Skilled Patient Care Representative offering 12 years of healthcare experience. Dedicated to efficient and effective collaboration between care teams, patients and families. Outgoing professional with collaborative and flexible approach to reaching mutually beneficial resolutions.
• Submitting authorization requests for new pt’s, existing pt’s, and renewals
• Authorization tracking, and communication via email with team members
• Contacting insurance companies for status in authorizations, submission, and appeals
• Experience in major insurance website: One Health Port, Availity, United Health Care, including additional insurances
• PDF Creator, CPR+, Excel, Right Fax, Fax Que, SharePoint, EPIC, Outlook, Kronos
• Trained new employees in ENT authorizations
• Trained and mentored new hires
• Specialized in ENT, audiology, ophthalmology, and cosmetics.
• Epic experience in – chart review, cadence training, and work queues.
• Office Hours, CPR+, NextGen system experience.
• Scheduled appointments, verified insurances, collected co-payments, received/initiated multiple telephone calls, greeted patients, managed wait times.
• Filing of patient charts, scan documents into database, and coordinated referrals.
• Handled a variety of customer service, administrative tasks and resolving patient issues with expediency.
• Stepped in for managers to assist as needed and covered when out of the office.
• Guided and trained other employees in daily operations and functions within the office.
• Demonstrated knowledge of HIPAA privacy and security regulations by appropriately handling the patient information.
• Filtering, and sending out faxes to appropriate receivers
• Responsible for promptly & positively greeting patients and families while assuring an efficient check in process and telephone encounter; all according to pre-established practice guidelines.
• Assisted front desk operations, checking in and checking out patients, accepting co payments, collected and registered insurance information.
• Trained multiple coworkers to ensure that front desk policy procedures were well understood, and followed.
• Used root-cause-analysis method to help calm upset patients and rebuild trust.
• Assisted with providing quality care for both elderly and disabled.
• Perform personal care tasks such as hygiene, ambulation, eating, dressing, toileting, and shaving.
• Ensured and monitored safety of patients during any daily activities. Maintained daily, thorough reviews and reports of each patients progress, and overall health.
• Transported patients to their medical appointments and treatments, remained on-call during appointments, and assisted in transporting each client back home or to the facilities where they resided.
• Observe, measure, record data, including intake, outtake, weight, and vital signs.
• Adept at multitasking and completing assignments in fast paced and high pressure settings.
Grace Fielder -Authorization Lead at Providence Infusion Pharmacy & Services
(425) 525-9936
Grace.fielder@providence.org
Jessica Zabel -Accounts Receivable at Providence Infusion Pharmacy & Services
(425) 525-9936
Jessica.zabel@providence.org
Janette Martin -Office Lead at Pacific Neuroscience Institute
(702) 727-7557
Janettemartin1020@gmail.com
Efren Pakingan -ENT Supervisor at Pacific Neuroscience Institute
(310) 997-6029
Efren.pakingan@providence.org