Experienced Pt Access Representative bringing 10 plus years of Revenue Cycle/Healthcare experience. Strong emphasis on Patient Access, Insurance verification, billing, customer service and patient support. Skills on being Efficient and accurate while handling patient accounts.
Skills
Epic
Meditech
Pbar
Ace Star
Microsoft Office
VI WEB
Citrix
Portico
Amisys
Microstrategy.
Problem Solving
Documentation and Recordkeeping
Data Entry
Written and Verbal Communication
Interpersonal and organizational skills.
Medical Records Maintenance
Decision Making
Information Gathering
Patient Relations
Experience
08/2019 to Current
PT ACCESS SPECIALISTCuyuna Regional Medical Center – Crosby, MN,
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Determined patients financial needs and referred eligible patients to proper agencies to obtain financial assistance.
Completed full registration, while verifying patient's information and obtaining signatures for financial responsibility and treatment procedures from patient's.
Performed patient scheduling functions for add on patient's and have directed to main scheduling department for future testing or office visits.
I have followed document protocols to safeguard confidentiality of patient records.
03/2007 to 03/2021
Admitting ClerkAero Components Llc – Haltom City, TX,
Checked patient information and insurance coverage.
Coordinated patient paperwork and charts.
Determined charges and collected co-pays.
Managed patient admissions and discharge from hospital to home care, extended care facility or self-care.
Verified schedules and arrival times.
Completed registrations for laboratory work, surgical procedures and radiology.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Adhered to HIPAA requirements to safeguard patient confidentiality.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Managed incoming telephone calls, took messages and directed callers to personnel.
Transcribed physicians' notes and entered data into electronic chart management software.
Assisted with hospital admissions and paperwork.
Helped patients complete paperwork and explained processes and procedures.
Updated patient financial information to promote accurate record keeping.
Communicated with patients to gather intake data and verify chart information.
04/2017 to 06/2019
Business AnalystSt. Charles Health System – Myrtle Point, OR,
Manipulated data using pivot tables, pivot charts and macros in Excel.
Pinpointed inefficiencies in business processes and recommended improved policies.
Reconciled and reported record discrepancies to prepare for annual audit.
Diminished project gaps to facilitate smooth inventory workflow while reducing task duplication.
Identified and analyzed business strategies to increase company longevity.
Computed, recorded and proofread data in preparation of records and reports.
03/2011 to 04/2017
Patient Admitting RepresentativeSSM St. Louis University Hospital – City, STATE,
Reviewed patient admissions to determine medical necessity as directed by department criteria.
Scheduled and implemented patient admissions and discharges.
Applied HIPAA privacy and security regulations while handling patient information.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Obtained necessary signatures for privacy laws and consent for treatment.
Responded to patient concerns and inquiries professionally and efficiently.
Assembled registration paperwork and placed identification bands on patient.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Processed patient responsibility estimate determined by insurance at pre-registration.
Called insurance companies and verified patient coverage.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Obtained health, financial and religious information from patients at time of admission.
Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
Communicated financial obligations to patients and collected fees at time of service.
Trained facility volunteers on guest relations procedures and patients' rights.
Received patient inquiries or complaints and directed to appropriate medical staff members.
Addressed patients' complaints-head on, investigated concerns and worked with medical staff to devise solutions.
Facilitated communication between patients, medical and administrative staff, administrative staff and regulatory agencies.
Explained policies, procedures and services to patients.
Used sliding payment scale to assess fair charges for patient healthcare.
Education and Training
Expected in 05/2000
High School Diploma: O'fallon Township High School - O'Fallon, IL, GPA:
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