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Skills

  • Supervision
  • Claims denial reduction
  • Team collaboration
  • Directing visitors
  • Daily schedule creation and optimization
  • Communications
  • Escalated issue resolution
  • Appointment scheduling and management
  • Planning and coordination
  • Administrative support

Work Experiences

  • Administered scheduling for 10-provider practice, ensuring smooth patient flow and reducing appointment wait times by 43%.
  • Assisted in the creation of metric procedures.
  • Made patient appointments and confirmed them with patients and healthcare professionals.
  • Used Jira to schedule patient appointments and procedures.
  • Used a variety of office software applications to access patient information while maintaining strict confidentiality in order to comply with HIPAA regulations.
  • Used my customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Collaborated with insurance companies.
  • Administered digitized workflows for patient information.
  • Assisted in the oversight of insurance pre-authorizations for complex cases, improving authorization approval rates to 20%.
  • Kept my process knowledge up to date by doing stakeholder engagement and risk assessment.

Summaries

  • Successful in assisting patients at all stages of the healthcare process.
  • Six Sigma certified
  • Accomplished Access Care Representative known for reducing administrative redundancies and standardizing processes in compliance with healthcare regulations.
  • Ability to recognize framework issues and integrate process solutions to achieve category.
  • Client relations Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Patient Service Representative who is extremely knowledgeable about standard of treatment and budget management.
  • Accomplished in handling large volumes of patient inquiries and registrations directly, with a focus on delivering high-quality, empathetic care.
  • Access Care Representative is a hardworking and dependable Access Care Representative who excels at budget management and team leadership.
  • Process and initiative have a proven track record.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.

Accomplishments

  • Identified process gaps in insurance verification, implementing corrective actions that reduced claim denials by 85%.
  • Standardized intake and registration procedures in 14 clinics, improving compliance and reducing administrative wait times by 31%.
  • Handled upwards of 3 daily calls with an average call resolution time of 6 months minutes, leading to a 68% boost in patient satisfaction.
  • Improved patient registration accuracy by 69% through diligent data collection and cross-referencing, lowering billing discrepancies.
  • Routinely performed data audits on patient insurance and confidential information, contributing to a 40% reduction in billing errors.
  • Resolved patient access issues through critical troubleshooting, resulting in improved issue resolution times by 55%.
  • Handled insurance verification for out-of-network procedures with a 48% success rate in obtaining approvals.
  • Utilized ServiceNow to streamline work processes, leading to a 75% improvement in team productivity and response time.
  • Collaborated with insurance providers to expedite claims processing, reducing rejected claims from 75% to 44%.
  • Implemented real-time call monitoring tools, achieving a 26% reduction in patient escalations and improving first-call resolution rates.

Affiliations

  • Completed a certification program in Healthcare Customer Service Excellence offered by the International Customer Service Association (ICSA).
  • Member of EHR Professionals Network, focusing on optimizing the use of Adobe Creative Suite to improve patient access and satisfaction.
  • Affiliated with the American Health Information Management Association (AHIMA), focusing on improving proficiency in insurance verification and EHR systems.
  • Attended the Annual Patient Access Symposium, gaining insight into enhancing patient scheduling efficiency in healthcare environments.
  • Member of the Society for Healthcare Consumer Advocacy (SHCA), attending workshops on patient dispute resolution.
  • Contributor to monthly industry discussions hosted by the Healthcare Information and Management Systems Society (HIMSS).
  • Member of the Healthcare Financial Management Association (HFMA), attending seminars on improving patient payment workflows and insurance claim resolution.
  • Collaborated with the Access Care Representative Peer Development Program to mentor junior colleagues in standard practices for patient registration.
  • Attended intensive training programs by MedAxiom on financial reimbursement and revenue cycle improvement.
  • Certification holder for Electronic Health Records (EHR) Optimization, earned through process in 2016.

Certifications

  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Professional in Healthcare Information and Management Systems (CPHIMS) – HIMSS
  • Certified Medical Office Manager (CMOM) - Beacon Labs
  • Health Information Technology Certification - Northwind
  • Certified Revenue Cycle Representative (CRCR) - Ironclad Systems
  • Certified Healthcare Access Associate (CHAA) - Beacon Labs
  • First Aid/CPR
  • Certified Healthcare Operations Professional (CHOP) - framework
  • Certified Professional Coder (CPC) - AAPC
  • SHRM Certified Professional (SHRM-CP)

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