Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility. Excellent communications skills and empathetic nature enabled achievement of positive outcomes, while maintaining the highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
11
11
years of professional experience
Work History
Patient Financial Advisor
Rose City International Kaiser Sunnyside Hospital
09.2023 - Current
Collaborated with healthcare providers to secure necessary authorizations for medical treatments, minimizing delays in care delivery.
Managed a high volume of patient accounts while maintaining exceptional attention to detail and accuracy.
Educated patients on available financial assistance programs, helping them access resources for more affordable care.
Provided empathetic support to patients facing financial difficulties, offering guidance on options for cost reduction or coverage alternatives.
Maintained strict compliance with HIPAA regulations when handling sensitive patient information during all stages of the billing process.
Prepared comprehensive documentation supporting appeals against denied insurance claims, often resulting in successful overturning of decisions.
Updated accounts with the latest patient, payment, and insurance information.
Verified patient insurance eligibility and entered patient information into the system.
Provided excellent customer service to patients and medical staff.
Patient Access Representative
OHSU Rehabilitation And Wellness Center
07.2023 - 11.2024
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Collected and entered patient demographic and insurance data into computer database to establish patient medical records.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient privacy.
Stayed calm under pressure and successfully dealt with difficult situations.
Performed patient scheduling and registration functions to serve as an initial contact point for medical office visits.
Patient Access Representative/ER Unit Secretary
Adventist Medical Center
12.2019 - 09.2023
Responsible for timely and accurate patient registration and check-ins in a 33-bed emergency room department
Answered phone calls and messages for 10 Emergency room physicians and multiple hospitalists in the facility and outside facilities while handling patient inquiries.
Verify all insurance and calculate and collect patient co-pay amounts
Ensure that all necessary signatures are obtained for treatment
Worked with OHSU Transfer Center and House supervisor on patient direct admits, outside transfers from other facilities
Check for physician orders and attach them to appropriate patient records to ensure the correct tests were ordered and received
Followed HIPPA, Medicare, and EMTALA guidelines and policies
Work directly with emergency room doctors and nurses to help with patient care
Assists in scheduling patient procedures and assembling patient charts
Department Manager
RA Roth Construction
04.2016 - 08.2019
And director of resources for construction companies throughout Oregon and Washington
Managing multiple contractors' worksites and trucking contractors
Daily organized, scheduled, and dispatched 40-plus construction trucks
Manage schedules of all employees
Medical Intake
MODA Health Insurance
03.2014 - 04.2016
Authorize Medical Procedures for Healthcare Providers and Medical Facilities
Receive 40–70 inbound telephone calls daily
Fast-paced ever-changing environment
Knowledgeable in ICD-9, ICD-10 and CPT Codes
Verify medical and dental benefits and eligibility
Facilitated smooth transitions for patients from hospital to home care by collaborating with case managers, doctors, nurses, and family members.
Developed strong relationships with insurance providers to facilitate prompt claim processing and resolution of billing issues for patients.
Maintained strict confidentiality of sensitive patient information while handling medical records and personal documents in accordance with HIPAA guidelines.
Education
Associate of Applied Science - Respiratory Therapy
Concorde Career College
Portland, OR
04.2023
Skills
Type 40 wpm
Excellent Customer Service and Communications skills
Strong Computer skills;
Microsoft, Outlook, Excel, FirstNet, RCI, Word, Power Point, EPIC
Ability to work independently with little or no supervision
Outstanding organization skills, strong phone, listening, and multitasking skills
Assume ownership and responsibility
Ability to deal with confidential information, difficult issues and situations
Confident in retaining information quickly and eager to learn new products/skills
Patient Identification
Pre-Admission Requests
Patient Education
Insurance Information Collection
Timeline
Patient Financial Advisor
Rose City International Kaiser Sunnyside Hospital
09.2023 - Current
Patient Access Representative
OHSU Rehabilitation And Wellness Center
07.2023 - 11.2024
Patient Access Representative/ER Unit Secretary
Adventist Medical Center
12.2019 - 09.2023
Department Manager
RA Roth Construction
04.2016 - 08.2019
Medical Intake
MODA Health Insurance
03.2014 - 04.2016
Associate of Applied Science - Respiratory Therapy
Concorde Career College
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