Patient Access RepresentativeCarepoint Health – , NJ,
Proving Patient Access Representative skills in UT Health Nursing Triage Line Department.Prepares patients files for registration using Centricity Healthcare Software, Epic.Direct and assists patients with information.Protects the financial integrity of the facility by collecting patient liability, establishing paymentarrangements, discussing payment options and screening for eligibility.Verifies insurance eligibility and benefits and ensures all notifications and authorizations.Answer Multi-Phone Lines/PBX and direct callers appropriately to nursing after screening patient, or entireUT Health Science Center offices.Trained in UT Health Call-Center to assist patients with appointments, leave doctors or nursing messagesand resolve problems patients may have if staff is not available.Provide requested information properly in regarding to clinic location, services, and physicians on staff.Schedule patient appointments for different clinics throughout UT Health.Obtain proper demographics from patient regarding insurance or scheduling purposes billing information.Knowledge of the referral process.Obtain referrals, authorizations, pre-certification, and benefits from the insurance companies before thepatient's visit.Provide proper information to the patient regarding their financial responsibility and offers financialcounseling if needed.Extensive training in IDX that includes scheduling, referrals, charge entry and batch maintenance -Provideoffice support; assist with office maintenance and keep work area organized and clean.Maintain confidentiality per HIPAA guidelines regarding patient information.
03/2005 to 04/2015
Health Information ClerkHarrison County Hospital – , IN,
Excelled in role requiring the ability to handle a variety of medical record tasks and resolve medical recordissues.Demonstrated proficiencies in telephone and front-desk reception within a high-volume environment.Appointed as "EPIC" Super-User -Perform electronic chart tracking "Epic" system.Prepare loose sheets in number order.Scan documents into patient's electronic chart.Input older paper chart volumes into electronic chart tracking system and purge older chart volume tooff-site storage.Restored organization to medical records and accelerated data input, processing and retrieval times.Quality Assurance "QA" documents that has been scanned by employees.Retrieve charts for doctors and outside companies for audits.Responsible for receiving written and verbal requests for patient information.
Analyzes the requests for information to insure the appropriateness of the requests according to theRelease of Information Policy, federal and state laws.Oversees the patient's right to inspect and amend their records, and restrict access to PHI whenappropriate.Copy and prepare medical documents for legal purposes.I have been commended for the quality and timeliness of reports, attention to detail, exemplary recordsdelivery, and team-player attitude.Analyzes the requests according to the Release of information Policy, federal and state laws.
08/2000 to 03/2005
Registration ClerkChoctaw Nation Of Oklahoma – , OK,
Served as first point of contact for patients, faculty and staff calling or visiting the clinic.Interview with patients.Enter and verify that all demographics and billing information correctly entered/verified through the State ofTexas Medicare and Medicaid System.Assign patients to doctors without appointments.Maintain daily schedules.Transfer and discharge patients upon doctors or nurses request.Insurance Verification.Collect payments from patients.Generate (Gold Cards) per patient's insurance for patients to be seen for medical reasons at the clinicfacility.Generate (Red Cards) for patients to be seen on an emergency basis.Efficiently operated clinic PBX/Switchboard and provided prompt, courteous and knowledgeableassistance.Book appointments for patients throughout Harris County Hospital District.Drop patients in for their scheduled appointments.
Education
Expected in
Accounting AAS2018Houston Community CollegeHouston, Tx, USACoursework in: [Business Law, Business Communications, Accounting Principles I, Federal Income TaxIndividual, Federal Income Tax-Partnership & Corporation, Business Computer Apps, Principle of ManagerialAccounting, Intermediate Accounting II: - , GPA: GPA: 3.0
Expected in
Diploma: - , GPA: Medical Insurance1997Education AmericaHouston, Tx, USACoursework in: [Medical Terminology, Medical Billing, Insurance Billing, 3rd Party Billing, Insurance Verification,Record Charges, Review Claims] GPA: 3.5
Summary
Looking for a position as a Medical Clerk or Accounting Clerk where I can utilize my acquired medical andhealthcare knowledge, and also my accounting skills in order to better serve patients and customers to maximizeefficiency.
Highlights
Operating Systems-Windows NT, Windows XP Scanning Super-UserSoftware- Microsoft Office 2000, Microsoft OfficeAppointment SettingXP, Internet Explorer, Excel, MS Word, Outlook,Medical BillingPowerPoint,Terminal Digital OrderAdobe Photoshop, Outlook Express,Customer ServiceQuickBooksPro, Turbo Tax, QuickBooks,Data EntryCentricityFiling
Insurance VerificationMulti-Phone LinesQuickBooks
Skills
Accounting, Accounting II, Photoshop, attention to detail, benefits, Billing, Book, Business Communications, Business Law, Call-Center, charts, financial, financial responsibility, inspect, Insurance, Internet Explorer, legal, Medical Billing, Medical Terminology, Access, Excel, office, Microsoft Office 2000, Outlook, Outlook Express, Windows NT, Windows XP, MS Word, Multi-Phone Lines, Nursing, Operating Systems, assist patients, assists patients, Prepares patients, PBX, quality, QA, Quality Assurance, QuickBooks, receiving, reception, Scanning, scheduling, Switchboard, Tax, team-player, telephone, Phone, Triage, Turbo Tax, written
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Job Titles Held:
Patient Access Representative
Health Information Clerk
Registration Clerk
Degrees
Accounting AAS2018Houston Community CollegeHouston, Tx, USACoursework in: [Business Law, Business Communications, Accounting Principles I, Federal Income TaxIndividual, Federal Income Tax-Partnership & Corporation, Business Computer Apps, Principle of ManagerialAccounting, Intermediate Accounting II
