Dynamic Senior Patient Access Representative with a proven track record at R1 RCM and COVENANT HEALTH SYSTEMS, excelling in insurance verification and payment processing. Enhanced operational efficiency and reduced claim denials through exceptional customer service and HIPAA compliance. Adept at fostering patient trust and streamlining processes, contributing to revenue growth and patient satisfaction.
Overview
29
29
years of professional experience
Work History
Senior Patient Access Representative-remote
R1 Rcm
07.2024 - 04.2025
Reduced insurance claim denials by diligently verifying patients'' insurance coverage and eligibility.
Contributed to revenue growth by effectively managing payment collections from both insured and self-pay patients.
Managed high call volumes while maintaining exceptional customer service standards for patients and healthcare providers alike.
Explained Conditions of Admissions and obtained required signatures while covering on-site at Surgical Assessment Services clinic.
Checked for authorization, pre-cert, referral requirements with insurances and communicated with physicians office to insure any pre-approvals were obtained in order to avoid denials.
Assisted patients in understanding their financial responsibilities, promoting transparency and trust between the facility and its clientele.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Senior Patient Access Representative
Covenant Health Systems / Providence
08.2008 - 07.2024
Identified potential process improvements, leading to increased operational efficiency within the department.
Streamlined registration processes for increased efficiency and reduced wait times.
Facilitated smooth transitions during system upgrades increasing overall productivity and reducing downtime.
Assisted patients in understanding their financial responsibilities, promoting transparency and trust between the facility and its clientele.
Maintained strict confidentiality of patient information in accordance with HIPAA regulations, protecting privacy rights at all times.
Trained new Patient Access Representatives, contributing to a more skilled and efficient team.
Verified patient insurance eligibility and entered patient information into system.
Followed document protocols to safeguard confidentiality of patient records.
Customer Service Specialist
AT&T / Cingular Wireless
05.2002 - 05.2008
Handled escalated calls calmly, finding resolutions that satisfied both the company and the customer''s needs.
Managed high call volume while maintaining a courteous and professional demeanor.
Adapted quickly to changes in company policies or procedures ensuring consistency in delivering accurate information to customers.
Enhanced customer satisfaction by resolving issues promptly and professionally.
Monitored quality assurance metrics regularly, identifying opportunities for personal growth and development within the role.
Responded to customer requests for products, services, and company information.
Owner /Automotive Detailer
Floydada Auto Klean
05.1999 - 05.2002
Managed day-to-day business operations.
Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
Oversaw daily operations, ensuring all tasks were completed accurately and efficiently by team members.
Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
Team Supervisor
Convergys
07.1996 - 05.1999
Collaborated with upper management to establish performance goals for the team and develop strategies for achieving them.
Managed performance reviews for [Number] employees, analyzing individual employee achievements and overall trends in workforce execution metrics.
Managed a diverse group of employees to maintaining high-quality standards and exceptional customer service.
Communicated policy updates and company information through team meetings, huddles and one-on-one development sessions.
Provided ongoing coaching to enhance individual performance levels while fostering teamwork among employees.
Defined key performance indicators for employees to define clear, attainable landmarks for performance measurement.