Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

PATRICIA LOCKHEART

Lilburn,GA

Summary

To use my proven track record, achievements, experiences, and skills for career advancement within our company.

Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.

Overview

28
28
years of professional experience

Work History

Telephonic Care Navigator

01.2021 - Current
  • Provided telephonic outreach to members on care and coverage gaps to educate and assist them with closing those gaps
  • Ensure members have access to their primary care physician
  • Provide members with information on community resources while maintaining their confidential health information in accordance to regulations.

Consumer Advocacy Representative

LEXISNEXIS RISK SOLUTIONS
01.2018 - 01.2019
  • Reviewed claims and resolved customer disputes
  • Responded to customer inquiries
  • Research consumer profiles and reports for final reporting documentation and accuracy
  • Trained colleagues in operations and provided technical support.

PATIENT SERVICE COORDINATOR/SCHEDULER

EMORY HEALTHCARE, INC.
01.2002 - 01.2017
  • Collaborated with multiple hospital departments to coordinate and schedule patient care/appointments
  • Managed a multiphone-line system to scheduled patient appointments, and generated referrals
  • Registered patients, performed insurance verifications, and obtain insurance authorization
  • Served as a liaison between physicians and patients
  • Gathered patient history and reviewed patient files while also protecting sensitive/confidential data
  • Entered prescription refills per patient requests
  • Collected co-payments from patients and posted payments to patient accounts using the IDX system
  • Padded patients' charts for physicians, updated census and daily roster
  • Organized patient intake, gathering demographic information while verifying insurance coverage
  • Monitored and maintained patient safety and health; ensured compliance to production and quality requirements
  • Used appropriate medical terminology to ensure adequate customer care.

HEADSTART FAMILY ADVOCATE

PARTNERSHIP FOR COMMUNITY ACTION
01.1996 - 01.2002
  • Conducted home visits to access, recruit, and register children and families in HeadStart programs
  • Developed community partnerships to support program components
  • Ensured the accuracy and completeness of consumer health information.

Education

Skills

  • CUSTOMER RELATIONS/SERVICE
  • TRAINING & DEVELOPMENT
  • PATIENT SCHEDULING
  • DATA ENTRY
  • MEDICAL TERMINOLOGY
  • MS OFFICE
  • RECORDS MANAGEMENT
  • DETAIL ORIENTED
  • CONFLICT RESOLUTION
  • INSURANCE PROCESSING
  • WRITTEN/VERBAL COMMUNICATION
  • CRITICAL THINKING
  • ORGANIZATION
  • TIME MANAGEMENT
  • Resource Identification
  • Cultural Competency
  • Care Coordination

Accomplishments

  • Trained 40 patient service associates in front desk and administrative procedures at Emory Healthcare.
  • Successfully processed more than 100 calls per day at Emory Healthcare, while coordinating with all hospital departments to schedule patient appointments/care.
  • Evaluated student needs and registered children in HeadStart programs at Partnership for Community Action successfully for multiple years.

Timeline

Telephonic Care Navigator

01.2021 - Current

Consumer Advocacy Representative

LEXISNEXIS RISK SOLUTIONS
01.2018 - 01.2019

PATIENT SERVICE COORDINATOR/SCHEDULER

EMORY HEALTHCARE, INC.
01.2002 - 01.2017

HEADSTART FAMILY ADVOCATE

PARTNERSHIP FOR COMMUNITY ACTION
01.1996 - 01.2002

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PATRICIA LOCKHEART