAPC
Certificate of Technical Studies - Medical Biller
AAPC Training
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
Some College (No Degree) - Health Information Technology
Hopkinsville Community College
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