Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rachael Carlblom

Lisbon,ND

Summary

Dynamic Patient Access Team Lead with a proven track record at Conifer Health, enhancing workflow efficiency and elevating patient satisfaction. Skilled in HIPAA compliance and conflict resolution, I successfully implemented strategies that reduced insurance verification errors and improved service delivery, fostering a compassionate and patient-focused environment.

Overview

2020
2020
years of professional experience

Work History

CNA

CHI Lisbon Health Lisbon
  • Led patient access operations, enhancing workflow efficiency and improving service delivery.
  • Trained and mentored team members on best practices for patient registration and insurance verification.
  • Implemented strategies to streamline appointment scheduling, resulting in improved patient satisfaction rates.
  • Collaborated with healthcare providers to resolve patient inquiries and ensure accurate information exchange.
  • Ensured compliance with regulatory standards related to patient data management and confidentiality practices.
  • Provided ongoing support and guidance to team members, promoting professional growth opportunities within the organization.
  • Assisted patients with navigating financial assistance programs, helping them secure funding for medical services when needed.
  • Reduced errors in insurance verification by implementing thorough checks on coverage details and eligibility.
  • Proactively resolved patient complaints and grievances by addressing the root cause of the issue and implementing corrective measures to prevent future occurrences.
  • Maintained strict compliance with HIPAA regulations, protecting patient privacy while facilitating access to necessary information for care providers.
  • Conducted regular audits of patient accounts to identify errors or inconsistencies, resolving issues before they escalated into larger problems.
  • Contributed to improving overall efficiency within the department through continuous process improvement initiatives.
  • Improved patient satisfaction scores by providing exceptional customer service and addressing concerns promptly.
  • Served as liaison between the Patient Access team and other departments, fostering positive relationships and effective communication.
  • Implemented quality control measures to ensure the accuracy of data entry, leading to fewer billing discrepancies.
  • Optimized appointment scheduling processes, maximizing daily capacity while minimizing wait times for patients.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Provided excellent customer service to patients and medical staff.
  • Greeted and assisted patients with check-in procedures.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Facilitated communication between patients and various departments and staff.
  • Engaged with patients to provide critical information.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Trained new staff on filing, phone etiquette and other office duties.
  • Resolved customer complaints using established follow-up procedures.
  • Delivered support to medical staff in completion of patient paperwork.
  • Helped address client complaints through timely corrective actions and appropriate referrals.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
  • Recommended service improvements to minimize recurring patient issues and complaints.

Patient Access Team Lead

Conifer Health
Lisbon, ND
08.2014 - 10.2019
  • Led patient access operations, enhancing workflow efficiency and improving service delivery.
  • Trained and mentored team members on best practices for patient registration and insurance verification.
  • Implemented strategies to streamline appointment scheduling, resulting in improved patient satisfaction rates.
  • Collaborated with healthcare providers to resolve patient inquiries and ensure accurate information exchange.
  • Ensured compliance with regulatory standards related to patient data management and confidentiality practices.
  • Provided ongoing support and guidance to team members, promoting professional growth opportunities within the organization.
  • Assisted patients with navigating financial assistance programs, helping them secure funding for medical services when needed.
  • Reduced errors in insurance verification by implementing thorough checks on coverage details and eligibility.
  • Proactively resolved patient complaints and grievances by addressing the root cause of the issue and implementing corrective measures to prevent future occurrences.
  • Maintained strict compliance with HIPAA regulations, protecting patient privacy while facilitating access to necessary information for care providers.
  • Conducted regular audits of patient accounts to identify errors or inconsistencies, resolving issues before they escalated into larger problems.
  • Contributed to improving overall efficiency within the department through continuous process improvement initiatives.
  • Improved patient satisfaction scores by providing exceptional customer service and addressing concerns promptly.
  • Served as liaison between the Patient Access team and other departments, fostering positive relationships and effective communication.
  • Implemented quality control measures to ensure the accuracy of data entry, leading to fewer billing discrepancies.
  • Optimized appointment scheduling processes, maximizing daily capacity while minimizing wait times for patients.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Provided excellent customer service to patients and medical staff.
  • Greeted and assisted patients with check-in procedures.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Facilitated communication between patients and various departments and staff.
  • Engaged with patients to provide critical information.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Trained new staff on filing, phone etiquette and other office duties.
  • Resolved customer complaints using established follow-up procedures.
  • Delivered support to medical staff in completion of patient paperwork.
  • Helped address client complaints through timely corrective actions and appropriate referrals.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
  • Recommended service improvements to minimize recurring patient issues and complaints.

Education

High School Diploma -

Findlay High School
Findlay, OH
06.1997

Skills

Time management

Patient care

Vital signs monitoring

Compassion and empathy

Bathing assistance

Attention to detail

HIPAA compliance

Feeding assistance

Dressing assistance

Maintaining confidentiality

End-of-life care

Compassionate communication

Patient transfers

Emotional support

Complex Problem-solving

Emergency response

Wound care

Problem-solving

Multitasking and organization

Critical thinking

Team collaboration

Active listening

Flexibility and adaptability

Conflict resolution

Patient advocacy

Health monitoring

Cultural sensitivity

Toileting assistance

Patient hygiene assistance

Lifting and transferring

Infection control practices

Reliable team player

Recording vital signs

Safety precautions

Collecting vital signs

Bedside manner

Compassionate

Patient lifting

Patient-focused care

Electronic charting

Compassionate caregiver

Direct patient care

Mobility assistance

Supporting personal needs

Ambulation assistance

Companionship and emotional support

Documenting behaviors

Responding to emergencies

Medical terminology

Light housekeeping

Inpatient care

Maintaining privacy

Adaptable

Transporting patients

Specimen collection

Valid state driver's license

Patient relations

Care plan implementation

Quality assurance

Observing responses

Condition monitoring

Preparing meals

Indirect patient care

EMR / EHR

Conducting intakes

Medical office administration

Database administration

General housekeeping

Quick problem solver

Calm and level-headed under duress

Collecting specimens

Admitting support

Timeline

Patient Access Team Lead

Conifer Health
08.2014 - 10.2019

CNA

CHI Lisbon Health Lisbon

High School Diploma -

Findlay High School
Rachael Carlblom