CAROL BROWN

*** ******* ******

BUFFALO, NY ***** US

Day Phone: 716-***-****

Evening Phone: 716-***-****

Email: ac0rwr@r.postjobfree.com

KALEIDA HEALTH

*** **** ******

BUFFALO, NY 14203 716-***-****

Patient Access Representative:

03/1996 - Present

Promptly acknowledges and greets patients. Determines appropriateness of patient arrival. Interviews and registers patient to obtain demographic, clinical and financial information. Determines the patient’s type of insurance coverage and educates the patient regarding coverage. Informs patient of all appropriate copayments and insurance deductibles and collects them.

Explains all forms requiring signatures and obtains necessary signatures. Provides appropriate Hospital information to assist the patient during his/her stay.

Investigates, resolves and documents patient problems in a timely, efficient manner. Contacts medical staff, nursing units ancillary departments and administration, as needed.

Verify insurance eligibility, benefits, and reimbursement requirements utilizing HealtheNet, HDX, Emevs, or other tools as determined by third party payers. Ensures all referrals and treatment authorizations have been obtained. If not obtained, contact insurance carrier for approvals. Document results on the patient accounting and/or patient management system.

Coordinate timely referrals for uninsured and/or under insured patients to the facilitated enrollment team for financial screening.

Thoroughly searches the Hospital’s database for all patients prior to scheduling and registration to determine whether the patient has already been assigned a medical record number.

Accurately enters all demographic and financial information into the Hospital’s computer system, according to the department’s data standardization policy.

Demonstrates proficiency in assignment of beds within established standards. Collaboratively communicates admissions, transfers and discharges to nursing units. Works closely with physicians to assist in proper placement of direct admits. Assigned Demonstrates a thorough knowledge of guidelines for isolations and patient types.

Interact and communicate with payers, customers, government regulatory agencies, supporting vendors, and health system departments in a professional manner.

Collaboratively communicates with environmental services to ensure timely cleaning of rooms and provides feedback to nursing as appropriate and determines the priority of beds needed in accord with policy and notifies environmental services of same.

Completes cross-training functions in admission, outpatient registration and emergency room areas within Patient Assists in completing patient discharge functions, ensuring all assignment of benefits, insurance forms and signatures have been obtained prior to releasing the patient. Revises any data Develops and maintains positive working relationships with Kaleida Health personnel, patients and/or designated representatives, and vendors. Schedule patients for tests such as labs, x-ray, ultrasound or cat scan. Schedule patients to follow-up with specialist if necessary. Find patients primary doctor if they don't have one to follow-up with. Successful performance in this position requires knowledge of administrative and department procedures for the management of records and forms, information security and exchange, management of reports and data, scheduling of patient appointments, telephone care, and public relations/customer service. The Advanced MSA coordinates with the patient care team to review the clinic utilization, ensures that the clinic setup is closely monitored to effectively support the needs of the clinic, and recommends/makes necessary adjustments.

Kaleida Health

100 High Street

BUFFALO, NY 14203 716-***-****

Pharmacy Tech

01/1994 - 03/1996

Depending on the exact shift scheduled, the Pharmacy Technician I will complete a variety of the listed activities. Each site maintains a daily task list for each scheduled shift that includes some of the following activities:

1. Prepares medications for patient use from orders written by physicians, nurses, pharmacists, and computer-generated cart fill list, to be verified by the pharmacist.

2. From prescribers orders, enters information for patient profiles in the pharmacy computer system to be verified by the pharmacist

3. Delivers medications to nursing units on a scheduled basis. This included unit dose cassettes based medications and IV additives.

4. Fills stock sheets, stock charges and unit dose floor stock plus delivers floor stock medications to the nursing units, including automated dispensing equipment.

5. Updates pharmacy databases and patient storage areas for ADT transactions as needed to provide medications to the proper location and to remove medications no longer required.

6. Assists the pharmacist in the preparation of IV additives and solutions after successful training in aseptic technique.

7. Maintains necessary quantity of medications in the dispensing area to supply patient needs. Writes/completes stock lists and picks stock when required, including automated dispensing equipment.

8. Assists in the orientation and training of new staff.

9. Performs billing functions as needed to place patient charges into the computer system within 48 hours after service delivery.

10. Repackages pharmaceuticals into unit dose or other packaging.

11. Participates in periodic physical inventory.

12. Prepares outpatient prescriptions in accordance with New York State regulations.

13. Perform Nursing Unit Inspections monthly as directed by the site supervisor.

14. Answers the telephone and door/window in a courteous fashion and directs the customer to the appropriate person, including handling questions on a non-professional nature.

15. Maintains a safe, clean, orderly workplace.

16. Assists in the maintenance of a safe and comfortable environment.

17. Provides cross coverage for Technician II level job functions as required.

18. Maintains appropriate dispensing records as required by policy and state and federal regulation.

19. Other duties as requested by the pharmacist.

Kaleida Health

100 High Street

Buffalo, NY 14203 716-***-****

Unit Secretary

11/1991 - 12/1994

Duties:

1. Initiates, maintains and processes patient records.

• Initiates patient chart upon admission

• Transcribes physician orders under the direction of the RN

• Maintains and organizes the patient record on a daily basis inclusive of electronic and hard copy materials.

• Obtains results of diagnostic and laboratory tests and posts to patient’s record in a timely manner

• Updates patient records/profile on the computer

• Correctly transcribes the procedure onto the consent

• Correctly posts patient charges

2. Maintains established systems that contribute to the organization of the unit.

• Processes discharges and transfers when applicable

• Calls referral, consults, tests results and patient appointments as ordered

• Maintains patient and unit supplies.

• Maintains office supplies

• Establishes priorities for time management

3. Demonstrates skills related to selected emergency situations.

4. Communicates relevant information to the patient, patient’s family and other health care team members.

• Maintains confidentiality of patient information in compliance with HIPPA regulations

5. Respects cultural customs and beliefs different from own

• Interacts with patients, visitors and staff in non-judgmental manner

6. Provide a safe environment.

7. Demonstrates the knowledge and skills necessary to provide care appropriate to the age and developmental level of the patient.

8. Perform other related duties as assigned by authorized personnel or as may be required to meet emergencies.

9. Complies with all quality assurance, customer focus, infection control, safety and all policies and procedures with the department and Kaleida Health.

10. Understand and follow all Kaleida Health Service Excellence Standards of Performance.

Ability to collaborate, communicate, set priorities, and organize the work in order to meet deadlines, ensuring compliance with established processes, policies, and regulations.

11. Ability to communicate tactfully and effectively, both orally and in writing, in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels.

12. Advanced knowledge of the technical health care process as it relates to access to care.

13. Advanced knowledge of managing a clinic. This includes independently utilizing reference sources, decision making, and empowering the team to collaborate and resolve problems within a complex systems environment.

14. Advanced knowledge of policies and procedures associated with operational activities that affect the patient flow, patient care, and the revenue process.

15. Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians.

setting priorities and deadlines, adjusting the flow and sequencing of the work to meet service and patient needs, entering appropriate information into the electronic record; monitoring pre-appointment requirements to assure readiness for patient visit/procedure (e.g., X-ray, lab work); participating and providing input in problem solving on operational issues or procedures to appropriate clinical service chief, performing administrative follow up actions; disseminating important information to and collaborating with other members and providers of assigned services to assure continuity of care; alerting specialist to shared patients (those who receive their care at multiple VAs or those who have care in the community).

HARRIMAN LODGE

Country Road 78

East Jewett New York 12424 518-***-****

SECRETARY

06/1991 - 08/1991

Duties:

Prepare and manage correspondence, reports and documents organize and coordinate meetings, conferences, travel arrangements, take,type and distribute minutes of meetings

implement and maintain office systems,maintain schedules and calendars

arrange and confirm appointments,organize internal and external events

handle incoming mail and other material,set up and maintain filing systems,

set up work procedures, collate information, maintain databases

communicate verbally and in writing to answer inquiries and provide information

liaison with internal and external contacts,coordinate the flow of information both internally and externally and operate office equipment .

Education:

Riverside High School

51 Ontario Street

Buffalo New York 14207

Diploma In Business Administration

Erie 1 Boces

705 Potter Road

West Seneca New York 14224

Certificate in Medical Termniology and Medical Billing

References Upon Request

Contact this candidate