Wilna Romelus
West Palm Beach,FL
Summary
Healthcare Administrator with proven to deliver an exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved healthcare management. Proven problem solver and an excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high-performing teams.
Overview
6
6
years of professional experience
Work History
Patient Access Manager
Palm Beach Gardens Medical Center
09.2022 - Current
- Assists in preparation for both short and long-range planning recommendations for all Registration Process areas including pre-service and point-of-service financial clearance activities and Patient Access functions
- Actively practice budget/cost management
- Develop and implement action plans as identified
- Manages all operational metrics to ensure the department meets client and Conifer goals including, but not limited to Service Level Agreements and budgetary guidelines
- Consistently manages staffing activities in areas of responsibility
- This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training
- Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals
- Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set
- Enforces departmental policies, practices, procedures and work rules in accordance with approved hospital policies and assists in the development of new policies according to hospital and corporate guidelines
- Consistently communicates appropriate information to staff and provides feedback to Director and CFO
- Communicates deficits and problems to the supervisor with recommended solutions for improvements
- Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
- Educated all registration staff personnel regarding updates and changes to job positions.
- Trained and mentored new employees in registration department, answered questions and provided insight on patient services.
Supervisor Patient Access Representative
Palm Beach Gardens Medical Center
11.2021 - 09.2022
- Provides daily support/mentoring/training to new hires as well as existing Patient Access staff
- Provides assistance in managing escalated issues as needed
- Assists in preparation for both short and long-range planning recommendations for all Registration Process areas including; Admitting, Centralized Scheduling, Emergency Department, and any on or offsite clinics
- Maintains positive customer service at all times, assisting staff in resolving issues
- Enforces departmental policies, practices, procedures, and work rules in accordance with approved department and hospital policies and assists in the development and implementation of new policies according to hospital and corporate guidelines
- Responsible for the monitoring of daily activity and completion of performance and metric reports such as financial clearance reports; also can perform special projects and reporting when assigned
- Perform all Patient Access functions as needed
- Acts as part of the management team to ensure that the group is meeting all operational goals.
Lead Patient Access Representative
Palm Beach Gardens Medical Center
03.2021 - 11.2021
- Provides assistance in managing escalated issues as needed
- Collaborates with Department leaders in process and operational excellence
- Provides full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper, compliant patient liability collection techniques before, during & after the date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
- Greeting customers following Conifer Standards of Care, providing world-class customer service, completing full patient registration at the date of service adhering to financial & cash control policies & procedures, thoroughly explaining and securing Hospital & patient legal forms
- Secures medical necessity checks/verification in accordance with Centers for Medicare & Medicare services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payers.
Patient Access Representative II
West Boca Medical Center
02.2019 - 12.2020
- Promptly and compass promptly assist all patients in a timely manner
- Responsible for medical necessity coding for Medicare patients
- Obtain complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices, and in-house departments
- Perform required pre-certification, credit referral, or deposit collection
- Enter data in the computer and thoroughly documented any incomplete admissions/registrations in the manner prescribed
- Obtain pre-certification, referral, or authorization number and updated patients' file
- Gave demographic information to insurance companies and called physicians' offices if clinical information is needed for pre-certification and verified the information obtained
- Ensure HIPAA compliance
- Maintain confidentiality, security, and integrity for the management of patient information according to hospital policies and procedures
- Work with all management to ensure that the front-end process enhances and streamlines the workflow in all related departments’ processes.
Intake Admission Coordinator
First Step Detox
01.2018 - 02.2019
- Interviewed patients to accurately obtain all initial information required for admissions
- Resolved 25 coverage issues daily without direct supervision while maintaining patient confidentiality
- Explained and obtained signatures on admission and financial forms
- Communicated with other staff members about clients
- 120 weekly patients and completed all paperwork necessary to ensure the admitting process was efficient and all hospital and regulatory policies were in compliance
- Assisted with transportation of new incoming and discharging patients
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
- Managed admissions processes for incoming students, promptly collecting and processing necessary documents.
Education
Master of Healthcare Administration (MHA) -
South University
Royal Palm Beach, FL2023
Bachelor of Science - Healthcare Management
South University
Royal Palm Beach, FL06.2017
Skills
- Cerner Document Management
- Patient Access Intelligence
- Workforce Solutions
- PBAR
- Kronos
- Benefit Verification
- Commercial Insurance
- Attendance Documentation
- Interviewing and Prescreening
- Patient Data Management Systems
- Obtaining Authorizations
- Office Management
- Medicare Compliance
- Continuous Improvement Process
- Patient Health Information Access
- Electronic Health Records Systems
- Health Information Systems (HIS)
- Utilization Management
- Workflow Processes
Timeline
Patient Access Manager
Palm Beach Gardens Medical Center
09.2022 - Current
Supervisor Patient Access Representative
Palm Beach Gardens Medical Center
11.2021 - 09.2022
Lead Patient Access Representative
Palm Beach Gardens Medical Center
03.2021 - 11.2021
Patient Access Representative II
West Boca Medical Center
02.2019 - 12.2020
Intake Admission Coordinator
First Step Detox
01.2018 - 02.2019
Master of Healthcare Administration (MHA) -
South University
Bachelor of Science - Healthcare Management
South University
Similar Profiles
Derrick DevineDerrick Devine
Registered Nurse, CVICU at Palm Beach Gardens Medical CenterRegistered Nurse, CVICU at Palm Beach Gardens Medical Center
Wilna RomelusWilna Romelus
Director of Patient Access at Palm Beach Gardens Medical CenterDirector of Patient Access at Palm Beach Gardens Medical Center
Shawna PardoShawna Pardo
Registered Nurse, Intensive Care Unit at Palm Beach Gardens Medical CenterRegistered Nurse, Intensive Care Unit at Palm Beach Gardens Medical Center
Jennifer JonesJennifer Jones
Phlebotomist at Palm Beach Gardens Medical CenterPhlebotomist at Palm Beach Gardens Medical Center
Andrew CastroAndrew Castro
Packer at Fresh RealmPacker at Fresh Realm