RHAJNEY MADRY
Senior Lead Patient Access Representative
Miami,FL
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Dependable Senior Patient Access Representative serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts. Hardworking and driven to work quickly and effectively on projects in all types of environments. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Senior Patient Access Representative
UNIVERSITY OF MIAMI SLYVESTER COMPREHENSIVE CENTER
Miami, Florida
02.2020 - Current
- Interact with patients and collaborate with providers and clinicians to appropriately schedule appointments taking into account scheduling guidelines per division/specialty/provider, resource availability, special needs, timeframes, medical necessity, and payer and contractual guidelines
- Determine appointment type and utilize analytical skills to determine appropriate slot utilization and instances when overbooking is appropriate
- Coordinate multiple appointments with appropriate sequence and proper time allotted between appointments
- Perform other duties as assigned based on departmental needs.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Patient Access Representative
05.2019 - 02.2020
- Maintain composure during stressful situations and use sound judgment
- Provide immediate service recovery by taking ownership of any problems that may arise and resolving them utilizing appropriate rationale
- Obtain legal photo identification and insurance card (s), and validate patient identity and coverage prior to services being rendered thereby ensuring patient safety and financial reimbursement
- Obtain and/or verify that all demographic, financial, and insurance coverage information is accurate, up to date and complete, and that financial clearance has been obtained inclusive of all required referrals/authorizations
- Explain all applicable forms (Consent for Medical Treatment and Conditions of Admission, Acknowledgement of Receipt of Privacy Practices, Questionnaires, Important Message from Medicare, Advance Directives Checklist, and answer any questions patients’ may have pertaining to form(s) and established policies
- Comply and abide with all established UHealth policies and procedures related to Patient Access and State/ Federal regulations
- Identify and collect patient’s self-pay responsibility including co-pays, deductibles, co-insurances, self- pay discount rates, global packages, and previous outstanding balances for both technical and professional components in POS 11 and 22 clinics thereby playing a key role in reducing AR, Bad Debt, and Collection Costs by collecting patient’s financial responsibility upfront.
Team Leadership Coach
ALORICA
10.2017 - 05.2019
- Maintain direct communication with clients in order to align strategies and performance
- Develop management / create retention plans to strengthen leadership and, as a result, retain talented personnel
- Develop operational functions which are essential for increasing account’s productivity such as coaching techniques, sales strategies and real-time performance
Team Manager
ATT
03.2012 - 09.2017
- Coach and Develop agents on a daily basis to ensure they perform at a high level
- Evaluate and reinforce standards and guidelines for the account / company
- Manage and supervise a team of representatives to ensure they have all tools, payroll, applications to successfully operate
- Help launch for a third time another new site in San Antonio which included train all Management and execute processes.
Education
Associate of Arts - Teaching
Miami Dade College
Skills
Information Collection
Document filing
Insurance verifying
Appointment Scheduling
Payment collection
Service standard compliance
Training development aptitude
Administrative support
Timeline
Senior Patient Access Representative
UNIVERSITY OF MIAMI SLYVESTER COMPREHENSIVE CENTER
02.2020 - Current
Patient Access Representative
05.2019 - 02.2020
Team Leadership Coach
ALORICA
10.2017 - 05.2019
Team Manager
ATT
03.2012 - 09.2017
Associate of Arts - Teaching
Miami Dade College