Summer Cummings
Vancouver,WA
Summary
I am a highly motivated and goal-oriented healthcare professional seeking a position within a respected healthcare organization. I desire to fully utilize my skills as a valued team leader, while making a significant contribution to my employer.
Overview
17
17
years of professional experience
Work History
Billing Specialist
PeaceHealth
11.2020 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
Admitting Supervisor - Patient Financial Services
PeaceHealth Southwest
04.2015 - 05.2018
- Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Coordinated between patients and healthcare professionals to meet patient needs.
- Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Demonstrated self-reliance by developing and implementing verification workflows.
- Improved operations by working with team members and other leaders to find workable solutions.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Managed a large and diverse team.
- Hiring, scheduling, problem resolution and provided work direction of Patient Access Caregivers.
- Hiring, scheduling, problem resolution and provided work direction of Patient Access Caregivers.
- Provided constructive feedback, coaching, rounding and corrective action.
Insurance Verification Supervisor
PeaceHealth Southwest
01.2008 - 04.2014
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Streamlined operations for increased efficiency through regular process reviews and implementing necessary changes.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Monitored workflow to improve employee time management and increase productivity.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives, and communication goals.
Patient Access Representative
Peacehealth Medical Group
11.2006 - 01.2008
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Education
GED -
Clark College
Vancouver, WA1998
Dental Assisting Certificate - Dental Assisting
Cascadia Technical Academy
Vancouver, WA1997
Skills
- Team building
- Team management
- Insurance billing
- Supervision
- Customer service
- Problem resolution
- Planning and coordination
- Motivate, Mentor, Upbuild
- Communication
- Organization
- Process improvement
- Critical Thinking
- Attention to Detail
- Analytical Thinking
- Teamwork Abilities
- Multitasking Capabilities
- Professionalism
- Interpersonal Skills
Timeline
Billing Specialist
PeaceHealth
11.2020 - Current
Admitting Supervisor - Patient Financial Services
PeaceHealth Southwest
04.2015 - 05.2018
Insurance Verification Supervisor
PeaceHealth Southwest
01.2008 - 04.2014
Patient Access Representative
Peacehealth Medical Group
11.2006 - 01.2008
GED -
Clark College
Dental Assisting Certificate - Dental Assisting
Cascadia Technical Academy
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