Shanequa McGowan
Dallas,TX
Summary
Compassionate Certified Patient Access Representative known for high productivity and efficiency in task completion. Skilled in patient registration, insurance verification, and data entry with expertise in handling confidential patient information. Excels using empathy, communication, and problem-solving skills to enhance patient satisfaction and streamline access to healthcare services.
Overview
11
11
years of professional experience
Work History
Certified Patient Access Representative
Hollis Cobb Associates
Duluth, Georgia
07.2022 - 11.2024
- Conducted follow-up calls to ensure that appointment dates were kept or rescheduled as needed.
- Maintained accurate patient information in the electronic health record system.
- Reviewed medical records for accuraocy and completeness in accordance with established policies and procedures.
- Performed accurate registration of patients, including verifying insurance coverage and demographic information.
- Verified patient eligibility for services provided by obtaining authorizations from insurance companies prior to scheduling appointments.
Administrator Support Assistant
Behavioral Health Group
Grand Bay, Alabama
07.2020 - 03.2021
- Responded to customer inquiries via phone and email in a timely manner.
- Compiled monthly expense reports for senior management review.
- Served as a point of contact between external vendors and internal staff members.
- Managed multiple calendars in order to schedule appointments accurately.
- Performed general office duties such as photocopying and scanning documents, ordering supplies.
Patient Access Representative
GetixHealth
Mobile, AL
05.2018 - 10.2019
- Verified insurance coverage for services provided by the facility.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Assisted with scheduling outpatient appointments.
- Created new patient accounts in EMR system as needed.
- Ensured accuracy of all data entered into computer system.
- Answered phones promptly in a professional manner.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Scanned documents into electronic medical records system.
Healthcare Customer Service Representative
Aetna
Arlington, TX
04.2014 - 06.2017
- Maintained client confidentiality according to HIPAA regulations at all times.
- Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.
- Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
- Responded promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
- Verified patient demographic information in order to ensure accuracy of data entry.
Education
High School Diploma -
Irving High School
Irving, TX06-2010
Skills
- Electronic health records
- Insurance verification
- Medical billing
- Patient registration
- Authorization management
- Customer relationship management
- Healthcare compliance
- Appointment scheduling
- Effective communication
- Problem solving
- Attention to detail
- HIPAA compliance
- Medical terminology proficiency
Timeline
Certified Patient Access Representative
Hollis Cobb Associates
07.2022 - 11.2024
Administrator Support Assistant
Behavioral Health Group
07.2020 - 03.2021
Patient Access Representative
GetixHealth
05.2018 - 10.2019
Healthcare Customer Service Representative
Aetna
04.2014 - 06.2017
High School Diploma -
Irving High School