Tammara Williams
Jacksonville,FL
Summary
Dedicated Patient Access Representative with extensive experience in customer service, medical billing, and insurance verification across various healthcare settings. Skilled in maintaining confidentiality, handling patient registration, and verifying insurance details with a strong background in using medical software systems like Cerner and Epic.
Overview
23
23
years of professional experience
Work History
Patient Access Representative
Walmart Health
Jacksonville, FL
09.2023 - Current
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Assisted with scheduling outpatient appointments.
- Responded to patient inquiries regarding billing or financial matters.
- Ensured accuracy of all data entered into computer system.
- Scanned documents into electronic medical records system.
- Created new patient accounts in EMR system as needed.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Assisted with preparing daily cash reports for accounting department.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Answered phones promptly in a professional manner.
- Facilitated communication between patients, staff members, and third party payers.
- Actively participated in team meetings and training sessions.
- Applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in computer system.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Communicated financial obligations to patients and collected fees at time of service.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Patient Access Representative
Pediatrix Urgent Care of Florida
Jacksonville, FL
08.2021 - Current
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Assisted with scheduling outpatient appointments.
- Responded to patient inquiries regarding billing or financial matters.
- Ensured accuracy of all data entered into computer system.
- Scanned documents into electronic medical records system.
- Created new patient accounts in EMR system as needed.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Assisted with preparing daily cash reports for accounting department.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Resolved discrepancies between hospital systems and third party payers.
- Answered phones promptly in a professional manner.
- Facilitated communication between patients, staff members, and third party payers.
- Followed up on unpaid claims in a timely manner.
- Reviewed account receivables for accuracy prior to sending out statements.
- Managed incoming faxes related to patient registration processes.
- Actively participated in team meetings and training sessions.
- Collaborated with other departments to ensure quality customer service was delivered.
- Applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in computer system.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Communicated financial obligations to patients and collected fees at time of service.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Explained policies, procedures and services to patients.
- Collaborated with clinical and administrative staff to meet patient needs.
Scheduler and Credentialing Coordinator
One Call Workman’s Comp & Healthcare Solutions
Jacksonville, FL
11.2020 - 08.2021
- Worked closely with project managers to prioritize tasks according to importance and urgency levels.
- Scheduled and confirmed appointments.
- Updated reports and daily logs for management use and permanent files.
- Maintained positive working relationship with fellow staff and management.
- Handled incoming calls and directed callers to appropriate department or employee.
- Assisted organizational efforts by filing, entering data and answering phones.
- Processed Workman compensation claims.
- Developed and maintained scheduling procedures to ensure timely completion of projects.
- Created, updated, and monitored project schedules for multiple departments.
- Analyzed resource requirements for each project and identified potential conflicts or delays.
- Answered phones and routed voicemails to respective employees.
- Assisted in preparing reports related to provider data and credentialing activities.
- Tracked changes in policy or procedure that may affect credentials of providers.
- Managed confidential files related to each provider's credentials.
- Checked applications for missing information and organized all paperwork.
- Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.
- Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.
- Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
Patient Registration
R1 RCM Healthcare St. Vincent Medical Center ER
Jacksonville, FL
02.2018 - 03.2020
- Greeted patients and visitors, verified patient information, and collected copays.
- Informed patients of their rights and responsibilities regarding healthcare services.
- Entered data into electronic medical records system to ensure accuracy of patient information.
- Answered incoming calls from patients seeking assistance with registration or billing inquiries.
- Provided customer service to all individuals entering the hospital by providing directions, answering questions, and assisting them in any way possible.
- Processed insurance verification forms for new and existing patients to determine eligibility for services.
- Assisted in processing paperwork related to emergency room admissions including consent forms, release of information forms.
- Verified insurance benefits prior to patient admission to ensure coverage for services rendered.
- Maintained confidentiality of all protected health information according to HIPAA regulations.
- Reviewed documentation from referring physicians and other outside sources as needed for proper coding purposes.
- Facilitated communication between the Emergency Room staff and the Registration Department when necessary.
- Collected payments from patients at time of service or arranged payment plans when appropriate.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Greeted patients, determined purpose of visit and directed to appropriate staff.
- Assisted in preparing patients for procedures and examinations.
- Performed clerical duties such as filing, photocopying, faxing, mailing documents.
- Managed front office activities including cash collection, payments of bills.
- Ensured all paperwork was completed accurately prior to discharge or transfer of a patient from labor and delivery unit.
- Processed insurance forms for billing purposes accurately and in a timely manner.
Patient Registration
Baptist Medical Center Jacksonville
Jacksonville, FL
03.2019 - 11.2019
- Assisted with the arrival of patients in Labor & Delivery Triage/OB
- Provided patient registration services including data entry of demographic information into the electronic health record system.
- Performed data entry functions including entering new patient registrations into database system.
- Assisted with patient registration, scheduling appointments, and filing paperwork.
- Oversaw all activities related to patient registration, pre-certification, authorization, charge capture, coding compliance auditing, claim submission, follow-up, denial management, accounts receivable collection follow-up, customer service inquiries, issues resolution, cash posting, reconciliation activities.
- Greeted patients and visitors in a friendly manner, providing assistance with patient registration and inquiries.
- Communicated with various departments to ensure timely processing of patient registrations.
- Assisted in patient registration, obtaining medical histories, and entering information into the electronic health record.
- Developed, implemented, and maintained processes related to patient registration, insurance verification, pre-registration activities.
- Maintained accurate patient registration records and managed incoming calls for the scheduling of appointments.
Patient Access Representative
Emergency Room Eskenazi Health
Indianapolis, IN
11.2016 - 02.2018
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Collected co-pays and other payments from patients at time of service.
- Ensured accuracy of all data entered into computer system.
- Scanned documents into electronic medical records system.
- Created new patient accounts in EMR system as needed.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Provided assistance to internal departments when needed.
- Verified demographics and insurance information to register patients in computer system.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Performed bed assignments for admitted patients in accordance with departmental policy and procedures.
- Completed registrations for laboratory work, surgical procedures and radiology.
- Applied knowledge of medical terminology and insurance processes to support office administration productivity.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Explained policies, procedures and services to patients.
- Coordinated with nurses, physicians and other healthcare staff to ensure smooth operations in the labor and delivery unit.
- Assisted in preparing patients for procedures and examinations.
- Performed clerical duties such as filing, photocopying, faxing, mailing documents.
- Responded promptly to inquiries from patients, family members or other departments within the hospital.
- Updated patient charts regularly with vital signs, lab results.
- Processed insurance forms for billing purposes accurately and in a timely manner.
Registrar Billing Clerk
IU Primary Medical Group
Indianapolis, IN
08.2001 - 05.2013
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Answered customer inquiries regarding billings, payments, account status.
- Maintained accurate records of collections, adjustments and denials in the system.
- Reconciled daily cash receipts with total deposits on bank statement.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Generated periodic reports summarizing account balances and collection activities.
- Worked closely with patients to discuss payment arrangements when needed.
- Assisted in developing strategies for improving collections processes.
- Performed data entry into accounting software programs such as QuickBooks.
- Provided support to other departments within the organization as needed.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Completed billing audits in identified timeframes to report and investigate findings.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Collected patient demographic information, verified insurance coverage, and updated records as necessary.
- Processed payments for services rendered in a timely manner.
- Assisted with scheduling appointments, verifying benefits and authorizations for procedures.
- Entered patient data into electronic medical record system accurately and efficiently.
- Handled incoming faxes related to admissions, discharges, transfers, pre-certifications, authorizations.
- Completed prior authorization requests within required timeframes and ensured appropriate documentation was obtained.
- Coordinated referrals between primary care providers and specialists.
Education
B.A.S IN Healthcare Administration (Anticipated) -
Capella University
01.2025
Certified Patient Access Specialist Certificate -
Revenue Cycle E-learning Academy (HBI) (ONLINE)
10.2017
Certified Patient Financial Services Certificate -
Revenue Cycle E-learning Academy (HBI) (ONLINE)
10.2017
Associate of Business Administration - Business Administration
Ivy Tech State College
Indianapolis, IN12.2015
Skills
- Well versed in multiple software systems (Citrix, SMS, Cerner, Epic, Wilma, IDX, Audit Logix, Micro MD, Availity, Emdeon, Insurance verification sites, IPNS/Argus System, CAS, CI (Customer Interface), Athena, PBS billing system
- Expertise in CPT, ICD9, CMS1500, UB04, CCP2
- Proficient in Microsoft Office
- Provider enrollment & Credentialing
- Registration management
- Problem-Solving
- Post-Discharge Care Coordination
- Patient Education
- Multitasking and Organization
- Customer Service
- Financial Procedures Adherence
- Insurance Verification
- Registration and Admissions
- Insurance company knowledgeable
- HIPAA Compliance
- Appointment Scheduling
- Work Quality Evaluation
- Pre-Admission Requests
- Training Coordination
- Quality Assurance
- Scheduling Diagnostic Procedures
- Money Handling
- Relationship Building
- Phone and Email Etiquette
- Payment Processing
- System Updating
- Regulatory Compliance
- Medical Terminology
- Medical Billing
- Eligibility Determination
- Referral Coordination
- EMR
- Process Claims in Software Systems
- English Fluency
- Team Leadership
- Flexible Schedule
- Insurance Billing
- Process Improvement
- Patient Registration
- Fee Collection
- Team Collaboration
- Strong empathy
- Healthcare systems navigation
- Evaluating Quality of Care
- Building Rapport and Credibility
- Database Search and Data Entry Skills
- Complaint Investigation
- Registration and Scheduling
- Patient Confidentiality and Data Security
- Documenting and Recording Information
- Providing Information and Resources
- Calm and Effective Under Pressure
- Explaining Policy and Procedures
- Resolving Problems
- Caring and Empathetic
- Administrative and Office Support
- Medical History Documentation
- Analytical Thinking
- Reliability and Dedication
- Risk Management
- Professionalism
- Financial Recordkeeping
- Data Collection
- Outbound Calling
- Attention to Detail
- Continuous Improvement
- Benefits Explanation
- Time Management
- Multi-Line Telephone Systems
- Self Motivation
- Teamwork and Collaboration
- Routing lab results
- Heartsaver CPR AED (CPR AED)
- Excellent Communication
- Team building
Accomplishments
- Employee of the month
- High honors in college
Timeline
Patient Access Representative
Walmart Health
09.2023 - Current
Patient Access Representative
Pediatrix Urgent Care of Florida
08.2021 - Current
Scheduler and Credentialing Coordinator
One Call Workman’s Comp & Healthcare Solutions
11.2020 - 08.2021
Patient Registration
Baptist Medical Center Jacksonville
03.2019 - 11.2019
Patient Registration
R1 RCM Healthcare St. Vincent Medical Center ER
02.2018 - 03.2020
Patient Access Representative
Emergency Room Eskenazi Health
11.2016 - 02.2018
Registrar Billing Clerk
IU Primary Medical Group
08.2001 - 05.2013
B.A.S IN Healthcare Administration (Anticipated) -
Capella University
Certified Patient Access Specialist Certificate -
Revenue Cycle E-learning Academy (HBI) (ONLINE)
Certified Patient Financial Services Certificate -
Revenue Cycle E-learning Academy (HBI) (ONLINE)
Associate of Business Administration - Business Administration
Ivy Tech State College
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