Summary
Overview
Work History
Education
Skills
Roles And Responsibilities
Timeline
Generic

Stephanie Morgan-Simms

Conyers,GA

Summary

Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility and achieved 98% repayment rate. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.

Overview

21
21
years of professional experience

Work History

Patient Access Representative

Northside Hospital Atlanta
04.2021 - 08.2023
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Adapted quickly to changing demands within healthcare environment, demonstrating flexibility and strong commitment to quality patient care.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.

Customer Service Patient Liability Rep I

Piedmont Hospital
02.2020 - 04.2021
  • Increased customer satisfaction by addressing and resolving complaints in a timely anner.
  • Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
  • Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
  • Learned and followed all organizational policies and procedures to maintain safe and professional working environments.
  • Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.

Patient Access Pre-Registration Rep

Hollis Cobb/Hollis Cobb
09.2019 - 03.2021
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Increased customer satisfaction by addressing and resolving complaints in a timely manner.
  • Enhanced company reputation by providing exceptional customer service and support.

Lead Patient Access Representative

St Josephs Regional Medical Center
04.2013 - 08.2019
  • Maintained strict adherence to HIPAA regulations, protecting sensitive patient information from unauthorized access or disclosure.
  • Assisted in developing departmental policies and procedures that promoted efficiency, accuracy, and exceptional customer service.
  • Improved revenue cycle management by verifying insurance eligibility and obtaining necessary authorizations.
  • Mentored junior Patient Access Representatives, providing guidance and support for their professional development.
  • Reduced wait times for patients through efficient scheduling and coordination with clinical staff.
  • Developed comprehensive training materials for new hires, leading to faster onboarding and increased employee confidence in their roles.
  • Provided compassionate assistance to patients experiencing financial hardship by identifying available resources or alternative payment options when appropriate.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.

Registrar/Scheduler

The Valley Hospital
11.2002 - 04.2009
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Greeted every guest with personable approach and provided knowledgeable service.
  • Updated computer system with latest information to keep
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • 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.

Education

Associate of Arts - Health Information Technology

Atlanta Technical College
Atlanta
05.2026

Skills

  • Proficiency in Microsoft Office
  • Proficient in Medical Technology
  • Search America
  • Wells Fargo Patient Portal System
  • Change/E-Cashier
  • Epic
  • Patientco
  • STAR
  • Records Management
  • Soarian Financial
  • First Net
  • Navinet
  • Insurance Verification
  • HIPAA Compliance
  • Multitasking and Organization
  • Appointment Scheduling
  • Registration and Admissions
  • Medical Terminology
  • Healthcare systems navigation
  • Strong empathy
  • Problem-Solving
  • Team Collaboration
  • Quality Assurance
  • Flexible Schedule
  • Insurance Billing
  • Eligibility Determination
  • Payment Processing
  • Patient Education
  • Registration management
  • Team Leadership
  • Pre-Admission Requests
  • Scheduling Diagnostic Procedures
  • Training Coordination
  • Financial Procedures Adherence
  • Regulatory Compliance
  • Attention to Detail
  • Insurance Authorizations
  • Clerical and Filing Support
  • Documenting and Recording Information
  • Claims Handling and Coverage Verification
  • OneSource
  • CRCR Certification
  • Customer Service

Roles And Responsibilities

  • Interview & Input necessary patient information in system for admissions
  • Identify patients with inadequate insurance coverage and refer them to financial counseling.
  • Verify patient information for accuracy
  • Process billing & collection of deductibles, copay & or coinsurance
  • Train new employees
  • Collect Co-Insurance, Co-Pays, and Deductibles
  • Make outbound calls to guarantors to follow up on outstanding balances reducing bad debt.
  • Access revenue cycle system per patient request and update information in EPIC
  • Provide remote financial counseling when patient/guarantor requires it.
  • Set-up & monitor payment plans for guarantors as appropriate.
  • Verify if self-pay patients have any insurance not documented in client system.
  • Determine patient liability estimate and communicate to patients.
  • Soft collections of the patient liability account.
  • Collect all necessary demographic, insurance, and clinical data required to pre-register and register patients.
  • Work with other departments by registering Direct Admits for clinical, observations and inpatient services.
  • Complete all authorization procurement work functions as indicated
  • Validate verification and documentation of insurance eligibility and coverage for anticipated procedures.
  • Validate insurance authorizations was obtained from referring physicians and payors when necessary/appropriate.
  • Customer service, inbound call center, extensive customer phone correspondence.
  • Recognized as one of the top registrars and copay/coinsurance collectors.
  • Compile and record medical charts, reports, or correspondence.
  • Transmit correspondence or medical records by mail, e-mail, or fax.
  • Maintain medical records, technical library, or correspondence files.
  • Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies.
  • Administer Patient Procedure preparation instructions for outpatient procedures - Diagnostic testing such as CT Scans, MRIs, Ultrasounds and Nuclear medicine procedures.

Timeline

Patient Access Representative

Northside Hospital Atlanta
04.2021 - 08.2023

Customer Service Patient Liability Rep I

Piedmont Hospital
02.2020 - 04.2021

Patient Access Pre-Registration Rep

Hollis Cobb/Hollis Cobb
09.2019 - 03.2021

Lead Patient Access Representative

St Josephs Regional Medical Center
04.2013 - 08.2019

Registrar/Scheduler

The Valley Hospital
11.2002 - 04.2009

Associate of Arts - Health Information Technology

Atlanta Technical College
Stephanie Morgan-Simms