Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tynia Lewis-Pluviose

Parlin

Summary

Experienced Patient Access Representative with a proven track record at RWJBarnabas Health-Rutgers Medical Group, excelling in customer service. Demonstrated adaptability and strong work ethic by efficiently managing high-volume calls and coordinating complex schedules across multiple locations. Accomplished in maintaining service quality and ensuring HIPAA compliance. Utilizes strong multitasking abilities and proficient expertise in EPIC/EMR systems and Microsoft Office suite to enhance efficiency in patient care. Detail-oriented, with an extensive background in medical services and a strong commitment to patient satisfaction.

Overview

2
2
years of professional experience

Work History

Patient Access Representative

RWJBarnabas Health-Rutgers Medical Group
10.2023 - Current
  • Coordinating schedules for Surg/Derm services (Pediatric Surgery/ Pediatric Urology/Dermatology/Adult Urology/ Vascular Surgery/ General Surgery/ Pain Management), ensuring patients are booked with one of the 30 providers at 17 different locations.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Staying calm under pressure to successfully deal with difficult situations.
  • Provided excellent customer service through active listening skills, understanding patient medical needs, offering solutions where applicable conveying to clinical staff or nurses.
  • Managing up to 40-80 calls daily with exemplary phone manner, always identifying self, and the location.
  • Coordinating visit types that best match patients requirements and accessibility.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Recognition with EMR systems/Microsoft office 365/Outlook Teams/ Protocols/ Live scheduling calls/ Department and patient discussion.

Clinical Service Representative

RWJBarnabas Health-Rutgers Medical Group
04.2023 - Current
  • Coordinating schedules for Orthopedics services (sports medicine and orthopedic surgeons), ensuring patients are booked with one of the 10 providers at four different locations.
  • Verifying demographics and insurance.
    ● Answering 70-110 calls in queue day-to-day, managing complaints, communicating medical advice from PA's to patients.
    ● Receiving and respond to clinical staff as well as patient issues in a timely manner via email, fax, or telephone.
    ● Taking detailed messages in EMR system; transferring or giving information
    from nurses, physical therapy, occupational therapy, and primary care
    providers office.
    ● Assists in reviewing the patients' charts giving information about
    appointments or rescheduling.
    ● Responsible for sending disability forms to PA's ensuring them that they are received.
    ● Sending the disability forms as well as, medical records forms to patients, and
    lawyers.
    ● Knowing the medication patients takes to sending a medication refill request.
    ● Telling WC adjusters when patients had their last office visit and sending over
    progression notes.
    ● Speaking with patients to send scripts or faxing referrals over to primary care
    providers office, lab office, radiology, physical therapy, occupational therapy,
    pharmacy, and surgical medical supply store.
    ● Speaking with the radiology department given them the authorization date,
    codes and test code.

Clinical Services Representative II

Robert Wood Johnson Medical Group (Rutgers Health)
09.2022 - 04.2023

● Coordinating schedules for OB/GYN and UROGYN services, ensuring patients are booked with one of the 15 providers at two different locations.
● Scheduling appropriate visit types best suited for patients needs/availability.
● Managing up to 40-80 calls everyday with impeccable phone manner, and demeanor; always identifying self, and location.
● Skilled in documentation, time management, multitasking based on: scheduling, pre-registration, recording patient arrival, administering
financial, HIPAA paperwork, and receiving referral.
● Maintains Computer Databases entering changes in demographic, online
insurance verification to assist patient, and other information, as required.
● Performing superbly in stressful work environment while being professional .
● Familiarity with Microsoft office/teams,protocols,live scheduling calls &
discussion.

Patient Solutions Rep

Bio-Reference Laboratories
06.2022 - 08.2022

● Getting 8 points of verification from patient before sending their results to them or doc.
● Handling 150-400 inbound/outbound calls routinely with accuracy and efficiency for optimum productivity.
● Track specimens to ensure all samples have been received in the lab along with, reporting out within turnaround time (TAT).
● Ensure that all Tracking is up to date to ensure client communication.
● Contact Scarlet Clients/Patients regarding tests not performed, document, and
notify Scarlet Health Coordinator team accordingly.
● Provide Customer Service to Scarlet Health patients, and providers answering
questions related to patient portal, scheduling/cancelling/changing
appointments.
● Answer general questions regarding upcoming appointments/services, plus
pricing.
● Assist patients with all questions/concerns with empathy, listening, and
understanding their concerns to provide a solution.
● Report laboratory results using established protocols.
● Being a resource to patients regarding test requirements, specimen submission
also, other laboratory policies/ procedures.
● Followed up on unresolved patient issues to research and, correct problems.
● Identify, research and, resolve patient issues utilizing appropriate staff
resources to ensure patient satisfaction.
● Notify management for sample locators alongside, client alerts/issues.
● Understand each importance's of Quality Service (“Deliver superb Customer
Service in the Industry”).

Education

Certification - Phlebotomist Technician

E & S Academy
Elizabeth, NJ
11.2014

Certification - EKG Technician

E & S Academy
Elizabeth, NJ
10.2014

High School Diploma -

Carteret High School
Carteret, NJ
06.2014

Skills

  • Customer Service/Appointment Scheduling
  • Insurance Verification/Patient Registration
  • HIPAA Compliance
  • Medical Terminology
  • Strong oral and written communications
    skills
  • Multitasking/ Organization
  • Learning/Flexible/Adaptability
  • Strong work ethic/ Open-mindedness

Timeline

Patient Access Representative

RWJBarnabas Health-Rutgers Medical Group
10.2023 - Current

Clinical Service Representative

RWJBarnabas Health-Rutgers Medical Group
04.2023 - Current

Clinical Services Representative II

Robert Wood Johnson Medical Group (Rutgers Health)
09.2022 - 04.2023

Patient Solutions Rep

Bio-Reference Laboratories
06.2022 - 08.2022

Certification - Phlebotomist Technician

E & S Academy

Certification - EKG Technician

E & S Academy

High School Diploma -

Carteret High School
Tynia Lewis-Pluviose