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Insurance Patient Care

Location:
Atlanta, Georgia, United States
Posted:
October 05, 2016

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Alma Le-Shawn Ogden

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

Lithonia, Georgia 30058

404-***-****

Objective

Empathetic and knowledgeable professional seeking a position that will allow the use of strong interpersonal, diagnostic and communication skills, critical thinking and active listening.

Experience

Patient Care Technician

Childrens Healthcare of Atlanta, Decatur, GA

January 2016 –present

Assists in the basic delivery of patient care as assigned by licensed professional personnel using age and developmentally appropriate standards.Maintains department and patient care equipment as assigned. Communicates information relating to patient care job activities, needs and responsibilities for the assigned shift to appropriate personnel. Utilizes effective organization and communication skills in prioritizing and delivering patient care.Initiates and participates in continuous assessment and improvement of the quality of care and services provided.Acts as a role model for organizational and developmental skills. Assists departmental leadership team in the development of other staff members. Accepts responsibility for own growth, development and professional conduct

Patient Care Specialist (Central Staffing Office)

Childrens Healthcare of Atlanta, Decatur, GA

January 2015 – January 2016

Assisted in the basic delivery of patient care as assigned by floating within CHOA’s r three hospitals; Scottish Rite, Egelston and Hughes Spalding with the willingness and flexibility to go wherever the need was for assigned days. Maiintained department and patient care equipment as assigned. Communicated information relating to patient care job activities, needs and responsibilities for the assigned shift to appropriate personnel. Displayed multi-faceted skill-set of being able to be flexible enough to work on different floors and adapt to unit specific requirements.

Medical Assistant

Childrens Surgery Center, Atlanta, GA (Children’s Healthcare of ATL Sattlelight location)

January 2014 – January 2015

Assists in the basic delivery of patient care as assigned/directed by licensed professional personnel utilizing and integrating age appropriate standards, knowledge of growth and development, infection control and body substance precautions, patient safety, and body mechanics. Completed assigned tasks / orders from practitioners (MD/PA/NP) inclusive of the following: Demonstrated competency in phlebotomy skills, resulting in the proper and safe collection of laboratory specimens. Demonstrated competency during the intake process, inclusive of accurate vital signs. Utilizes proficient organization and communication skills in prioritizing, delivering, and documenting patient care. Ability to perform multiple, concurrent tasks in frequently stressful and fast-paced environment while maintaining strong internal and external customer service standards. Served as a liaison between patients/families and department staff by greeting patients/families, informing families of delays, relaying messages, and offering assistance/other services families may require. prerformed multi-tasked administrative duties to promote efficient operations including participating in office opening/closing procedures, answering the phones, maintaining waiting room/patient diversion materials, making and cancelling appointments, insurance verification. Coordinating medicaid transportation. Maintained and restocked supplies and ensured they were not out of date. Ordered office supplies. Helped ensure that office stayed compliant with infection control, safety and OSHA procedures and regulations.

Patient Care Specialist (Central Staffing Office)

Childrens Healthcare of Atlanta, Decatur, GA

November 2011 – January 2014

Assisted in the basic delivery of patient care as assigned by floating within CHOA’s r three hospitals; Scottish Rite, Egelston and Hughes Spalding with the willingness and flexibility to go wherever the need was for assigned days. Maiintained department and patient care equipment as assigned. Communicated information relating to patient care job activities, needs and responsibilities for the assigned shift to appropriate personnel. Displayed multi-faceted skill-set of being able to be flexible enough to work on different floors and adapt to unit specific requirements.

Insurance Verifier

Children’s Helathcare of Atlanta, Atlantar, GA

November 2009 – November 2011

Initiates and performs revenue cycle activities by interviewing patients and/or family members as needed, to secure information concerning insurance coverage, eligibility, and qualification for various financial programs.Coordinated and performed verification of insurance benefits by contacting insurance providers and determining eligibility of coverage. Communicated the status of verification/authorization process with appropriate team members in a timely and efficient manner. Provided clinical information as needed, emphasizing the medical justification for procedure/service to insurance companies for completion of pre-certification process. Ensured referring physician obtained prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department. Contacted referring physicians and or/patients to discuss rescheduling of procedures due to incomplete/partial authorizations. Acted as liaison between clinical staff, patients, referring physician’s office and insurance payers by informing patients and families of procedures authorization delays/denials. Answeried questions, offering assistance and relaying messages pertaining to the authorization of procedure/service. Performed revenue cycle activities required for pre-registration and registration, facilitating insurance pre-certification and authorization. Maintained the tracking of patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems. Contacted parents/guardians regarding co-payment amounts prior to service date. Pre-screens doctor’s orders (scripts) received for new patient to ensure completeness of scheduled appointment. Collaborated with Appeals department to provide all related information to overturn claims denied.Monitored insurance authorization issues to identify trends and participates in process improvement initiatives. Provides on-going communication and training to physician offices, patients/families and others as necessary to resolve insurance authorization-related departmental issues.

Education

Everson –Atlanta GA

Certified Surgical Technician

Graduated 2010

World Medical Training

Certified Nursing Assistant

Graduated 2000

References References are available on request.



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