Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.
Skills
Microsoft Office (Word, Excel, Outlook, PowerPoint, OneNote, Access)
Data Entry
Strategic Planning/Detail-Oriented
Spreadsheets
Email Communication
Customer Service
Leadership skills
Problem- solving
Quality control
Phone etiquette
POS system operation
Payment processing
Customer assistance
Clerical
Organizational skills
Time management
Communication
Records maintenance
Health information systems
Records management
Billing and coding
Excel spreadsheets
Inventory replenishment
Report writing
Mail management
Computer skills
Insurance company knowledgeable
Regulatory compliance
Recording histories
Bookkeeping support
Medical billing
Medical filing
PPE use
Education and Training
AbbevilleAbbeville, SCExpected in 05/2016 – –High School Diploma: - GPA:
Lander UniversityGreenwood, South CarolinaExpected in 2021 – –Business Administration Degree:Healthcare Management - GPA:GPA: 3.25
Experience
Partners Healthcare System - Patient Access Representative Weymouth, MA, 04/2021 - Current
Obtained necessary signatures for privacy laws and consent for treatment.
Submitted fees and claims to insurance companies manually or digitally.
Verified demographics and insurance information to register patients in computer system.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Applied HIPAA privacy and security regulations while handling patient information.
Assembled registration paperwork and placed identification bands on patient.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Processed patient responsibility estimate determined by insurance at pre-registration.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Helped patients obtain health care services by setting up referrals.
Trained facility volunteers on guest relations procedures and patients' rights.
Helped protect providers and facility from legal liabilities by proactively assessing risks.
Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
Used sliding payment scale to assess fair charges for patient healthcare.
Defined strategies and created a plan to achieve ambitious operational objectives.
Salad And Go - Head Cashier/Store Associate Plano, TX, 03/2019 - 04/2021
Used product and service knowledge to expertly serve customers.
Addressed customer complaints and proposed solutions.
Readily assisted and effectively communicated with coworkers.
Assessed assigned areas and displays to maintain presentable condition, restocking and reorganizing merchandise as needed.
Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items.
Engaged positively with each customer, providing professional and polite support for sales and service needs.
Answered questions about current promotions and resolved issues according to store policies.
Processed payments and maintained accurate drawers to meet financial targets.
Maintained current store, product and promotional knowledge to drive consistent sales.
Counted cash, made change and stored coupons to keep organized and balanced cash register drawer.
Managed cash register operations using POS system, including processing sales and returns.
Increased customer service feedback scores by delivering outstanding service to customers daily.
Electrolux - Manufacturing Production Associate City, STATE, 04/2019 - 03/2021
Supported production quality standards by regularly testing and verifying production processes.
Met daily production goals by working efficiently and collaboratively to handle [Number] builds per hour.
Read measuring tapes to 32nd to avoid errors and minimize rework or materials loss.
Lifted heavy loads regularly to efficiently move raw materials, assemblies and completed products.
Practiced safe and hazard-free work environments in line with company standards.
Supported production by handling parts, rigs and jigs with precise care.
Coordinated planning, backlog grooming and estimation to manage resource allocation and dependencies.
Partnered with technology teams to optimize system architectures.
Tracked development health and velocity using agile tools to mitigate risks.
Measured core success metrics to improve future product launch phases.
Initiated discussion with production department to improve tools, workflow and analytical processes.
Maintained work environments safe and efficient at all times.
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