Sherron Scott
Houston,TX
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
16
16
years of professional experience
1
1
Certificate
Work History
Patient Financial Counselor
University Of Texas Health Science Center
03.2023 - Current
- Collaborate with admissions department to determine if patients’ insurance is contracted with hospital
- Assign indigent patients trackers in system to assist in funneling to correct social programs upon discharge
- Assign patients to correct government contracts to collect proper payment
- Prepare daily reports for executive management for daily meetings
- Collect payment from patients on payment plans
- Verify benefits and eligibility of insurance plans
- Verify patient insurance eligibility and entered patient information into system.
- Compile and maintain patient medical records to keep information complete and up-to-date.
- Implemented new strategies to increase percentage of patients with insurance in collaboration with revenue cycle and admissions
Surgical Coordinator
University Of Texas Health Science Center
01.2022 - 02.2023
- Assist 20-35 patients with scheduling surgery monthly
- Verify benefits and eligibility and initiate authorization if warranted
- Schedule peer to peer between surgical team and insurance if denial received
- Prepare cost estimate for front desk
- Communicate all pre-op and post op instructions to patient
- Schedule post op visit
- Schedule initial physical therapy evaluation
Patient Access Representative, Associate
University Of Texas MD Anderson Cancer Center
08.2016 - 12.2021
- Float Pool Associate 2016-2017-Assist different departments with registration of new patients in their respective clinics, both face to face, and over the phone
- Verify faxed documentation was received and catalogued correct folder and patient account
- Assist patients who call in to schedule and reschedule future appointments
- Financial Clearance Associate- Verify benefits and eligibility for specialty non cancer treatment services
- If necessary obtain authorization from insurance company by submitting letters of medical necessity and/or clinical notes and/or imaging
- If non-approved, obtain cost estimates or medical director approved overrides for continuation or start of treatment
- Train new staff on department processes and procedures.
- If non-approved, assist with directing patients to possible financial assistance
- Document all needed information in EPIC in manner consistent with team/department/MD Anderson standards
- Communicate any pertinent details with patient, providers internal and external, insurance, DME, etc.
- Answer incoming calls, scheduled appointments and file medical records.
Patient Services Coordinator
Houston Methodist Hospital-Sugarland
09.2015 - 02.2018
- Schedule procedures, imaging, and outpatient doctor visits according to departmental and Houston Methodist protocol
- Prepare check-in packets for in clinic visits to include medication lists and new or existing patient packets
- Scan insurance cards and ID's in EPIC Electronic Health Record
- Input accurate patient insurance, billing and payment information in EPIC.
- Calculate and explain amount due based on patient insurance benefits
- Verify demographic information and insurance information is current
- Light cleaning of lobby and front desk area
- Cross-trained on PBX operator and Bed Board to maintain constant coverage and assist with lunch breaks
- Answer all incoming calls and route to appropriate departments or individuals
- Call Codes as required and log all necessary documentation on correct forms
- Complete Midnight Telemetry Census in a timely manner
- Create accounts for incoming patients that are transferring, or being directly admitted from another facility
- Complete Midnight Missing Consents Census in a timely manner, Insurance Verification: Verify demographics and insurance information via phone, fax, and internet
- Promoted to senior level with ability to manage ER on weekends, including diagnostic imaging area and PBX operators.
Patient Access Representative
Memorial Hermann Hospital
01.2014 - 09.2015
- Receive payment via cash, check, or credit card, and post to patients’ account
- Verify insurance eligibility via internet or phone to determine patient financial responsibility
- Secure all patient information in accordance with HIPPA regulations and policies, as well as Methodist’s compliance guidelines
- Utilize multiple internal systems to record and update patient accounts in a timely manner
- Collect copay/deductible before scheduled procedure, possibly setting up payment arrangements if needed
- Schedule/Reschedule appointments, making sure to document all directions such as whether NPO has been communicated to patient
- Advise and follow-up with whether Prior Authorization is required and/or obtained
Patient Access Representative
Park Plaza Hospital
02.2013 - 07.2014
- Ask questions in accordance with Park Plaza to obtain demographic information, such as person’s name, age, religious preference
- Maintain clean front desk and patient waiting area
- Receive payment via cash, check, or credit card, and post to patients’ account
- Verify insurance eligibility via internet or phone to determine patient financial responsibility
- Secure all patient information in accordance with HIPPA regulations and policies, as well as company’s compliance guidelines
- Utilize multiple internal systems to record and update patient accounts in timely manner
- Calculate and explain amount due based on patient insurance benefits
- Responded to inquiries by directing calls to appropriate personnel
Customer Care Specialist
United HealthCare
01.2008 - 12.2012
- Patient PCP verification for providers
- Update PCP for patients/providers
- Schedule transportation to qualifying medical and dental appointments
- Verify claims status, with resubmission if error on insurance end
- Submit grievances and appeals in accordance to CMS and UHC guidelines
- Assist member questions during Medicare open enrollment season
- Collaborate senior management with beta testing new internal systems to record documentation
- Promoted to "floor walker" which is senior level role that trains upwards of 30 new hires through quality assurance style call listening and double earphones
Education
High School Diploma -
Clifton J Ozen Magnet High School
Beaumont, TXSkills
- Revenue Cycle Management
- Accounts Payable and Accounts Receivable
- Confidential Records Management
- Reviewing Patient Information
- Payment Arrangements
- Financial Counseling
- Operational Requirements
- Billing and Collections
- Document Uploading
- Office Support
- Project Management
- Electronic Health Records Systems
Accomplishments
- Supervised team of 10-15 staff members across various departments within the ER
- Achieved the first back to back Tier 1 award at United Healthcare through effectively helping with revamping customer survey to allow for more clear and concise questions, causing more honest feedback.
Affiliations
Healthcare Financial Management Association
American Health Information Management Association
Certification
In process of obtaining the Certified Revenue Cycle Representative
Languages
Spanish
Limited Working
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Growth demands a temporary surrender of security.
Gail Sheehy
Timeline
Patient Financial Counselor
University Of Texas Health Science Center
03.2023 - Current
Surgical Coordinator
University Of Texas Health Science Center
01.2022 - 02.2023
Patient Access Representative, Associate
University Of Texas MD Anderson Cancer Center
08.2016 - 12.2021
Patient Services Coordinator
Houston Methodist Hospital-Sugarland
09.2015 - 02.2018
Patient Access Representative
Memorial Hermann Hospital
01.2014 - 09.2015
Patient Access Representative
Park Plaza Hospital
02.2013 - 07.2014
Customer Care Specialist
United HealthCare
01.2008 - 12.2012
High School Diploma -
Clifton J Ozen Magnet High School