Patient Access Hospital

R osetta F. Law rence

***** ********** *** ***** * umble, TexasTexas«AddressBlock» 77396 Phone: 832-***-**** E-Mail:

r f ********@*****.***

Objective

To obtain a position in the Revenue Cycle that will allow me to utilize my vast finance, hospital, leadership, customer

service, and EPIC experience while offering opportunities and advancement for professional growth

Skills

• Advanced knowledge of insurance plans such as: All Texas Medicaids, Medicare, Tricare, Blue Cross Blue Shield,

C igna, Aetna, and United Healthcare

• Advanced knowledge of insurance verification systems HDX, EEV, RTE, Medifax, and commercial payer websites

• Advanced knowledge of EPIC; including Epic Care, EPIC Prelude, EPIC ADT, and EPIC Resolute

• Advanced knowledge of Microsoft Office, Excel, PowerPoint, Outlook, and Publisher

• Advanced knowledge of t raining and developing a team of 10-15 direct reports

• Advanced knowledge of utilizing CPT codes for precertification

• 32 years hospital Revenue Cycle and Finance experience

• Advanced knowledge of the SkipJack system

• Types 55-65 WPM and 10 key by touch

• Medical Terminology

Experience

Texas Children’s Hospital, Houston, TX January 2008- Current

Patient Access Coordinator, Emergency Center

• Conducts weekly auditing of patient accounts to ensure accurate and timely registration, verification, and

authorization. Reports data to leadership and uses information to assist with training initiatives

• Actively participates in special projects, programs, or initiatives relating to departmental performance such as

special training, payor in-services, or new laws or regulations

• Acts as a liaison between department and Information Systems when issues arise pertaining to the integrated

patient account system, scanning, cash reconciliation, etc.

• Responsible for receiving and t racking supplies for Emergency Center Patient Access Department

• Awarded STAR for going above and beyond by management February 2009 and December 2012

• Monitors staffing levels in all registration areas and assists with coverage when needed

• Mentors department employees to ensure the best possible changes for success

• Ensures downtime procedures are known and adhered to

• Provides system and process t raining to new employees

• Indirectly manages 5-10 employees

Texas Children’s Hospital, Houston, TX September 1986- January 2008

Patient Access Representative, Emergency Center

• Provided documentation in patient’s chart of general consent, information release, advanced care directives, and

other requirements of JCAHO and other regulatory bodies

• Actively coordinated outpatient laboratory, St. Luke’s Episcopal NICU admissions, and inpatient admissions with

bed management

• Financially secured and collected out of pocket responsibility from guarantors to maximize hospital reimbursement

• Verified demographic information on existing, new accounts, and inputted insurance information into EPIC

• Responsible for receiving and t racking supplies for Emergency Center Patient Access Department

• Acted as a liaison between patient/family, payers, H I M, PFS, and other healthcare team members

• Acted as a stand in Patient Access Coordinator when current PAC was not available

• Checked EPIC WQ consistently to ensure that all registrations were completed

• Mastered and t rained downtime procedures to other staff members

• Excelled in multi-tasking in a high stress environment

Har r is County Hospital District- Ben Taub, Houston, TX January 1985- September 1986

Business Services Supervisor

• Oversaw the preparation and maintenance of documents and information in order to comply with administrative

policies as well as JCAHO and other regulations

• Conducted special studies and projects as assigned; researched and analyzed information, prepared statistical and

narrative reports and documents as needed

• Assumed responsibility for completing or assisting on special projects, as assigned by the Director, including

management of the budget

• Worked closely with all Business Services supervisors and other department supervisors to reach a common goal

• Interviewed, hired, counseled, and conducted performance appraisals and disciplined all assigned staff

• Provided coaching, mentoring, and career development to all staff members

Certifications

Texas Children’s Hospital, Houston, TX February 2013

Delegating with Purpose, Certificate of Completion

Texas Children’s Hospital, Houston, TX March 2012

Communicating and L istening, Certificate of Completion

Texas Children’s Hospital, Houston, TX December 1999

Medical Record Terminology, Certificate of Completion

2

E ducation

Booker T. Washington High School, Houston, TX September 1977- May 1981

General Studies Diploma

2

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