Theresa Pletcher
OREGONCITY,OR
Summary
Reliable and adaptable Patient Services Specialist with a strong background in managing appointment schedules and insurance verifications. Recognized for exceptional communication skills and a commitment to fostering positive patient experiences.
Overview
19
19
years of professional experience
Work History
Patient Services Specialist
The Oregon Clinic
Oregon City, OR
05.2024 - 09.2026
- Facilitated communication between patients and healthcare providers, ensuring clarity in care instructions.
- Assisted in resolving patient inquiries and concerns, promoting a positive patient experience.
- Managed patient scheduling and appointment confirmations to enhance operational efficiency.
- Processed insurance verifications and medical records requests to maintain compliance with regulations.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Obtained payments from patients and scanned identification and insurance cards.
- Prepared and processed patient referrals and transfer requests.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Registered and verified patient records before triage with most up-to-date information.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Conducted patient intake interviews, recording and documenting relevant information.
Patient Service Representative
Legacy Medical Group
Canby, OR
04.2021 - 03.2022
- Provided exceptional customer service, addressing patient inquiries with empathy and professionalism.
- Managed patient scheduling, ensuring timely appointments and reducing wait times.
- Collaborated with healthcare providers to coordinate patient care effectively and enhance service delivery.
- Assisted in insurance verification, streamlining processes for accurate billing and claims submission.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Used Epic Software to schedule appointments.
- Managed patient registration process, confirming data accuracy and completeness.
- Entered patient demographic and insurance data into electronic medical record system.
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Obtained payments from patients and scanned identification and insurance cards.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Patient Service Representative
Legacy Healthcare Services
Portland, OR
10.2007 - 09.2020
- Conducted comprehensive insurance verifications to ensure accurate patient coverage and minimize claim denials.
- Collaborated with healthcare providers to gather necessary documentation for insurance claims processing.
- Monitored changes in insurance policies and regulations to maintain compliance and enhance operational efficiency.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Optimized productivity within the department by prioritizing tasks according to urgency and importance levels.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
- Assisted with medical coding and billing tasks.
- Streamlined insurance verification process, reducing wait times for patients and medical staff.
- Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.
- Improved claim submission times by streamlining verification and authorization process.
Education
High School Diploma -
Molalla High School
Molalla, ORSkills
- Insurance verification
- Patient registration
- Patient scheduling
- Appointment scheduling
- Patient check-in
- Medical terminology
- HIPAA compliance
- Patient confidentiality
- Patient care coordination
- Organization and time management
- Reliability
- Excellent communication
- Teamwork
- Adaptable and flexible
- Professionalism and ethics
- Registration and admissions
Timeline
Patient Services Specialist
The Oregon Clinic
05.2024 - 09.2026
Patient Service Representative
Legacy Medical Group
04.2021 - 03.2022
Patient Service Representative
Legacy Healthcare Services
10.2007 - 09.2020
High School Diploma -
Molalla High School