Detail oriented professional with extensive experience in patient registration and insurance verification. Demonstrated success in enhancing patient access through effective communication and conflict resolution. Proficient in data entry and referral management, ensuring timely delivery in fast paced healthcare settings
Registered and greeted patients upon arrival in EPIC medical record system
Obtained accurate demographic and insurance information while scheduling appointments
Verified patient eligibility for indicated insurance through data screening
Processed referrals to ensure timely patient access to services
Acquired pre certification necessary for appointment scheduling
Acted as primary contact for patient, physicians, and public inquiries
Answered inbound calls for Ohio Health Primary Care Group
Verified demographics and billing information for patient registration
Scheduled appointments for established and new patients, collecting co-pays and outstanding balances
Managed prescription refill and renewal requests via in basket messaging
Screened inbound calls to route to appropriate primary care office
Managed customer service activities related to self pay and insurance billing for an assigned state using EPIC medical system
Resolved patient billing issues including setup of payments plans for facility claims
Documented and reported customer service complaints and inquires promptly in a call center environment
Handling customer service calls from members, providers, and client representatives in a call center setting
Analyzing problems brought forth during phone inquiry and applying appropriate resolutions
Work with analysts and other departments to research problems
Quoting health and dental insurance benefits to members and providers
Rerouting and reviewing claims to the correct claims adjuster escalating provider and member concern requirements to the correct supervisor reviewed data to assess current issues
Greeting all incoming patients
Receptionist to answer inbound calls about primary care
Scheduling and checking patients into and out of their appointment
Message screening, and checking voicemails
Routing refill request and messages to the correct medical assistant, and nurse according to the physician
Opening and closing the office
Collected copays of medical services rendered at the time prior to scheduling
Created doctor notes
Also worked for this Company in 2/2018-September 2019
Processing patient orders and referrals for all new patients
Creating fee tickets for billing and proper delivery of durable medical equipment
Data entry for all patient information including diagnosis codes, insurance verification and explanation of benefits
Obtaining pre certification, retro certification and prior authorization to dispensing durable medical equipment
Quality control of medical equipment and operating on a multi telephone line working in electronic medical records
Verifying addresses and skip tracing to pick and deliver durable medical equipment and oxygen tanks
Creating delivery routes through Descartes route system
Checking patients into and out of their appointment
Operating a multi line telephone system
Scanning documents into electronic medical system
Obtaining correct documentation for record releasing
Surgery Scheduling
Verifying insurance information
Collecting monies for copays
Obtaining and creating referrals
Placing reminder calls
Scanning documents into patients chart