Customer-oriented Patient Access Specialist with 24-year background in patient and customer services. Strong focus on superb customer service delivery with sound knowledge of patient registration procedures. Exceptional telephone and in-person communication abilities.
Reviews the work of others and all admissions for accuracy and completion of registration processes. Promotes a team concept with coworkers by addressing issues/errors in a constructive/proactive manner.
Formulates, implements, and conducts staff training in appropriate computer modules and provides updates as needed. Provides daily support/mentoring/orientation/education to new hires as well as existing Patient Access staff. May provide additional assistance in educating and orienting new employees, in addition to the general orientation that PAS Representatives are expected to provide.
Assists and advises uninsured patients in obtaining alternative financial sources such as insurance coverage and or financial assistance to finance their obligations through the use of the Washington State Health Plan Finder and other resources.
Is an expert on insurance company authorization requirements, and ensures that hospital services are authorized within those guidelines in order to avoid a loss of revenue by auditing schedules and services performed for compliance.
Maintains authorization and referral matrix by reviewing the ever-changing payor guidelines. Educates and updates appropriate staff and departments of insurance company requirements.
Demonstrates a positive and friendly demeanor, even in stressful situations, to ensure a positive experience for all patients. Coordinates and escalates patient customer service issues with the Patient Experience Department when needed.
Identifies process improvement opportunities, and actively participates in improvement plans.
Acts as a liaison to Patient Financial Services to calculate and provide patients with personalized estimates of their financial responsibility, based on insurance coverage or eligibility for financial assistance, according to OMC policy.
Collaborates and coordinates with other OMC departments, and advocates for compliance with Patient Access policies throughout the organization.
Protects patient rights.
Department Lead.
Department scheduling.
Maintained accurate records of all cleaning activities, such as areas cleaned and materials used.
Certified Application Counselor
Management and Leadership skills