Patricia Thomas
Indianapolis,IN
Summary
Cordial Patient Access Representative with 17 year track record of successfully handling busy medical office tasks to serve diverse populations. Career-minded and organized professional skillful in maintaining patient accounts, arranging immediate medical care and verifying insurance. Familiar with medical and clinical terminology coupled with proficiency in Epic.
Overview
17
17
years of professional experience
Work History
Patient Access Representative
Community Fair Banks Behavior Health
Indianapolis, IN
08.2022 - Current
- Registerd patient by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Applied HIPAA privacy and security regulations while handling patient information.
- Workques, in basket, patient referrals and faxes work daily
Pre-Authorization Specialist Vascular
Community Health Network Heart and Vascular
Indianapolis, IN
10.2021 - 08.2022
- Obtain pre-authorization/predetermination for Inpatient and outpatient services for Cardiology, Vascular procedures and test
- Verify provider care is appropriate based on the claimants diagnosis familiar with ICD-9 and ICD-10 diagnoses and procedures code
- Follow up on request for additional clinical, gather additional clinical and or coding information as necessary, in order to obtain prior authorization
- Communicate with Hospital and case managers on authorizations and days approved and patient waivers.
Patient Access Representative
Community Health Network Orthopedic Specialty
Indianapolis, IN
10.2020 - 10.2021
- Verifying patient's insurance
- Collection co-pays prior to services
- Scheduling patient appointment in person by phone my chart
- Obtained necessary signatures for privacy and consent to treat
- Workques, in basket, patient referrals and faxes worked daily
- Processed FMLA payment and approprate paper work
Patient Access Representative
St. Vincent Medical Group
Indianapolis, IN
04.2018 - 04.2020
- Verifying patient's insurance
- Collection co-pays prior to services
- Scheduling patient appointment in person by phone my chart
- Obtained necessary signatures for privacy and consent to treat
- Assist patient with transportation and pick up
Pre-Authorizaiton Specialist Cardiology, Vascular
St. Vincent Medical Group
Indianapolis, IN
06.2007 - 11.2017
- Obtain pre-authorization/predetermination for Inpatient and outpatient services for Cardiology, Vascular procedures and test
- Obtain authorizations on line from various insurance companies
- Verify provider care is appropriate based on the claimants diagnosis familiar with ICD-9 and ICD-10 diagnoses and procedures code
- Follow up on request for additional clinical, gather additional clinical and or coding information as necessary, in order to obtain prior authorization
Education
High School Diploma -
Thomas Carr Howe High
Indianapolis, iNSkills
- Strong customer service skills, ability to work with all types of patients
- Active listening skills ability to focus completely on a speaker,
- Ability to manage time, prioritize task self motivated
- People skills ability to multi-task pay attention to detail
Timeline
Patient Access Representative
Community Fair Banks Behavior Health
08.2022 - Current
Pre-Authorization Specialist Vascular
Community Health Network Heart and Vascular
10.2021 - 08.2022
Patient Access Representative
Community Health Network Orthopedic Specialty
10.2020 - 10.2021
Patient Access Representative
St. Vincent Medical Group
04.2018 - 04.2020
Pre-Authorizaiton Specialist Cardiology, Vascular
St. Vincent Medical Group
06.2007 - 11.2017
High School Diploma -
Thomas Carr Howe High
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