Results-driven Patient Service Representative with extensive experience in managing prior authorizations and implementing registration protocols. Known for exceptional multitasking abilities and a strong focus on service excellence, enhancing operational efficiency and patient satisfaction.
Overview
9
9
years of professional experience
Work History
Patient Service Representative/Authorization Specialist
Detroit Receiving Hospital/ Conifer Health
Detroit, MI
03.2023 - Current
Implemented effective check-in and registration procedures, improving the overall patient experience and flow.
Managed the processing of prior authorizations through EMR systems and online payor portals to enhance operational efficiency.
Coordinated outreach efforts to patients and providers using phone and electronic systems, enhancing overall communication efficiency.
Implemented protocols to safeguard sensitive patient information in accordance with HIPAA standards.
Using insurance portals, phone, or fax to submit clinical information and obtain authorization for services, ensuring compliance with insurer requirements.
Facilitated effective communication by managing 30–50+ daily customer calls, ensuring prompt resolution of requests and appropriate departmental transfers.
Patient Service Representative/Data Analyst
Ascension St. John Hospital
Detroit, MI
06.2017 - 12.2019
Developed and executed strategies for patient scheduling and appointment management to improve service delivery.
Facilitated thorough insurance verification and resolved benefits inquiries, guaranteeing patients received precise and timely information.
Oversaw the integrity and accuracy of confidential patient data in electronic health records, adhering to HIPAA standards.
Coordinated and managed over 50 calls to streamline communication between providers and insurance carriers, enhancing patient experience with regular updates.
Education
High School Diploma -
Pershing High School
Detroit, MI
06-2011
Skills
Service excellence
HIPAA regulations adherence
Claims verification expertise
Skilled in Cerner electronic medical records
Proficient multitasking abilities
Proficient in navigating insurance portals
Timeline
Patient Service Representative/Authorization Specialist