Resourceful patient access specialist with 12 years of experience in medical administration, billing, and coding. Proficient in Epic, ICD-10, and CPT coding, with a strong background in medical records, patient scheduling, and insurance verification. Proven ability to maintain patient confidentiality and ensure accurate data entry. Skilled in process improvement and project management, with experience in managing multiple projects and teams.
Overview
15
15
years of professional experience
Work History
Patient Access Specialist
Children's Healthcare of Atlanta-Brookhaven, GA
02.2018 - Current
Observe patients upon check-in, alert clinical staff for immediate intervention when necessary
Advocate for patient needs, driving positive healthcare experiences
Ensure seamless patient registration, prioritizing data accuracy and confidentiality
Serve as key liaison, facilitating smooth communication between patients, families, and medical staff
Proactively inform about procedures and manage expectations
Maintain patient records with confidentiality, ensuring seamless communication with providers
Verify insurance coverage, obtain authorizations, and explain financial requirements
Collect and post deposits, ensuring accurate billing processes
Ensure seamless patient registration, prioritizing data accuracy and confidentiality
Facilitate effective communication between patients and medical staff.
Business and Financial Analyst
IBM-Remote
03.2022 - 12.2022
Conducted comprehensive financial analysis, troubleshooting rejected claims, optimizing claim processes and enhancing billing accuracy for improved revenue cycle management
Access government insurance benefits including Medicaid and Medicare online to verify patient benefit information
Meticulously verified CPT codes and secured prior authorizations, ensuring compliance with financial standards and minimizing claim rejections
Facilitated seamless communication between providers, patients, and insurance entities, streamlining benefit verification and claims resolution processes
Maintain confidentiality of patient's personal and medical information according to HIPPA regulations
Facilitated seamless communication between providers, patients, and insurance entities, streamlining benefit verification and claims resolution processes.
Registration Associate
Piedmont Atlanta Hospital/ER-Atlanta, GA
07.2021 - 03.2022
Utilized medical terminology to document patient information accurately
Streamlined ER registration process, ensuring accurate data entry in EPIC system while adhering to strict compliance guidelines and maintaining confidentiality
Optimized appointment scheduling and calendar management, leading to improved patient flow and operational efficiency in the ER environment
Facilitated seamless insurance verification for Medicaid, Medicare, and commercial plans, enhancing patient experience and reducing billing issues
Partnered with medical staff to ensure smooth communication of patient information, leveraging proficiency in medical terminology for accurate documentation
Implemented creative solutions to address patient inquiries and resolve complaints, significantly boosting overall customer satisfaction in high-pressure ER setting.
Self Employed Contractor
LSA Construction-Atlanta, GA
03.2015 - 01.2018
Managed payroll and administrative reports
Optimized resources, achieving measurable cost savings and improved efficiency
Built and maintained strong relationships with clients, subcontractors, and suppliers
Facilitated clear communication to ensure project alignment and compliance
Resolved site challenges quickly, minimizing delays and enhancing resource use.
Project Manager/Technician
Paragon International-Atlanta, GA
07.2009 - 02.2015
Spearheaded environmental data center projects, managing 20 technicians to ensure timely completion and compliance with industry standards
Fostered effective communication between service technicians and clients
Coordinated complex cleaning operations in high-stakes environments, ensuring client satisfaction and team efficiency
Streamlined project management processes, consistently meeting deadlines under pressure
Improved efficiency in technician scheduling and job coordination for diverse clientele
Conducted environmental assessments using advanced testing protocols for volatile compounds, microbial particles, and air quality in critical facilities like cleanrooms and live data centers
Maintained meticulous records of technician hours, financial data, and environmental reports
Ensured compliance with industry standards in specialized cleaning environments.
Education
Diploma - Medical Administration
Everest Institute
Norcross, GA
07.2015
College - Medical Billing & Coding
US CAREER INSTITUTE
07.2007
Skills
Insurance verification
Process improvement
Medical Records
Epic (6 years)
HIPAA
Medical terminology
Analysis skills
Medical Billing & Coding
Project Management
Hospital Experience
Medical Scheduling
HIPAA Compliance
Referals and Prior Authorizations
Languages
German
Timeline
Business and Financial Analyst
IBM-Remote
03.2022 - 12.2022
Registration Associate
Piedmont Atlanta Hospital/ER-Atlanta, GA
07.2021 - 03.2022
Patient Access Specialist
Children's Healthcare of Atlanta-Brookhaven, GA
02.2018 - Current
Self Employed Contractor
LSA Construction-Atlanta, GA
03.2015 - 01.2018
Project Manager/Technician
Paragon International-Atlanta, GA
07.2009 - 02.2015
College - Medical Billing & Coding
US CAREER INSTITUTE
Diploma - Medical Administration
Everest Institute
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