- Mindfulness Practices
- I enjoy cooking for friends and family gatherings
- Enjoying the art of baking and pastry-making, experimenting with recipes
- Music
- Crafting and DIY Projects
Sandra Annette Parker
High Point,NC
Summary
Experienced with revenue cycle processes, including billing and claims management. Utilizes analytical skills to identify and resolve discrepancies efficiently. Track record of effective communication and collaboration to enhance financial performance.
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring [Number] years of related experience to a dynamic position with room for career growth.
Overview
15
15
years of professional experience
Work History
Revenue Cycle Advocate
Novant Health Inc.
04.2015 - 08.2023
- Worked effectively with fellow team members to coordinate effective solutions to any question or concern.
- Established trusting relationships with clients by maintaining open lines of communication throughout the entire representation process.
- Managed complex caseloads with diligence, prioritizing tasks to ensure timely resolution of cases.
- Ensured timely correction of claims thru, claim edit, charge review, follow-up and retroadjudification process.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Reduced financial loss through diligent monitoring of outstanding balances and proactive collection efforts with patients and insurers.
Patient Access Representative III
Novant Health Inc.
09.2012 - 04.2015
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
- Enhanced departmental collaboration by regularly liaising with medical, nursing, and administrative staff on pertinent patient matters.
- Boosted team morale and productivity by sharing knowledge and best practices in patient access processes.
- Improved patient satisfaction by efficiently managing registration and intake processes.
- Enabled better patient care with thorough pre-visit preparations and clear communication of patient needs.
- Ensured seamless operation of front office, efficiently handling multiple administrative tasks simultaneously.
- Streamlined appointment scheduling for optimal clinic flow, reducing wait times significantly.
- Improved operational efficiency, organizing patient documentation and streamlining access to information.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Facilitated smoother patient visits, coordinating with healthcare providers to ensure timely service.
Patient Services Representative
LNRMC-Lake Norman Family Medicine
10.2010 - 01.2011
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating policies and procedures.
- Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
- Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
- Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
- Greeted and assisted patients with check-in procedures.
- Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
- Streamlined the check-in process to reduce wait times for patients while maintaining accuracy in recordkeeping.
Medicare Enrollment Specialist
ManPower-Blue Cross Blue Sheild of NC
08.2010 - 10.2010
- Handled escalated member cases with professionalism, working diligently towards a satisfactory resolution.
- Assisted members in understanding complex Medicare policies, guiding them through the enrollment process stepbystep.
- Maintained a high level of accuracy by conducting thorough reviews of enrollment applications, ensuring compliance with CMS regulations.
- Provided exceptional customer service during application submission, addressing any concerns or issues promptly and professionally.
- Interviewed applicants and explained scope of different available benefits.
- Participated in ongoing education and training sessions to remain updated on changes in Medicare regulations and policies.
- Ensured timely completion of daily tasks by setting priorities based on urgency levels.
Front Desk Medical Receptionist
Piedmont Healthcare Inc.
04.2008 - 04.2009
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
- Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
- Increased accuracy in data entry tasks by regularly updating patient demographics and insurance information.
- Provided administrative support to medical staff, assisting with various clerical tasks as needed.
- Provided vital support during peak hours by efficiently handling walk-ins, check-ins, and appointment scheduling duties.
Education
Associate of Applied Science - Medical Billing And Coding
Fortis College
Remote Leaning10-2011
No Degree - Medical Office Administration-Medical Terminology
Mitchell Community College
Statesville, NC11-2001
Skills
- Document filing
- Document review
- Analytical reasoning
- Active listening
- Collaboration and teamwork
- Benefits administration
- Document management
- Effective multitasking
- Effective communication
- Time management
- Deadline adherence
- Database management
- Decision-making
- Analytical thinking
- Excellent communication
- Problem-solving
- Reliability
- Multitasking Abilities
Interests
Timeline
Revenue Cycle Advocate
Novant Health Inc.
04.2015 - 08.2023
Patient Access Representative III
Novant Health Inc.
09.2012 - 04.2015
Patient Services Representative
LNRMC-Lake Norman Family Medicine
10.2010 - 01.2011
Medicare Enrollment Specialist
ManPower-Blue Cross Blue Sheild of NC
08.2010 - 10.2010
Front Desk Medical Receptionist
Piedmont Healthcare Inc.
04.2008 - 04.2009
Associate of Applied Science - Medical Billing And Coding
Fortis College
No Degree - Medical Office Administration-Medical Terminology
Mitchell Community College