Summary
Overview
Work History
Education
Skills
Timeline
Generic

Paige Key

Freeport,TX

Summary

Knowledgeable Patient Registration Specialist highly proficient in coordinating smooth admissions and appointment registrations. Well versed in current codes and insurance procedures. Detail-oriented in building and updating files.

Overview

5
5
years of professional experience

Work History

Patient Registration Specialist

UTMB Health
07.2023 - Current
  • Collaborated closely with clinical staff members regarding scheduling conflicts or cancellations due to unforeseen circumstances.
  • Handled cash transactions accurately according to established procedures.
  • Reviewed benefit plans for accuracy of coding changes when necessary.
  • Performed clerical tasks such as filing, faxing, copying., as requested.
  • Provided guidance on proper completion of forms related to registration processes.
  • Maintained accurate patient records in accordance with HIPAA regulations and organizational policies.
  • Reduced registration errors through meticulous data entry and attention to detail.
  • Assisted in training new staff members on best practices for patient registration, improving overall team performance.
  • Provided counseling to help patients navigate financial assistance programs for uncovered bills.
  • Gathered demographic and insurance information to register patients for medical appointments.
  • Verified insurance coverage to confirm patient coverage for necessary medical services.
  • Accurately inputted patient and insurance information into company's computer system using EPIC.
  • Answer about 200 telephone calls to offer office information, answer questions, and direct calls to staff.
  • Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.

Prior Authorization Specialist

Kelsey-Seybold Clinic
06.2022 - 07.2023
  • Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Streamlined prior authorization processes by implementing efficient tracking systems.
  • Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
  • Developed and maintained productive working relationships with healthcare providers.
  • Managed high volume of incoming calls, maintaining professionalism while effectively addressing needs of callers seeking assistance with prior authorizations.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
  • Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Input all patient data regarding claims and prior authorizations into system accurately.

Patient Registration Specialist

UTMB Health
03.2019 - 06.2022
  • Collaborated closely with clinical staff members regarding scheduling conflicts or cancellations due to unforeseen circumstances.
  • Handled cash transactions accurately according to established procedures.
  • Reviewed benefit plans for accuracy of coding changes when necessary.
  • Performed clerical tasks such as filing, faxing, copying., as requested.
  • Provided guidance on proper completion of forms related to registration processes.
  • Maintained accurate patient records in accordance with HIPAA regulations and organizational policies.
  • Reduced registration errors through meticulous data entry and attention to detail.
  • Assisted in training new staff members on best practices for patient registration, improving overall team performance.
  • Provided counseling to help patients navigate financial assistance programs for uncovered bills.
  • Gathered demographic and insurance information to register patients for medical appointments.
  • Verified insurance coverage to confirm patient coverage for necessary medical services.
  • Accurately inputted patient and insurance information into company's computer system using EPIC.
  • Answer about 200 telephone calls to offer office information, answer questions, and direct calls to staff.
  • Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.

Education

High School Diploma -

Danbury High School
Danbury, TX
06.2016

Skills

    • Payment Collection
    • Insurance Verification
    • Electronic Recordkeeping including EPIC, Microsoft Office, and Microsoft Teams
    • Patient Scheduling
    • Medical terminology knowledge
      • HIPAA Compliance
      • Multitasking
      • Good Telephone Etiquette
      • Teamwork and Collaboration

Timeline

Patient Registration Specialist

UTMB Health
07.2023 - Current

Prior Authorization Specialist

Kelsey-Seybold Clinic
06.2022 - 07.2023

Patient Registration Specialist

UTMB Health
03.2019 - 06.2022

High School Diploma -

Danbury High School

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Paige Key