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
Atlanta, GA
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
Atlanta, GA
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
Atlanta, GA
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
Paterson, NJ
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
Ridgewood, NJ
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
Atlanta05.2026
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