Tasha Viner
Eugene,OR
Summary
Hardworking and reliable medical professional with strong ability in prior authorizations and patient care. Offering superior customer service skills and Epic software navigation. Highly organized, proactive and punctual with team-oriented mentality.
Overview
14
14
years of professional experience
Work History
Patient Access Representative
PeaceHealth
Springfield, OR
11.2022 - Current
- Schedule outpatient appointments for a busy infusion center.
- Maintain knowledge of infusion medication run times and contraindications with other medications.
- Ensure accuracy of all data entered into computer system.
- Scan documents into electronic medical records system.
- Verify insurance coverage by phone when necessary.
- Actively participate in team meetings and training sessions.
- Verify demographics and insurance information to register patients in Epic.
- Explain policies, procedures and services to patients.
- Cultivate positive relationships with patients to help patients obtain best possible care.
- Compile information from patients and caregivers or family members to identify care concerns.
- Answer incoming calls from patients inquiring about their upcoming appointments or requesting changes to existing ones.
- Manage all aspects of patient scheduling including cancellations and rescheduling requests due to illness or emergency situations.
- Ensure that all necessary documents were completed correctly prior to patient's appointment date.
- Instruct patients regarding how to prepare for appointments.
- Collaborate with multi-disciplinary staff to improve overall patient care and response times.
Insurance Verification Clerk
RiverBend Ambulatory Surgery Center
Springfield, OR
07.2022 - 11.2022
- Call insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Verify that patients have proper insurance coverage prior to procedures or appointment scheduling.
- Update patient and insurance data and input changes into company computer system.
- Contact patients to confirm demographic information and communicate financial responsibilities.
- Instruct patients on amounts covered under benefits plans in easy-to-understand terminology.
- Contact patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Enter data in EMR database to record payer, authorization requirements and coverage limitations.
- Navigate through multiple online systems to obtain documentation.
- Access third-party insurance databases to identify coverage of benefits.
- Perform verification of Medicare coverage.
- Communicate with insurance carrier or patient to verify patient insurance benefits.
- Identify important patient and demographic information.
- Greet patients, determined purpose of visit and directed to appropriate staff.
- Adhere to HIPAA requirements to safeguard patient confidentiality.
Patient Access Representative
PeaceHealth
Springfield, OR
03.2020 - 07.2022
- Applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in computer system.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
- Responded to patient concerns and inquiries professionally and efficiently.
- Interviewed patients upon answering phone call, gather appropriate information and enter data into electronic system.
- Facilitated communication between patients, medical staff, administrative staff, and regulatory agencies.
- Received patient inquiries or complaints and direct to appropriate medical staff members.
- Addressed patients' complaints-head on, investigated concerns and work with medical staff to devise solutions.
- Met or exceeded call speed, accuracy and volume benchmarks on a consistent basis.
- Answered, screened and processed high volume of calls daily with call management system and Epic navigation.
Medical Billing Specialist /Medical Receptionist
Nova Health
Junction City, OR
08.2018 - 03.2019
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Performed processing functions necessary to ensure timely and accurate commercial and Medicaid insurance billing.
- Researched and responded to patient inquiries regarding billing issues as necessary.
- Followed up on submitted claims, monitored unpaid claims, and resubmitted claims as necessary.
- Electronically submitted claims through the use of software systems, and printed paper claims for insurance companies that did not accept electronic claims.
- Obtained health and financial information from patients at the time of check-in.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Coordinated between patients and healthcare professionals to meet patient needs.
- Scheduled patient appointments and procedures using E-Clinical Works software.
- Utilized customer service skills and detailed system knowledge to support clinic operations.
- Checked daily provider schedules and verified insurance.
- Processed cash, credit/debit card, and personal check payments from patients.
- Assisted patients with questions and resolution of issues to maintain high satisfaction ratings.
Client Service Representative
Preferred Homecare
Phoenix, AZ
08.2015 - 04.2017
- Processed requests for custom durable medical equipment, which included but was not limited to; power wheelchairs, scooters, custom manual wheelchairs, cushions, and other custom machinery.
- Ensured patient insurance information was up-to-date and maintained on all requests utilizing online and/or telephone verification methods.
- Requested and reviewed medical records for legitimacy of necessity for durable medical equipment requests.
- Submitted prior authorization approval and/or denial requests for custom medical equipment to various commercial insurance plans and Medicare Advantage plans.
- Informed patients of approved and/or denied prior authorization requests for custom equipment, and educated patients of any appeal rights upon prior authorization denial.
- Calculated and collected co-payments for approved medical equipment, and set up payment plans as needed for patients experiencing financial hardship.
- Scheduled timely delivery of approved and assembled custom medical equipment to patients upon full collection of co-payment.
Provider Services Representative
UnitedHealthcare
Phoenix, AZ
02.2015 - 08.2015
- Verified patient insurance effective dates and available benefits for local Medicaid plans as requested by servicing facilities.
- Researched and explained claim denials as requested by provider billing departments.
- Submitted claim escalation requests on denied claims as requested by servicing providers.
- Educated billing departments on timely filing deadlines as well as any appeal rights for claims not filed within appropriate timeframes.
- Educated provider offices about online insurance verification and provided dedicated liaison information to further ensure website accessibility.
Bank Customer Service Representative
State Farm Bank
Tempe, AZ
10.2013 - 02.2015
- Assisted State Farm agents in the origination or various bank products including vehicle loans, checking and saving accounts, certificates of deposit, and money market savings accounts.
- Assisted customers with maintaining their deposit accounts by providing account balances, reviewing recent transactions, processing internal and external money transfers, and explaining terms and agreements as they applied to various deposit products.
- Aided State Farm Insurance representatives in processing claims for total loss by providing vehicle loan payoff quotes and processing Letter of Guarantee requests.
- Assisted customers with vehicle loans by providing payoff quotes, processing due date extension requests, accepting loan payments for processing, and providing education on available payment options.
- Provided customers, agents and agent staff members with online navigation and registration on the State Farm website.
- Mentored new State Farm Bank employees by training them on each program/software, shadow in the individual, and respond to questions as they arose.
- Provided assistance to State Farm Bank employees by answering questions regarding various procedures via the Procedural Assistance Line.
- Maintained confidentiality, and adhered to all state and federal laws and standards.
Health Information Management Technician
Promise Hospital
Mesa, AZ
08.2011 - 08.2012
- Assembled multi-volume charts for discharged patients in accordance with hospital standard.
- Retrieved doctor dictations for review and completion.
- Processed physician suspension and discrepancies reports.
- Processed various Release of Information requests while adhering to HIPAA guidelines and hospital Release of Information guidelines.
Instructor
Fortis College
Phoenix, AZ
08.2010 - 08.2011
- Taught anatomy and physiology along with medical terminology to medical assisting students.
- Gave instruction on front office policies, which included but are not limited to; scheduling patients, charting, records management, complying with HIPAA and OSHA guidelines, and billing and coding while adhering to accreditation standards.
- Presented class lectures and education demonstrations, prepared daily quizzes, weekly exams, midterms and finals, and maintained student grades and attendance reports.
- Instructed students on the basics of using the Healthcare Common Procedure Coding System (HCPCS), Current Procedural Technology (CPT), and International Classification of Disease-9 (ICD-9).
- Helped adult students meet diverse professional development goals.
- Evaluated information about classes and students to uncover deficiencies and devise improvement plans.
- Developed guides and course materials focused on reinforcing lecture information and helping students learn.
Education
Associate of Applied Science - Medical Assisting
High Tech Institute
Phoenix, AZ07-2006
Skills
- MS Office
- Critical thinking
- Problem resolution
- Customer service
- Clinical applications
- Human anatomy and physiology
- HIPAA compliance
- Medical terminology
- Data entry
- Patient scheduling
- Conversant in Spanish
- ICD-10-CM
- CPT
Timeline
Patient Access Representative
PeaceHealth
11.2022 - Current
Insurance Verification Clerk
RiverBend Ambulatory Surgery Center
07.2022 - 11.2022
Patient Access Representative
PeaceHealth
03.2020 - 07.2022
Medical Billing Specialist /Medical Receptionist
Nova Health
08.2018 - 03.2019
Client Service Representative
Preferred Homecare
08.2015 - 04.2017
Provider Services Representative
UnitedHealthcare
02.2015 - 08.2015
Bank Customer Service Representative
State Farm Bank
10.2013 - 02.2015
Health Information Management Technician
Promise Hospital
08.2011 - 08.2012
Instructor
Fortis College
08.2010 - 08.2011
Associate of Applied Science - Medical Assisting
High Tech Institute
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