Sonya Wilson
Sacramento,CA
Summary
Dynamic Patient Service Representative with extensive experience at UC Davis Neurosurgery Clinic, adept at navigating complex insurance plans and ensuring HIPAA compliance. Proven ability to enhance patient satisfaction through exceptional communication and problem-solving skills, while efficiently managing medical coding and referrals to optimize workflow and reduce claim denials.
Overview
29
29
years of professional experience
Work History
Patient Service Representative 2
UC Davis Neurosurgery Clinic
Sacramento, CA
11.2019 - Current
- Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services, oversaw check-ins and resolved patient concerns in a high- volume practice.
- Provided exceptional patient experience through friendly and compassionate communications.
- Coordinated communications among patients, physicians, and hospital personnel to ensure seamless information flow.
- Registered patients at front desk, ensuring accurate data entry and appointment scheduling.
- Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
- Submitted diagnosis and procedure codes to insurance companies, facilitating timely reimbursement and reducing claim denials.
- Provided educational resources to staff, enhancing understanding of office procedures and improving workflow.
- Worked with insurance company representatives to verify benefits and obtain balances owed.
- Communicated with patients regarding payments on outstanding accounts.
- Updated and modified patient insurance policies, ensuring compliance with current regulations and guidelines.
- Organized and managed medical supply inventory to foster continuous availability of required items.
- Experience submitting ICD 9, ICD 10-CM, CPT AND HCPCS Codes.
Unit Coordinator
Shriners Hospitals For Children
Sacramento, CA
07.1997 - 02.2021
- Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
- Set up appointments for physician visits and procedures using calendar software.
- Registered patients and scheduled appointments.
- Entered patient information including insurance, demographic and health history into the system to keep all records up-to-date
- Processed patient payments and scanned identification and insurance cards.
- Assisted with referrals and prepared medical records for patients.
- Delivered high-quality administrative and customer service to sustain patient and work flows.
- Greeted callers with enthusiasm, answering all phone calls by second ring.
- Communicated with all partners throughout practice, including physicians, nursing staff, technicians and medical assistants.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Greeted callers with enthusiasm, answering all phone calls by second ring.
- Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
- Maintained consistent patient confidentiality in alignment with HIPAA protocols by using encryption software.
- Handled all office supply ordering including ink cartridges, toner and paper
Education
Some College (No Degree) -
Sacramento City College
Sacramento, CASkills
- Understanding HMO, PPO, EPO, Medi-Cal, MediCare Insurance Plans
- HIPAA compliance
- Insurance plan knowledge
- Healthcare coding competency
- Experience submitting referrals and authorization to insurance
- Medical coding knowledge
- Referral submission experience
- Prioritize workload
- Problem solve
- Inventory Management
- Fax, Scan, Email
- Excellent communication
- Fax, Scan, Email
Education and Training
other
Timeline
Patient Service Representative 2
UC Davis Neurosurgery Clinic
11.2019 - Current
Unit Coordinator
Shriners Hospitals For Children
07.1997 - 02.2021
Some College (No Degree) -
Sacramento City College