With a proven track record at R1 RCM (Fauquier Hospital), I excel in patient registration and conflict resolution, enhancing customer satisfaction and operational efficiency. My expertise in HIPAA compliance and problem-solving has significantly improved patient privacy protection and streamlined office procedures, contributing to a positive and secure patient experience.
Overview
23
23
years of professional experience
Work History
Patient Access Representative
R1 RCM (Fauquier Hosiptal)
08.2023 - 12.2024
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Stayed calm under pressure to and successfully dealt with difficult situations.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Providing excellent customer service by promptly answering patient inquiries.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Trained new staff on hospital processes and procedures.
Resolved patient billing issues in line with established guidelines.
Educated patients on importance of preventive health care and insurance coverage.
Addressed bad debts in line with set protocols.
Coordinated patient's care by facilitating caregiver access to medical home providers and resources to meet patient needs.
Contacted patients on annual renewal dates to offer assistance.
Verified patient insurance eligibility and entered patient information into system.
Greeted and assisted patients with check-in procedures.
Provided excellent customer service to patients and medical staff.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Answered incoming calls, scheduled appointments and filed medical records.
Followed document protocols to safeguard confidentiality of patient records.
Facilitated communication between patients and various departments and staff.
Compiled and maintained patient medical records to keep information complete and up-to-date.
Responded to inquiries by directing calls to appropriate personnel.
Engaged with patients to provide critical information.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Delivered support to medical staff in completion of patient paperwork.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Trained new staff on filing, phone etiquette and other office duties.
Organized patient records and database to facilitate information storage and retrieval.
Helped address client complaints through timely corrective actions and appropriate referrals.
Resolved customer complaints using established follow-up procedures.
Worked with patients to ascertain issues and make referrals to appropriate specialists.
Recommended service improvements to minimize recurring patient issues and complaints.
Taught patients and families to use at-home medical equipment.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Office Manager
Taft Roofing
05.2009 - 06.2023
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Managed office operations while scheduling appointments.
Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
Coordinated special projects and managed schedules.
Compared vendor prices and negotiated for optimal savings.
Utilized client and staff feedback to maintain customer partnerships and increase revenue.
Sourced vendors for special project needs and negotiated contracts.
Maintained computer and physical filing systems.
Created, maintained and updated filing systems for paper and electronic documents.
Developed and maintained successful relationships with vendors, suppliers and contractors.
Managed office operations while scheduling appointments for department managers.
Updated reports, managed accounts, and generated reports for company database.
Improved safety procedures to promote employee well-being and safety and protect company from potential liability.
Successfully managed budgets and allocated resources to maximize productivity and profitability.
Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Developed detailed plans based on broad guidance and direction.
Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
Customer Service Representative
Walmart
04.2002 - 04.2009
Offered advice and assistance to customers, paying attention to special needs or wants.
Responded to customer requests for products, services and company information.
Recommended products to customers, thoroughly explaining details.
Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
Trained team members on cash register operation and cash handling.
Quickly and accurately counted drawers at start and end of each shift.
Communicated with customers and team members to solve problems.
Operated POS cash register and equipment to collect payments.
Led opening and closing procedures and conducted cashier drops, cash control, and vault monitoring.
Controlled merchandise zoning and monitored compliance with merchandising guidelines.
Worked extra shifts during busy periods and covered for call-in employees to maintain service levels.
Received and processed customer payments.
Restocked and organized merchandise in front lanes.
Processed checks, cash and credit purchases or refunds.
Increased customer loyalty and retention.
Checked identification for proof-of-age for alcohol and tobacco sales.
Educated employees on register use, merchandising and customer service.
Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
Education
High School Diploma -
Spotsylvania High School
Spotsylvania, VA
05.2001
Skills
Office Management
Budgetary Planning
Report Preparation and Analysis
Team Management
Policy and Procedure Modification
Staff Training
Sorting and Delivering Mail
Year-End Reconciliation
P&L Responsibility
Vendor Liaising
Maintenance Coordination
Monthly Closings
Intuit QuickBooks
Sales Tax Filings
Licensing Requirements
Preparing Proposals
Executive Travel
Fleet Dispatching
Inquiry Requests
Accounts Payable and Receivable Auditing
Deposit Collection
Account and Ledger Reconciliations
Job Bidding
Profit and Loss Statements
Financial Management and Reporting
Office Supplies and Inventory
Cash Flow and Reconciliation
Confidence and Drive
Invoice and Payment Tracking
Remote Work Coordination
Contracts and Vendor Agreements
Managing Appointments
Customer service
Insurance verification
HIPAA compliance
Patient registration
Patient check-in
Multitasking and organization
Appointment scheduling
Registration and admissions
Phone and email etiquette
Medical terminology
Strong empathy
Problem-solving
Relationship building
Insurance billing
Conflict resolution
Payment processing
Registration management
Pre-admission requests
Fee collection
Accomplishments
Timeline
Patient Access Representative
R1 RCM (Fauquier Hosiptal)
08.2023 - 12.2024
Office Manager
Taft Roofing
05.2009 - 06.2023
Customer Service Representative
Walmart
04.2002 - 04.2009
High School Diploma -
Spotsylvania High School
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