Summary
Overview
Work History
Education
Skills
Timeline
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Pelenita Tuisila

Tacoma,WA

Summary

Patient Service Specialist with extensive experience in facilitating efficient healthcare operations. Proven skills in insurance verification, patient communication, and administrative support, leading to enhanced service delivery. Expert in managing electronic health records and coordinating patient-provider interactions for optimal healthcare outcomes.

Overview

16
16
years of professional experience

Work History

Patient Service Specialist

Providence Health & Services
Olympia , WA
05.2021 - 08.2026
  • Facilitated streamlined patient check-in and check-out processes, enhancing service efficiency.
  • Managed patient scheduling and appointment confirmations, optimizing clinic workflow.
  • Coordinated effective communication between healthcare providers and patients.
  • Maintained comprehensive electronic health records, adhering to confidentiality standards.
  • Assisted in resolving patient complaints, fostering a positive facility experience.
  • Handled high volume of incoming calls, providing exceptional customer service to patients and families.
  • Collected co-pays at time of visit according to office policy.
  • Processed payments from patients, including cash, check, or credit card transactions.
  • Verified patient coverage prior to appointment scheduling.
  • Trained new staff members on procedures and customer service best practices.
  • Collaborated with multidisciplinary teams to support seamless patient care initiatives.
  • Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
  • Executed clerical duties including filing, faxing, and copying documents.
  • Assisted in the implementation of new technologies and processes to improve patient access services.
  • Contributed to team meetings, sharing insights and strategies for improving patient access services.

Patient Service Representative

NuWest
Bellevue, WA
12.2020 - 05.2021
  • Facilitated patient registration and maintained records to ensure seamless access to care.
  • Verified and updated patient demographics and insurance details to ensure accuracy.
  • Resolved patient inquiries and concerns to improve service quality and patient satisfaction.
  • Supported care team in accurately documenting patient information using Epic at Providence Hawks Prairie Disaster Clinic.

Coordinator/Medical Clerk/Medical Assistant

Neighborcare Health
Seattle, WA
08.2010 - 12.2020
  • Maintained and updated patient health information database, ensuring accuracy and compliance.
  • Managed prior authorizations for patient medications and medical equipment.
  • Resolved patient complaints to enhance service quality.
  • Facilitated health program initiatives for breast, cervical, and colon cancer prevention.
  • Supported clinical operations by recruiting and training new staff members, enhancing team capability.
  • Collected and logged laboratory specimens, preparing them for testing.
  • Supervised back-office team during supervisor's absence.
  • Led project management efforts, implementing process improvements identified by quality improvement committee.

Education

Master of Healthcare Administration -

University of Phoenix
Tempe, AZ
07-2015

Skills

  • Patient scheduling
  • Appointment management
  • Electronic health records
  • Insurance verification
  • Referral coordination
  • Medical terminology
  • Patient support services
  • HIPAA compliance
  • Quality assurance
  • Process improvement
  • Staff training
  • Registration management
  • Patient confidentiality
  • Patient Advocacy
  • Procedural documentation

Timeline

Patient Service Specialist

Providence Health & Services
05.2021 - 08.2026

Patient Service Representative

NuWest
12.2020 - 05.2021

Coordinator/Medical Clerk/Medical Assistant

Neighborcare Health
08.2010 - 12.2020

Master of Healthcare Administration -

University of Phoenix
Pelenita Tuisila