Accomplished Patient Access Manager at Whitesburg ARH, adept in HIPAA compliance and effective problem-solving. Demonstrated leadership in enhancing patient engagement and streamlining processes, achieving significant improvements in patient satisfaction and revenue collection. Skilled in fostering teamwork and collaboration, with a keen attention to detail.
Overview
8
8
years of professional experience
Work History
Patient Access Manager
Whitesburg ARH
05.2024 - Current
Developed highly effective communication, interpersonal and active listening skills, which were used for interacting with people of all different backgrounds and cultures.
Conducted regular performance evaluations of team members, identifying areas for improvement and providing constructive feedback for professional growth.
Championed efforts focused on enhancing patient engagement through personalized interactions during registration, appointment scheduling, and financial counseling sessions.
Evaluated workflow efficiency regularly, implementing process improvements as needed to meet changing demands on the healthcare system effectively.
Established strong relationships with insurance companies, facilitating accurate billing and maximizing revenue collection for the facility.
Improved patient satisfaction by streamlining registration processes and implementing efficient scheduling systems.
Fostered an inclusive work environment by promoting open communication channels and encouraging collaboration among team members.
Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Communicated with patients, ensuring that medical information was kept private.
Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Ensured compliance with federal, state, and local regulations pertaining to privacy laws and medical record documentation requirements within the Patient Access department.
Hospital Health Records Analyst
Hazard ARH Medical Center
07.2022 - 05.2024
Developed strong working relationships with insurance adjusters to ensure seamless coordination during claim investigations.
Reduced claim errors by meticulously reviewing and validating documentation before submission.
Handled high volume of daily claims while consistently meeting deadlines and maintaining attention to detail.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
Generated, posted and attached information to claim files.
Worked closely with other departments to implement systemic improvements aimed at reducing errors in recordkeeping and billing practices.
Streamlined RAC audit processes for timely completion, ensuring compliance with federal regulations.
Hospital Business Office Clerk
Hazard ARH Medical Center
10.2021 - 07.2022
Developed correspondence letters, memos, and emails.
Maintained accurate and current alphanumeric filing system for optimal recordkeeping efficiency.
Filed and updated patient information and medical records.
Improved cash flow by effectively following up on unpaid claims and resolving discrepancies between billed and received amounts.
Collaborated with healthcare providers to ensure proper documentation was submitted for accurate claim processing, reducing denials due to incomplete or incorrect information.
Navigated complex billing situations, working with healthcare providers, insurance companies, and patients to resolve issues in a timely manner.
Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
Reduced outstanding account receivables with diligent follow-up on unpaid claims, negotiating payment plans when necessary for patient satisfaction.
Unit Clerk
Hazard ARH Medical Center
05.2017 - 10.2021
Answered unit calls and took messages for healthcare staff to maximize team productivity.
Handled incoming calls professionally, providing relevant information or transferring inquiries as needed to maintain efficient communication channels within the unit.
Answered multi-line telephone system, provided information, and directed calls.
Prepared admissions charts and scanned records.
Provided excellent customer service while responsibly managing sensitive patient data in accordance with HIPAA guidelines.
Maintained a clean and organized work environment, supporting infection control measures within the healthcare facility.
Documented updates to patient information in medical charts while maintaining HIPAA compliance protecting confidentiality of records.
Arranged discharges and patient transportations.
Facilitated timely transfer of patients within the facility by coordinating bed assignments and communicating with appropriate departments.
Managed unit resources effectively, ensuring optimal utilization of equipment and supplies.
Aided in the training of new hires by sharing knowledge and best practices acquired from years of experience.
Charted vital signs and added telemetry strips to charts.
Supported clinical staff by ordering necessary supplies on time, ensuring adequate stock levels were maintained.
Completed daily charge reconciliation to keep billing current and accurate.
Performed various administrative tasks by filing, copying and faxing documents.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Bachelor of Arts - Criminal Justice
Lindsey Wilson College
Columbia, KY
05-2012
Skills
Effective written and verbal communication
HIPAA compliance
Effective problem solving
Team management
Insurance verification
Recordkeeping
Strong leadership
Teamwork and collaboration
Customer service
Multitasking
Problem-solving abilities
Attention to detail
Timeline
Patient Access Manager
Whitesburg ARH
05.2024 - Current
Hospital Health Records Analyst
Hazard ARH Medical Center
07.2022 - 05.2024
Hospital Business Office Clerk
Hazard ARH Medical Center
10.2021 - 07.2022
Unit Clerk
Hazard ARH Medical Center
05.2017 - 10.2021
Bachelor of Arts - Criminal Justice
Lindsey Wilson College
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