Motivated Representative with nineteen years of experience equipped with administrative and customer service expertise. Helps keep office proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts.
Overview
17
17
years of professional experience
Work History
Ambulatory Service Representative II
TEXAS CHILDREN'S HOSPITAL
Houston, TX
12.2005 - 09.2022
Responsible for check-In/welcome desk, registration, insurance verification and authorization and payment processing, including appointment scheduling, payment processing, and medical records maintenance
Contacts patient/guarantor prior to date of service to inform them of estimated payment due at the time of service
Documents details of all successful and unsuccessful attempts at patient/guarantor contact
Provides ongoing training, coaching, and development to meet performance targets, gather the most accurate financial and demographic information for each patient encounter, and provide the highest possible customer service
Continually evaluates clinic registration, scheduling, insurance verification and other processes to improve the service provided to our patients & their families as well as the impact of our processes on the patient care portion of the patient's clinic visit
Directly responsible for fifteen Physical therapist's schedules and approximately 350 patients with a rotating wait list of 30 to 50 children
Ensures continuity in the standard of care between all TCH health centers as well as West Campus and Main Campus by participating in hospital-wide committees, Joint Commission committee and the Patient Satisfaction committee and developing relationships with peers
Obtains insurance referrals and/or authorizations as required by individual insurance plans, documenting authorization/referral numbers in the appropriate fields for accurate billing
Monitors work queues and clear them on a daily basis, ensuring that all elements of the accounts are secured for billing