Tysha Upshaw
Frisco,TX
Summary
Organized Patient Service Coordinator with 20 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations. Known for fostering supportive environment and assisting with daily living activities to enhance well-being.
Overview
20
20
years of professional experience
Work History
Caregiver
Self-employeed
07.2024 - Current
- Developed and implemented engaging educational activities for children, enhancing cognitive and social skills.
- Supervised daily routines, ensuring safety and well-being of all children in care.
- Assisted child with personal hygiene tasks, promoting independence and self-care practices.
- Ensured child safety through diligent supervision and adherence to established protocols.
- Applied positive behavior management techniques to enhance social interactions and emotional development.
- Prepared healthy foods and beverages for child based on optimal dietary guidelines and individual restrictions.
- Established daily routines to provide structure and predictability for child under care.
Room Service Attendant
Eskenazi Hospital
10.2023 - 09.2024
- Delivered exceptional room service, ensuring guest satisfaction through timely and accurate order fulfillment.
- Collaborated with kitchen staff to coordinate efficient food preparation and delivery processes.
- Maintained cleanliness and organization of service areas, adhering to health and safety standards.
- Trained new team members on service protocols and best practices for guest interactions.
- Handled guest inquiries and resolved issues promptly to maintain a positive dining experience.
- Completed ordered with speed and accuracy, maintaining exceptional service standards each day.
- Upheld strict hygiene standards within the room service area, adhering to established protocols for sanitation procedures.
- Delivered food, condiments, and silverware to guest rooms to fulfill guest orders.
Patient Services Coordinator
PT Solutions
02.2023 - 09.2023
- Coordinated patient scheduling and intake processes to enhance service delivery efficiency.
- Managed medical records and documentation, ensuring compliance with privacy regulations.
- Performed daily administrative duties such as filing paperwork, answering phones calls from patients, providers, insurance companies, verifying insurance eligibility
- Facilitated communication between patients and healthcare providers to streamline care coordination.
- Implemented patient feedback mechanisms to improve service quality and satisfaction levels.
- Developed training materials for new staff, promoting consistent operational standards across the team.
- Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
- Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
Patient Services Coordinator
IHTC
08.2021 - 10.2022
- Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
- Verified patient's insurance eligibility and benefits coverage.
- Inputted accurate patient insurance, billing and payment information in Athena
- Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
- Used Cerner/Athena to maintain electronic patient files, successfully maintaining over 100 patient files.
- Respected patients by recognizing rights and maintaining confidentiality.
- Answered over 100 telephone calls per week to handle rescheduled, missed and reassigned visit requests.
- Telephoned and interviewed patients and family members to obtain pre-registration information and confirm appointments.
Vaccination Call Center Agent
KHI
01.2021 - 06.2021
- Respond to individuals seeking information about COVID-19 vaccinations via phone, inbound/outbound
- Identify primary concern of caller and utilize available resources to address issues with caller, avoiding medical advice or opinions
- Effective active listening and problem-solving skills
- Multi-task in fast-paced environment
- Ability to perform with frequent interruptions and/or distractions
- Adapt to and retain constantly changing information
- Demonstrated personal computer skills with MS Office applications and other software applications
HR Shared Services
Ascension St. Vincent
09.2020 - 01.2021
- Administers benefit programs including new hire enrollments, life event changes, eligibility, deductions, and claim adjudication
- Updates and/or corrects associate benefit data in both internal and carrier information systems
- Coordinates annual enrollment activities for organization, including development of enrollment packages
- Manages associate data including auditing and consolidating elections, verifying associate eligibility, sending required files to third-party administrators for enrollment, providing confirmation statements to associates, and reconciling enrollments with carrier invoices
- Compiles statistics used to evaluate benefits strategy effectiveness, processes and maintains documentation, and enters ad-hoc payment requests for tuition reimbursement
- Communicates with associates to clarify policy, eligibility criteria, and other program elements providing customer service to ensure achievement of Service Level
- Agreement objectives.
- Assisted senior barbers in delivering high-quality services, learning advanced techniques through observation and hands-on practice.
ISC Senior Associate
IU Health
06.2013 - 03.2020
- Completes insurance notification, verification, and certification
- Verifies and enters demographic information
- Interviews/screens patients for all potential payer programs Healthy Indiana Plan, various
- Medicaid or State programs and services, Health Insurance Marketplace, COBRA
- Performed Hospital Presumptive Eligibility daily for HIP, Medicaid for inactive patients
- Completes timely submission of documentation and application in management designated system(s), adhering to all deadlines and requesting extensions from management when necessary
- Maintains confidentiality of patient health information in compliance with HIPAA regulations
- Monitors progress of applications to ensure application completion and processing timelines are adhered to
Patient Access Representative
IU Health
06.2012 - 11.2016
- Completes Registration, pre-registration, and scheduling functions for patients
- Completes insurance notification, verification, and certification
- Provides education materials to patient/ patient representative
- Facilitates referrals and admissions/transfers of patients
- Audits medical accounts for accuracy
- Learned new skills and applied to daily tasks to improve efficiency and productivity
- Drove operational improvements which resulted in savings and improved profit margins
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
Senior Lab Assistant
Clarian Health Partners Inc
09.2007 - 04.2010
- Completed specimen registrations
- Provided general laboratory services
- Audited incoming paperwork for accuracy
- Verified insurance eligibility
- Medical billing and ICD-9, CPT coding
Specialist Registration
Clarian Health Partners
12.2005 - 09.2007
- Welcomed as many as 100 patients daily, directing to appropriate departments within facility and coordinating assistance with transportation
- Greeted guests and visitors and managed
- Facilitated patient flow upon arrival at hospital to patient's destination
- Interviewed patients for appropriate medical, demographic, and insurance
- Generated accurate financial report to ensure maximum reimbursement of clinical outcome.
- Developed and executed training programs for new staff, enhancing skillsets and operational efficiency.
Education
Medical and Dental Administration Certificate -
PCI-Professional Careers Institute
Indianapolis, IN04.2006
Diploma -
Central High School
East Chicago, IN06.1997
Skills
- HIPAA compliance
- Medical billing
- Insurance verification
- Problem-solving
- Respectful and compassionate
- Time management
- Dependable and responsible
Timeline
Caregiver
Self-employeed
07.2024 - Current
Room Service Attendant
Eskenazi Hospital
10.2023 - 09.2024
Patient Services Coordinator
PT Solutions
02.2023 - 09.2023
Patient Services Coordinator
IHTC
08.2021 - 10.2022
Vaccination Call Center Agent
KHI
01.2021 - 06.2021
HR Shared Services
Ascension St. Vincent
09.2020 - 01.2021
ISC Senior Associate
IU Health
06.2013 - 03.2020
Patient Access Representative
IU Health
06.2012 - 11.2016
Senior Lab Assistant
Clarian Health Partners Inc
09.2007 - 04.2010
Specialist Registration
Clarian Health Partners
12.2005 - 09.2007
Diploma -
Central High School
Medical and Dental Administration Certificate -
PCI-Professional Careers Institute