SHONTELL SIMPSON
La Porte
Summary
Compassionate and highly skilled advanced patient access representative with over 10 years experience in the health care environment. I am seeking a position with opportunities for growth and professional development.
Overview
14
14
years of professional experience
Work History
Sr. Patient Services Rep
Houston Methodist Hospital – Surgery
Houston
10.2024 - Current
- Supporting five providers to deliver high-quality service. Obtain insurance authorizations for surgeries and diagnostic imaging ordered by attending physicians.
- Accurately enter procedure codes, diagnosis codes, and patient information into billing software.
- Facilitate communication between business department, billers, and third-party payers to coordinate single case agreements and address patient financial concerns.
- Efficiently performed insurance verification, pre-certification, and pre-authorization. Stay current with all insurance requirements, including the details of patient financial responsibilities, fee-for-service, and managed care plans.
Patient Access Representative
Memorial Hermann Health System
Houston
10.2023 - 10.2024
- Applied HIPAA privacy and security regulations while handling patient information.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Communicated financial obligations to patients and collected fees at time of service.
- Leads team, responsible for obtaining IMs for Medicare compliance.
- Provides relief for staff.
Patient Navigator
Healogics
Webster
09.2018 - 10.2023
- Welcomed guests at front desk and facilitated enjoyable conversations while overseeing check-in process.
- Managed multi-line phone system to address inquiries and redirect calls to appropriate departments and personnel.
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Accrued room deposits, fees, and payments.
ISI Aide
Calcasieu Parish School System
Lake Charles
08.2016 - 05.2018
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Offered caring companionship and emotional support.
- Observed and monitored children's activities.
- Supported children's development by encouraging teamwork and understanding of others.
Patient Access Representative
St. Patrick Hospital
Lake Charles
01.2012 - 06.2015
- Protected patient information and confidential medical records by complying with HIPAA privacy rule standards, enhancing confidentiality measures.
- Compiled and input patient demographic and insurance data into computer database to establish patient medical record.
- Coordinated patient scheduling and registration duties to function as first point of contact for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Collected patient deductibles and co-pay amounts while discussing options to fulfill remaining financial obligations
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Scheduled patients for surgery, admissions, and follow up visits.
Education
Certificate - Pharmacy
Sowela Technical Community College
Lake Charles, LA06-2011
High School Diploma -
Westlake High School
Westlake, LA05-2000
Skills
- Documentation and reporting
- Reliable and punctual
- Payment processing
- HIPAA compliance
- Research and data analysis
- Professional demeanor
- Time management and prioritization
- Customer service orientation
- Positive attitude
- Administrative support
- Verbal and written communication
- Scheduling and records management
- Data entry and database management
- Team leadership
- Attention to detail
- Multi-line phone operations
Timeline
Sr. Patient Services Rep
Houston Methodist Hospital – Surgery
10.2024 - Current
Patient Access Representative
Memorial Hermann Health System
10.2023 - 10.2024
Patient Navigator
Healogics
09.2018 - 10.2023
ISI Aide
Calcasieu Parish School System
08.2016 - 05.2018
Patient Access Representative
St. Patrick Hospital
01.2012 - 06.2015
Certificate - Pharmacy
Sowela Technical Community College
High School Diploma -
Westlake High School
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