Cordial Patient Access Specialist with demonstrated customer service skills in all interactions, with both external and internal customers. Social and communicative with high regard for sensitive and confidential information. Clear understanding of HIPAA rules and insurance protocols.
Overview
14
14
years of professional experience
Work History
Patient Access Specialist
Jennie Stuart Health
08.2019 - Current
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Collected and validated patient demographics and insurance information.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Providing excellent customer service by promptly answering patient inquiries.
Resolved patient billing issues in line with established guidelines.
Trained new staff on hospital processes and procedures.
Practice Manager
St. Michael’s Health Clinic
02.2016 - 04.2019
Oversaw medical office, administrative tasks, such as medical billing, coding, and accounting
Developed and maintained relationships with managed care companies, while analyzing contracts and successfully renegotiated reimbursement rate for some health plans
Credentialed new resident physicians and existing physicians with all health plans and hospitals
Tracked and maintained all records
Collection of payments (copay and deductibles) or office visit with no insurance
Handled prior authorizations as needed
Schedule, cancel and/or rescheduled appointments Submit claims to insurance
Process companies response to claim
Submit billing statements to patients
Registered patients and verified eligibility of health insurance
HIPAA and Privacy Law compliant, ensuring required information was available
Developed close working relationships with front office and back office staff.
Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
Handled job duties for staff members which were unavailable or out of office.
Created and implemented organizational policies and procedures.
Assisted with regulatory issues such as compliance.
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Developed policies and procedures for effective practice management.
Supervised team of nine office personnel
Registration Specialist
Vanderbilt University Medical Center
01.2017 - 06.2017
Enter patient information into secured medical system and verifies necessary physician referrals and insurance authorizations
Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing and coding questions.
Help assign beds and carry out procedures to admit, transfer, or discharge patients
Documented patient info obtained from interviews by patient and medical records
Carefully reviewed medical records for accuracy/completion as required by insurance companies, strictly followed all federal and state guidelines for release of information
Completed registration paperwork, verifying accurate patient information.
Participated in unit based Quality Assurance Program
Strong interpersonal skills, while interacting with patients, families and hospital staff
Completed all mandatory education and training classes
Arranged and assisted with hospital admissions
HIPAA and Privacy Law compliant, ensuring required information was available
Executive Chef
Taher Inc
04.2014 - 06.2015
Exceeded expectations of client and organization by improving upon quality of food products, which were served to clients
Developed menus, controlled food costs and oversaw quality, sanitation, and safety processes.
Managed monthly budget of $60,000
Managed weekly financial reports of assigned division
Successfully maintained food-costing budget
Facilitated completion of daily production sheets, which were used as planning tool, for purchasing and production of recipes
Participated in phone/online orders of food and supplies with regards to required needs of business
Oversaw all of client’s catering requirements and regular daily café menu
Developed kitchen staff through training, disciplinary action, and performance reviews.
Generated employee schedules and work assignments and determined appropriate compensation rates.
Scheduled and received food and beverage deliveries, adhering to food cost and budget.
Assistant Food Service Director
Aramark Correctional Services
02.2013 - 04.2014
A food service organization that serves correctional facilities, Operated two kitchens simultaneously, one kitchen was in use full time and the other was in the process of being opened
Implemented a program schedule to ensure deadlines were met and the project’s finances were kept in line with budget requirements
Proven ideal equipment, personnel, vendors and facility layouts for the project
Managed staff schedules and maintained adequate coverage for all shifts.
Trained inmates on proper cooking procedures as well as safety regulations and productivity strategies.
Introduced cost control measures, which resulted in a reduction of food cost and successfully maintaining all established dietician guidelines and plans
Achieved a 100% accountability record of all material within the facility.
Lead Cook
Audubon Area Community Services
07.2010 - 02.2013
Inspected kitchens to observe food preparation quality and service, food appearance, and cleanliness of production and service areas.
Maintained high food quality standards by checking delivery contents to verify product quality and quantity.
Inspected freezer and refrigerator daily to check and maintain proper temperatures.
Prevented cross-contamination from utensils, surfaces, and pans when cooking and plating meals for food allergy sufferers.
Placed orders to restock items before supplies ran out.
Mentored kitchen staff to prepare each for demanding roles.
Collaborated with staff members to create meals for large banquets.
Executive Chef/Project Manager Team Leader
Morrisons Management
10.2009 - 05.2010
Coordinated daily activity and flow of projects through multiple departments to verify on-time product delivery.
Modeled management and organizational skills and multi-tasked and prioritized in deadline-driven environment.
Adhered to industry practices, company standards and safety protocols in work.
Completed assignments ahead of deadline.
Developed project timelines for product lines from kickoff through production and online content development based on marketplace requirements.
Worked with team of 79 professionals focused on meeting Healthcare Operations project needs.
Analyzed project performance data to identify areas of improvement.
Tracked project and team member performance closely to quickly intervene in mistakes or delays.
Monitored project progress, identified risks and took corrective action as needed.
Developed menus, controlled food costs and oversaw quality, sanitation, and safety processes.
Obtained fresh, local ingredients to improve dish flavors and limit grocery costs.
Planned promotional menu additions based on seasonal pricing and product availability.
Oversaw business operations, inventory control, and customer service for restaurant.
Education
No Degree - Certified Professional Coder
AAPC
ONLINE
08.2023
Associate of Science - Management Technology-Restaurant, Culinary and Catering
Management
Austin Peay State University
2006
Skills
Appointment Confirmation
50 WPM Typing Speed
Counseling and Guidance
Authorization Verification
Patient Health Information Access
Registration Processing
Insurance Information Collection
Insurance Verification
Electronic Health Records Systems
Patient Scheduling
Medical History Documentation
Billing Issue Resolution and Support
Organization and Time Management
Computerized Maintenance Management Systems
Verifying Eligibility
Team Leadership
Performance Standards Compliance
Co-Payment Collection
Claims Handling and Coverage Verification
Health Information Collation
Collection Management
Timeline
Patient Access Specialist
Jennie Stuart Health
08.2019 - Current
Registration Specialist
Vanderbilt University Medical Center
01.2017 - 06.2017
Practice Manager
St. Michael’s Health Clinic
02.2016 - 04.2019
Executive Chef
Taher Inc
04.2014 - 06.2015
Assistant Food Service Director
Aramark Correctional Services
02.2013 - 04.2014
Lead Cook
Audubon Area Community Services
07.2010 - 02.2013
Executive Chef/Project Manager Team Leader
Morrisons Management
10.2009 - 05.2010
No Degree - Certified Professional Coder
AAPC
Associate of Science - Management Technology-Restaurant, Culinary and Catering
Management