Pamai Ohelo-Kamekea Fita
Vista,USA
Summary
Highly motivated professional with experience providing exceptional customer service in a healthcare setting. Proven history of successfully managing patient accounts, resolving issues, and promoting patient satisfaction. Expert in utilizing interpersonal skills to build relationships and foster trust with patients. Exceptional ability to manage multiple tasks and adapt quickly to changing situations. Patient Access Representative with background in managing patient admissions, insurance verification, and scheduling appointments. Possess strong communication skills to professionally interact with patients, families, and healthcare professionals. Demonstrated ability to maintain confidentiality while providing high-quality customer service. Notable contributions include improving workflow efficiency and reducing patient wait times.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Access Representative
Rady's Children Hospital
San Diego, CA
08.2024 - Current
- Verified patient information to ensure accuracy prior to appointment check-in.
- Strong insurance knowledge, i.e., PPO, HMO, Medi-Cal, out-of-state Medicaid, government, and multiple IPAs.
- Verify insurance through Epic-RTE, Passport, multi-insurance websites, independent websites, and call if needed.
- Verified and updated changes in the patient, physician, or insurance to maintain proper billing.
- Demonstrated strong customer service skills by greeting patients, providing directions, and answering questions.
- Communicated financial obligations to patients and collected fees at time of service.
Patient Access Team Lead
TRI-CITY MEDICAL GROUP
Oceanside, CA
04.2020 - 01.2024
- Provided leadership, guidance, and support to team members to ensure customer service excellence was consistently delivered
- Investigated discrepancies associated with billing errors or incorrect charges for services rendered
- Strong Insurance knowledge ie: PPO, HMO, Medi-Cal, Out of state Medicaid, Government and multiple IPA's
- Verify Insurance thru Epic-RTE, Passport, multi insurance websites, independent websites, and call if need to
- Resolved escalated customer complaints in a professional manner while maintaining positive relationships
- Maintained compliance with all applicable regulations including HIPAA, OSHA, JCAHO
- Utilized effective communication skills to build relationships with patients and other departments within the organization
- Monitored daily workflow reports to identify potential issues or areas of improvement
- Facilitated problem solving sessions between team members during times of high volume activity
Patient Access Representative
OPTUM HEALTH UNITED HEALTH CARE
Vista, CA
07.2022 - 06.2023
- Remotely work from home as a Call Center Representative
- Answered in-coming calls from patients, doctor's office, hospital's, pharmacy and health insurance
- Schedule for multi doctor's office
- Used numerous program's like eClinicalWorks, NexGen and Epic
- Registered patients by obtaining necessary and accurate financial and demographic information
- Created new patient charts to include personal and insurance information and reason for visit
- Monitored incoming calls from patients, physicians, or other healthcare providers while providing timely responses
Patient Access Representative
TRI-CITY MEDICAL GROUP
Oceanside, CA
11.2016 - 04.2020
- Registered patients by obtaining necessary and accurate financial and demographic information
- Provided excellent customer service to patients and their families
- Strong Insurance knowledge ie: PPO, HMO, Medi-Cal, Out of state Medicaid, Government and multiple IPA's
- Verify Insurance thru Epic-RTE, Passport, multi insurance websites, independent websites, and call if need to
- Resolved patient billing issues and collected payments
- Demonstrated strong organizational skills by accurately entering patient information into the electronic health record system
- Obtained signatures for financial responsibility and treatment procedures from patients or guardians
- Processed payments received from patients according to established guidelines for proper accounting procedures
- Collaborated with other departments within the organization to coordinate care for each patient's needs
- Exhibited effective communication skills when interacting with diverse populations in a professional manner
- Facilitated smooth transition between pre-registration and registration process through proactive follow up with patients or families
- Utilized problem-solving abilities to resolve complex issues related to insurance coverage, billing, and payment processing
Office Assistant
FIELD DATA SERVICES OF ARIZONA
Temecula, CA
11.2013 - 11.2016
- Interacted with clients to resolve issues or answer questions regarding services rendered by company
- Applied advanced administrative and analytical skills in overseeing day-to-day operational skills
- Coordinated communications, financial processing, record keeping
Patient Care Representative
NORTH COAST FAMILY MEDICAL GROUP
Encinitas, CA
12.2009 - 08.2013
- Managed multi-line phone system and greeted patients
- Verified Insurance, help complete registration and necessary documentations
- Organized paperwork such as charts and reports for doctor's and patient needs
- Submitted referrals and get authorization from HMO and EPO/PPO insurance
- Strong insurance knowledge ie: PPO, HMO, Medi-Cal, Out of state Medicaid, Government and multiple IPA's
- Answered telephones and directed calls and voicemails to appropriate staff
- Facilitated reminder calls to patients for appointment confirmation and order pickup notification
- Acted as a liaison between patients, families, and medical staff
Education
High School Diploma -
Henry J Kaiser High School
05.1999
Skills
- Team Management
- Scheduling and coordinating
- Multi-line phone system
- System Operator: Cerner, EPIC, NextGen, EClinical Works
- Insurance verification
- Reception Management
- HIPAA compliance
- Patient Access Representative
- Patient education
- Training coordination
Certification
Certified Revenue Cycle Representative
References
References available upon request
Timeline
Patient Access Representative
Rady's Children Hospital
08.2024 - Current
Patient Access Representative
OPTUM HEALTH UNITED HEALTH CARE
07.2022 - 06.2023
Patient Access Team Lead
TRI-CITY MEDICAL GROUP
04.2020 - 01.2024
Patient Access Representative
TRI-CITY MEDICAL GROUP
11.2016 - 04.2020
Office Assistant
FIELD DATA SERVICES OF ARIZONA
11.2013 - 11.2016
Patient Care Representative
NORTH COAST FAMILY MEDICAL GROUP
12.2009 - 08.2013
High School Diploma -
Henry J Kaiser High School
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