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Service Representative Care

Location:
Arlington, VA
Posted:
May 28, 2023

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Resume:

Doris Bryant

Mobile: 908-***-****

adxdis@r.postjobfree.com

EXPERIENCE

Astrazenca

Patient Access Specialist June 2022-Present

Manage day to day activities of patient and health care provider support requests and deliverables across multiple communication channels i.e. Phone, Fax, Chat, eMail, etc.

Ensure all support requested is captured within the Case Management system

Ensure timely processing and resolution of cases

Escalate complex cases, when appropriate

Coordinate all appropriate aspects of patient case management through to completion, using effective interpersonal skills to manage interactions

Educate Health Care Providers and patients on available access programs

Communicate effectively with payers, pharmacies, third party administrators and other departmentsPerform in-depth research into patient's medication coverage (may include benefit investigation/prior authorization/appeals and available support programs)

Educate offices on Access Services programs and referral process to ensure timely case processing

Ability to drive projects and cases to completion, self directed, excellent verbal and written communication skills

Proficient competency using Word, Excel and PowerPoint

Analytical thinking, problem solving and ability to multitask and manage multiple parallel projects

Inova Cardiac and Vascular Surgeons Fairfax, VA

Physician Office Team Lead October 2019 – Feb 2022

●Coordinates coverage and workflow for front office staff to ensure smooth operations for all offices within the practice.

●Coordinates Providers schedules while monitoring patient volumes and accuracy of patient scheduling to ensure patient satisfaction.

●Collaborates with Physician Office Manager in the areas of recruitment, orientation, discipline and evaluation of all office team members.

●Educates and trains front desk staff regarding insurance verification, registration, collecting co-pays and balances while monitoring performance of front-end policies and procedures.

●Monitors individual and team progress while developing competency to achieve goals and priorities.

●Manages completion of work assignments based on priority by dividing assignments into phases with projected due dates.

●Coaches staff to be proactive in identifying problems, developing solutions and/or recommendations to effectively solve problems.

●Motivates and mentor staff while promoting a positive working environment within the practice.

●Identifying areas of developmental needs of team members and implementing plans to train and develop to meet and achieve goals.

●Demonstrates problem resolution skills in order to provide improvement in work processes and workflow.

●Monitors front end Revenue Cycle functions with all relevant contractual/third party payers in Collaboration with Physician Billing Manager to ensure compliance with sound accounting practices.

●Collaborates with Physician Managers, Clinical Managers, and Billing Manager to solve cross departmental issues and conflicts.

Virginia Hospital Center Arlington, VA

Patient Care Representative (PRN) September 2021 - Present

●Greets all patients in a courteous, professional manner.

●Obtains and accurately enters patient information into registration system.

●Provides registration face sheet to patients to review; make changes as necessary in the registration system.

●Efficiently and correctly schedules patient appointments according to departmental procedure.

●Handles multiple telephone lines with high call volumes. Screens and routes all call appropriately.

●Files correspondence promptly in patient charts when returned from clinician or manager.

●Coordinates insurance verifications and preauthorization.

●Provides assistance as needed to physicians and clinical staff.

University Radiology Warren, NJ

Office Coordinator November 2014 – August 2019

●Coordinated and assisted the front desk in scheduling, greeting patients, answering phones and registration.

●Scheduled appointments for Radiology and Interventional Vascular Radiology Departments.

●Responsible for obtaining authorization and supporting patients with billing inquiries

●Maintained all inventory and ordered supplies for the front-end office.

●Worked closely with technology staff to ensure smooth workflow for patient care.

●Supported VP and Associate Director of Operations to ensure Departmental policies and Compliance Plans are maintained.

●Advised and educated patients regarding radiology exams and surgical plan of treatment.

●Communicated with referring physicians daily to manage patient issues and concerns for treatment planning.

●Ensured that all pre and post instructions are accurately communicated to patients.

Hunterdon Medical Center Flemington, NJ

Patient Service Representative January 2019 – August 2019

●Greeted and checked in patients for scheduled appointments.

●Obtained and accurately entered patient information into the registration system.

●Prepared documents for upcoming intakes.

●Regularly reviewed and updated insurances and demographics information for billing.

●Scanned paperwork into appropriate patient charts.

●Provided telephone coverage and clerical support to clinical staff.

Atlantic Home Care and Hospice Morristown, NJ

Unit Representative/Intake Representative November 2013 -November 2014

●Prepared and maintained nurses’ weekly schedules electronically.

●Assigned scheduled visits to appropriate staff including weekend schedule.

●Communicated effectively with patients to confirm visits when needed.

●Received and triaged phone calls for nursing staff and other team members.

●Managed various reports with appropriate follow up to Clinical Coordinator and Manager.

●Submitted patient insurance information for authorization for homecare.

●Documented all communications in note section of computer.

Associated Radiology Warren, NJ

Transcription Supervisor May 2005 –November 2012

●Managed the completion of work assignments based on priority and due dates.

●Conducted all staff meetings.

●Coordinated the flow and accuracy of transcribed reports for mammography, X-rays, bone density, ultrasounds, CT scans, MRI, and PET scans.

●Provided assistance to referring physicians and staff in reference to any report issues.

●Maintained Quality Assurance to assure complete accuracy of documents.

●Assured HIPAA Compliance while maintaining strict confidentiality of all transcribed medical reports.

Skills

●Experience in Microsoft Office (Word and Outlook), Excel, EPIC

●Strong history of sound decision making, problem solving and analytical thinking.

Education

State University of New York at Farmingdale

Associates in Science



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