SANJEEV GOBERDHAN
Healthcare Business Office
Cypress,TX
Summary
Organized Team Leader with exceptional ability to build positive rapport, inspire trust and guide teams toward achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor. Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic.
Overview
5
5
years of post-secondary education
13
13
years of professional experience
Work History
SR. PATIENT ACCESS REPRESENTATIVE, TEAM LEADER
THE UNIVERSITY OF TEXAS
06.2015 - Current
- HEALTH SCIENCE CENTER AT HOUSTON Assists in obtaining demographic, insurance and financial information from patient or guarantor ensures medical necessity compliance by obtaining necessary data, reviewing Compliance system, Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
- Assists in verifying insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
- Posts payments in the computer system and generates the appropriate patient receipts.
- Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physician office staff, insurance companies.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
INTAKE SPECIALIST
04.2014 - 09.2014
- Responsible for verifying patient's insurance benefits for infusion therapy Calculate medication benefits and amounts due for patient.
- Calculating dosage and pricing for the medication along with administration costs Submitting clinical information for authorizations.
PATIENT ACCESS REPRESENTATIVE III
MEMORIAL HERMANN HOSPITAL SYSTEM
10.2007 - 04.2014
- Responsible for registering patients who.
- Processing patient’s paperwork.
- Also screening patients for certain type of exams, very insurance benefits and calculation of amounts due Responsible for training new employees to understand our programs.
- Also serve as a got to person for all questions, and also serve as a lead.
- Schedule walk in patients who did not have an appointment.
Education
Bachelor of Science - BUSINESS ADMINISTRATION
01.2021 - Current
GPA: 4.0, have been on the deans list for this semester
- Dean's List
Associate of Science - Business Administration And Management
06.2001 - 07.2003
High School Diploma -
08.1998 - 05.2001
Skills
Cash Handling
Key performance indicators
Staff education and training
Technical Support
Complaint resolution
Client Service
Daily workflow improvement
Knowledgeable in EPIC,AthenaDX,Allscripts
Performance improvement
Safety processes and procedures
Insurance Verification
Eligibility Determination
EMR
Medical terminology
Fee Collection
Paging Systems
Information Collection
Insurance billing
Statistical Data Management
Account management
Employee Evaluation
Timeline
DeVry University - Bachelor of Science, BUSINESS ADMINISTRATION
01.2021 - Current
SR. PATIENT ACCESS REPRESENTATIVE, TEAM LEADER - THE UNIVERSITY OF TEXAS
06.2015 - Current
INTAKE SPECIALIST -
04.2014 - 09.2014
PATIENT ACCESS REPRESENTATIVE III - MEMORIAL HERMANN HOSPITAL SYSTEM
10.2007 - 04.2014
Houston Community College - Associate of Science, Business Administration And Management
06.2001 - 07.2003
Hastings High School - High School Diploma,
08.1998 - 05.2001