Tolanda Fortune
Philadelphia,PA
Summary
Dependable team member trained in register operations and customer service. Contributes to smooth front-end operations and goes beyond requirements to handle customer needs. Reliable, team-oriented, and efficiently completes assignments. Flexible hard worker ready to learn and contribute to team success.
Overview
22
22
years of professional experience
Work History
Seamless Access Lead
Jefferson Abington Hospital
Abington , PA
2023.09 - Current
- Trained new hires on proper patient access protocols, procedures and customer service skills.
- Maintained current knowledge of products and services offered by the organization.
- Performed daily audits of patient accounts to ensure accuracy of information entered into system.
- Served as a resource for Patient Access Representatives, providing guidance and assistance with complex registration issues.
- Verified demographics and insurance information to register patients in computer system.
- Communicated financial obligations to patients and collected fees at time of service.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
Lead Patient Access Representative
Mercy Fitzgerald Hospital
Darby , PA
2015.03 - Current
- Served as a resource for Patient Access Representatives, providing guidance and assistance with complex registration issues.
- Verified demographics and insurance information to register patients in computer system.
- Communicated financial obligations to patients and collected fees at time of service.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
- Assist leadership team to identify and coordinate department objectives.
- Serve as a liaison with other units and the clinical team.
- Visiting patients to serve as a Benefit AdvoAdvocate to self pay patient.
Claim Representative
Penn Medicine
Philadelphia , PA
2014.03 - 2023.11
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Worked with team members and leadership to identify and develop process improvements.
- Reviewed documentation and accounts to gain full picture.
- Handled billing related activities focused on medical specialties.
- Do not Bill & Claim Edits Work Queue account resolution.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Analyzed customer account information to identify discrepancies or trends in payment history.
Patient Access Representative
Penn Medicine
Philadelphia , PA
2002.03 - 2014.03
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Verified demographics and insurance information to register patients in computer system.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated financial obligations to patients and collected fees at time of service.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Organized and maintained records by updating and obtaining both personal and financial information from patients
Education
Associate of Applied Science - Medical Practice Management
Peirce College
Philadelphia, PA05.1998
Skills
- Proficient in Microsoft Office
- Strong Interpersonal Communication Skills
- Effective Team Player
- Analytical Thinker
- Project Management
- Quality Assurance
- Electronic Health Records System Proficiently including Epic
- Leadership
- Skills Management
- Conflict Resolution
Timeline
Seamless Access Lead
Jefferson Abington Hospital
2023.09 - Current
Lead Patient Access Representative
Mercy Fitzgerald Hospital
2015.03 - Current
Claim Representative
Penn Medicine
2014.03 - 2023.11
Patient Access Representative
Penn Medicine
2002.03 - 2014.03
Associate of Applied Science - Medical Practice Management
Peirce College
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