To serve within an organization where prior experience and proven ability may be utilized and where there is potential for both professional and personal growth. Summary of Qualifications: Patient Access Associate with extensive expertise in patient registration, surgical scheduling, time management, and providing superior customer service. Highly adaptable, quick to assimilate new procedures and processes, versatile to changes in schedule, team structure, assignment parameters, and organizational objectives. Offer uncompromising integrity, initiative, resourcefulness, solid work ethic and diligence in achieving both short- and long-term goals and business objectives. Furthermore, I am bilingual (English and Spanish) having superb communication as well as excellent customer service skills. I am a team player and have the talent to work in a fast paced and high stress environment.
Responsible for scheduling Inpatient and Outpatient surgeries, confirming next day scheduled cases, certifying that cases are authorized by the insurance company and have no medical clearance issues with a potential to delay cases
Complete surgeons requests in coordination with Materials Manager
Maintain block schedule for surgeons, updating as indicated by Department Manager/Director/CNO
Review Medical Staff privileges status daily and compare against surgery schedule and contact physicians
Monitor accuracy of time required per case to ensure appropriate turnaround time of surgeries
Coordinating with the outside resources (cell saver, green light laser, ESWL, etc) for individualized cases requested by the physician; as well as outside representatives (Stryker, Arthrex, Wright Medical etc,) that provide instrumentation /implants for the cases
Maintain the most current insurance matrix of all contracted manage care companies
In charge of running daily statistics and productivity report for the CNO and other required personnel
Meet daily with the Surgical Team to review scheduled cases for the following day and flag any potential conflict including: authorizations issues, pending/missing instrument trays, and confirming that representatives are credentialed with the facility to assist in cases
Conferring with upper management as well with Physician Relations department to improve patient and physician satisfaction
05/2011 to 05/2017
Patient Access SpecialistCatholic Medical Center – Manchester, NH,
Responsible for the daily operations of the Patient Access department that includes, admitting office, outpatient registration areas, insurance verification department, financial counseling, International services and emergency room. Performed and variety of functions related to the registration, admissions, and discharge of patients and subsequent financial activities. Tasked with executing various administrative functions to include positively greeting and directing patients, accurate patient identification and registration, insurance collection and verification, consenting signatures and hospital admissions
Acted as a liaison between International patients/families and the Hospital. Represented a means through which International patients can obtain assistance for admissions, billing, scheduling, air transportation, and support services during their treatment at the hospital
Worked closely with Finance department to compile Self Pay Packages for Uninsured/International Patients
Confirmed admissions notified to the insurance company on a timely manner to secure hospital reimbursement for services provided and kept denials to a minimum; this included working closely with the Case Management department
Responsible for thirty-six (36) non-exempt employees achieving a monthly score of 95% or above accuracy in registration to reduce AR days and fewer rejections/denials
Provided extensive training to all new and current personnel
Took supervisory role and assisted at peak operation hours
Relied on excellent judgment and problem-solving skills to plan and accomplish yearly goals. Management recognition of excellence for providing exceptional guest relations through effective and proficient communications skills across all points of interaction, while consistently reflecting the hospital philosophy of patient relations and services
Conferred with upper management to improve and enhance workflow of the departments and the patient experience
Successfully trained new Patient Access Associates with the various operating systems: Meditech Magik, Insurance eligibility tools (Passport E-Care, E-verify, and Availity, Authorization process and cashiering function (payment collection) to work independently and to achieve a 90% rating
Assisted in design and execution of AhiQa a Quality Assurance program that contributed to 95% of registration accuracy
Reviewed error reports to ensured that the department achieved a monthly score of 95% or above accuracy in registration to reduce AR days and fewer rejections/denials
Conferred with upper management to plan and develop methods and training procedures that increased registrar's performance and productivity
Performed a variety of functions related to the registration, admissions, and discharge of patients and subsequent financial activities
Participated in the development of Patient Access organizational procedures manual
Provided Supervisory oversight when required
Processed monthly reports for department performance
04/2000 to 06/2007
Senior CollectorMercy Hospital – City, STATE,
Processed billings to patients and third party reimbursement claims
Maintained supporting documentation files and current patient addresses
Processed patient statements, posted transactions, and verified accuracy of information
Researched and responded by telephone and in writing to patients inquiries regarding billing issues
Followed up on submitted claims with the insurance company
Monitored unpaid claims, initiated appeals
Posted and reconciled payments to patient ledgers
Balanced daily batches and report; prepared income reports for charity cases
Maintained patient demographic information and data collection systems
Participated in the development of procedures and update of forms and manuals
Performed a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions
Assisted in preparing documentation and replies for legal inquiries
Ensured strict confidentiality of financial records
Education and Training
Expected in 2004 to to
: Healthcare Administration - Miami Dade Community College - , GPA:
Expected in 1998 to to
Certificate of Quality HealthCare Management - FIU, March 1998: - , GPA:
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Resume Overview
School Attended
Healthcare Administration - Miami Dade Community College
Job Titles Held:
Surgical Scheduler Coordinator
Patient Access Specialist
Patient Access Coordinator
Senior Collector
Degrees
Certificate of Quality HealthCare Management - FIU, March 1998