Compassionate Patient Services Coordinator equipped with top-notch administrative, billing and customer service skills. Manages appointments and scheduling with organized approach. Proficient in coordinating insurance authorizations and maintaining medical records. Efficient Patient Service Representative with [Number] years of experience working in [Type of office]. Extensive knowledge of medical record organization and patient advocacy. Successful at helping patients through every step of the healthcare process.
Skills
SUMMARY
Accomplished Compliance Analyst with 10+ years of broad ranging progressive experience in Risk and Compliance. Organized professional with the ability to get results in a fast-paced and ever-changing environment. Seeking an exciting new career in the health care industry that will effectively utilize my skills and experience.
Health Care Policies & Procedures
Risk & Compliance Policies
Anti-Bribery & Corruption
Know Your Customer (KYC) Procedures
Anti-Fraud & Anti-Money Laundering
Securities & Insurance Operations
Microsoft Office Suite
WorldCheck
J.D.Edwards (One World)
Sharepoint
Business Objects (Crystal Reports)
Factiva
Bridger
ABC, Office
Administrative, Works
Ambulance, Organizing
Analyst, Policies
Billing, Processes
Business Objects, Quick
Business operations, Research
Charts, Securities
Clerical, Phone
Consultation, Workflow
Crystal Reports
Clients
Customer Satisfaction
Database
Databases
Direction
Due diligence
Fast
Filing
Insurance
J.D.Edwards
Director
Market
Money
Microsoft Office Suite
Medical filing
Patient interviewing skills
Office administration
Working collaboratively
Work ethic
Friendly, positive attitude
Problem resolution
Experience
11/2016 to Current
Patient Services AssociateUniversity Of Pennsylvania Health System – Havertown, PA,
Organized ER Registration Clerk who excels at delivering exceptional patient services while organizing and completing multiple tasks.
In-depth knowledge of patient registration process as well as confidentiality laws and regulations.
Proficient with computer registration system (EPIC) and experience of clerical and administrative duties of the healthcare environment.
Greets and arrives patients upon entry into the emergency room through Quick Emergency (QER) or Ambulance arrival registration process.
Provides compassionate patient service while collecting demographic, medical and insurance information from patients through bedside registering.
Verifies insurance providers and coverage for all patients.
Prepares electronic patient charts and files relevant paperwork following hospital’s guidelines.
Works with Language Line Services or provide interpreters when requested.
Achieves 100% accuracy on patient registration data.
Organized and maintained patient charts with proper classification and filing systems.
Answered over [Number] telephone calls per day to schedule appointments and answer patient questions.
Oversaw patient registrations by collecting information, verifying benefits and submitting paperwork.
Coordinated between patients and healthcare professionals to meet patient needs.
Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Documented and managed patient information using [Software].
Answered patient questions and fielded complaints.
07/2006 to 02/2016
Compliance Analyst (VP)Marsh USA Inc, Global Partners Analysis Group, GPAG – City, STATE,
Supported Marsh’s global Anti-Bribery & Corruption (ABC) programs for Third Party Providers (TPP).
Ensuring compliance with ABC policies and with the Foreign Corrupt Practices Act (FCPA).
Responsible for the analysis, research, review and authorization of TPPs while supporting various business operations by mitigating compliance risks for all Marsh & McLennan Companies globally.
Promoted to Vice President based on ability to effectively handle tasks assigned to me (2013).
Performed careful and detailed analysis of each Third Party submitted for Compliance review.
Reviewed TPP submission for complete and detailed description of Third Party engagement.
Performed enhanced due diligence on entities and individuals listed in the TPP submission through the use of Internet searches and proprietary databases, WorldCheck and Dow Jones Risk & Compliance Factiva.
Assisted with development and implementation of Know Your Customer policies and procedures for low risk/out of scope TPPs.
Assisted with development and implementation of a new TPP system, designed to track and report on all TPPs globally.
Investigated customer transactions for suspicious activity.
Reviewed company policies against best practices to better understand level of compliance.
Assisted with development of [Type] training programs to address company-wide problems.
Created plans to improve and correct operations in order to stay compliant.
Completed in-depth reviews of audit reports, client actions and monitoring activities.
Performed special reviews to support management needs.
Helped to investigate fraud and identify risks in collaboration with risk management staff.
Established working relationships with regulatory agencies.
Collected, input and analyzed information to make effective evaluations of company operations.
Planned and executed compliance audits to check company policies, procedures and controls.
Carefully maintained and circulated filing documents and records to department heads.
Facilitated adherence to all safety and regulatory objectives, including client-specific projects, training programs and personnel background checks.
Enforced regulations by reviewing federal and state laws to confirm compliance.
Completed comprehensive reviews of [Type] operations to evaluate compliance with [Type] requirements.
Oversaw training initiatives, which resulted in [Number]% improvement in employee compliance.
Produced [Timeframe] reports detailing compliance findings and recommendations for improvements.
Completed all assignments on time and with no infractions during examinations.
Developed organizational methods and policies, implementing training initiatives to deliver ongoing awareness of and compliance with established procedures.
Analyzed securities and insurance program registration documents.
Tracked both internal and external data export while monitoring for security risks.
Adhered to deadlines in optimizing regulatory and operational performance.
07/2001 to 04/2006
Senior Licensing Support SpecialistREGED, CT Insurance Services, Wolters Kluwer Financial Services – City, STATE,
Worked with clients, either producers or agencies, as an outsourcing agent facilitating the completion of insurance licensing for life, health, variable, property/casualty, and surplus lines of insurance.
Rated #1 in Customer Satisfaction Survey.
Promoted to senior position based on ability to effectively manage firm’s largest account (2005).
Managed division’s two largest accounts generating annual revenues of over $1.5M.
Prepared and executed insurance filings for individual producers & business entities.
Performed compliance tasks needed to properly license, appoint and terminate insurance producers.
Developed and implemented office procedures while providing management, guidance and direction to staff of four.
Resolved customer inquiries while providing expert advice and consultation on filing requirements licensing rules, fees and administrative procedures specific to all 51 U.S.
Jurisdictions.
Worked with Chief Executive Officer and Director of Regulatory Affairs on billing and workflow processes.
Updated Company database with information about laws, rules and procedures – helping to speed up the licensing process and getting the business community’s producers to market sooner, increasing premium income potential.
Promoted and sold company’s comprehensive range of services / software products - designed to support insurance licensing and appointment compliance departments, via phone and nationwide travel.
Developed training materials, conducted webinars and authored wikis for user training and support use.
Consulted via telephone to understand user problems, run through testing scripts and ask probing questions to locate root causes.
Assisted in technical support process refinement to improve customer service and support.
Researched, documented and escalated support cases to higher levels of support when unable to resolve issues using available resources.
Education and Training
Expected in 1998
BA: Deviant Behavior & Social Control John Jay College of Criminal Justice - New York, NY GPA:
Expected in
: Essentials of Investing & Financial Planning - South Shore Adult Education Center - Brooklyn, NY GPA:
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
resume Strength
Formatting
Personalization
Target Job
Resume Overview
School Attended
John Jay College of Criminal Justice
Essentials of Investing & Financial Planning - South Shore Adult Education Center
