Patricia Marie Wilson
Farmington Hills
Summary
Detail-oriented healthcare professional with over 20 years of experience in healthcare administration, patient access, medical office management, and revenue cycle support. Expertise in enhancing operational efficiency, resolving complex insurance challenges, and leading teams to deliver outstanding patient care. Known for strong problem-solving skills and effective relationship-building in fast-paced environments.
Overview
16
16
years of professional experience
Work History
Patient Service Specialist
Village Medical Diagnostic Center
Novi
02.2023 - Current
- Processed over 30 weekly prior authorization requests for specialty procedures, ensuring timely patient access to necessary care.
- Verify insurance eligibility and benefits prior to appointments.
- Resolved insurance denials and coordinated appeals with insurance carriers to secure coverage for patients.
- Coordinate referrals between primary care physicians, specialists, and insurance providers.
- Scheduled new and follow-up appointments, optimizing provider schedules to enhance patient access to care.
- Manage provider work queues to ensure timely patient care.
- Communicate appointment delays while providing outstanding patient service.
- Patient co-payments, balances, and reconciled daily financial batches.
Director, Resident Programs & Transportation Services
Brookdale Senior Living
Farmington Hills
01.2022 - 01.2023
- Directed resident engagement programs, enhancing overall quality of life for participants.
- Managed departmental budgets, staffing, and daily operations, ensuring alignment with organizational goals.
- Managed departmental budgets, staffing, and daily operations.
- Recruited, trained, supervised, and evaluated associates.
- Negotiated vendor, staffing, and entertainment contracts.
- Participated in resident care planning and discharge planning.
- Coordinated transportation services and community events, fostering community connections and resident involvement.
- Served as Manager on Duty in the Executive Director’s absence.
Patient Service Specialist / Clinic Manager
NovaCare / Select Medical
Livonia & Pontiac
08.2016 - 01.2022
- Managed daily operations of busy outpatient rehabilitation clinics to enhance patient experience and streamline services.
- Oversaw scheduling, staffing, budgeting, billing, and supply management.
- Oversaw scheduling, staffing, budgeting, billing, and supply management to optimize clinic efficiency and resource allocation.
- Verified insurance coverage and calculated patient financial responsibility.
- Obtained referrals and prior authorizations.
- Reviewed patient accounts to ensure billing accuracy and minimize discrepancies, improving financial integrity.
- Ensured timely coding and billing of patient charts.
- Reported key operational metrics including patient flow, revenue, and collections.
Medical Billing Instructor
Dorsey Schools
Waterford
02.2016 - 03.2020
- Delivered Medical Billing and Coding curriculum to equip students with essential skills for healthcare roles.
- Completed training on CPT coding standards.
- Studied ICD-9-CM coding guidelines.
- Reviewed ICD-10-CM coding standards.
- Explored HCFA coding processes.
- Mastered medical terminology for healthcare.
- Studied anatomy and physiology concepts.
- Developed skills in Electronic Health Records (EHR) management.
- Prepared students for careers in physician offices, hospitals, and healthcare facilities.
- Oversaw classroom instruction and assessed student performance to ensure mastery of medical billing concepts.
Customer Service Manager / CPR Instructor
Advantage First Aid
08.2016 - 08.2017
- Managed customer service operations to enhance customer experience and satisfaction.
- Led incoming call center activities, ensuring effective response to customer inquiries and concerns.
- Led incoming call center activities.
- Identified potential clients through market research and outreach efforts.
- Maintained customer documentation and records.
- Trained customers in CPR certification.
Patient Access Representative II Coordinator
Huron Valley-Sinai Hospital
Commerce Township
09.2010 - 09.2016
- Supervised patient access and billing operations to ensure smooth service delivery.
- Verified insurance eligibility and benefits.
- Calculated patient financial responsibility.
- Collected co-payments and deductibles.
- Reviewed and reconciled patient accounts to maintain accurate financial records.
- Trained staff and coordinated workflow management to enhance team efficiency.
- Supervised patient access and billing operations.
Skills
- Patient registration
- Insurance verification
- Prior Authorizations
- Medical Referrals
- Patient Access
- Patient Care Coordination
- Medical Billing & Coding
- Patient Claims Support
- Revenue Cycle Management
- Insurance authorizations
- Healthcare Compliance
- Insurance Portals
- AthenaNet
- Phreesia
- PowerChart
- FirstNet
- Passport
- Vision Share
- Citrix
- TherapySource
- RT Medical Billing
- DCRR
- DPRL
- PEAR
- Coupa
- UKG (Kronos)
- Workforce Now
- IDoc
- Portal Office
- BCE Reporting
- Evolve
- Engrade
- SkillPort
- Stericycle
- SuperSaas
- Link
- Impac/MOSAIQ
- BSLNET
- Customer service
- Collaborative Teamwork
- Efficient Workflow Management
- Communication
- Problem Solving
- Multitasking
- Office suite expertise
- EMR management
- Word proficiency
- Excel proficiency
- PowerPoint proficiency
- Outlook proficiency
- Office leadership
- Staff Development
- Team Leadership
- Patient Advocacy
- Healthcare management
- Problem Solving
- Multitasking
Timeline
Patient Service Specialist
Village Medical Diagnostic Center
02.2023 - Current
Director, Resident Programs & Transportation Services
Brookdale Senior Living
01.2022 - 01.2023
Patient Service Specialist / Clinic Manager
NovaCare / Select Medical
08.2016 - 01.2022
Customer Service Manager / CPR Instructor
Advantage First Aid
08.2016 - 08.2017
Medical Billing Instructor
Dorsey Schools
02.2016 - 03.2020
Patient Access Representative II Coordinator
Huron Valley-Sinai Hospital
09.2010 - 09.2016