Customer Service Memorial Hospital

Kangela R Freeman

***** ****** **, *******, ** **438

*************@*****.*** ; Ph:678-***-****

Objective:

Dedicated and detail-oriented Patient Representative with experience in a hospital environment. Proven track record of ensuring accurate admission, patient information, insurance verification, and exceptional customer service. Seeking an opportunity to contribute expertise and commitment to a dynamic healthcare organization.

Professional Experience:

Conifer Healthcare Solutions, Maui Memorial Hospital

Admitting Representative

October 13, 2018 - February 10, 2020

Registered patients in compliance with hospital policies and procedures.

Collected and verified patient information, including insurance details and identification.

Maintained strict confidentiality of patient records, adhering to HIPAA regulations.

Collaborated with billing and coding teams to optimize reimbursement processes.

Process patient admissions with a focus on accuracy and efficiency.

Verify insurance coverage and obtain necessary authorizations for medical procedures.

Collaborate with nursing and administrative staff to ensure a smooth admission process.

Address patient inquiries and concerns, providing exceptional customer service.

Conifer Healthcare Solutions, Maui Memorial Hospital

Patient Verification Representative Team Lead

April 11, 2014 – October 18, 2018

Verify patient demographic information, insurance coverage, and eligibility through effective communication with patients, insurance providers, and internal hospital departments.

Accurately enter and update patient information in electronic health records (EHR) systems, ensuring data integrity and compliance with privacy regulations.

Collaborate with billing and coding teams to resolve discrepancies and facilitate timely and accurate claims processing.

Provide excellent customer service by addressing patient inquiries regarding insurance coverage, benefits, and billing issues.

Assist in training new staff members in patient verification processes and software systems.

Conducted patient interviews to collect and verify personal and insurance information during the registration process.

Collaborated with nursing and medical staff to ensure accurate documentation of patient data in electronic health records.

Resolved patient inquiries related to registration, insurance coverage, and billing concerns.

Assisted in the development and implementation of improved patient registration processes to enhance efficiency.

Assisted the billing and collection department when needed on follow up of claims.

Education:

Druid Hill High School: Diploma: 1988

Philadelphia Training Institute: Data Analysis: Certificate: 1994

Skills:

Patient verification

Admissions

Insurance eligibility checks

Third Party Liability (CMS, MCR, MCD, COMM)

Electronic health records (EHR)

Customer service

Attention to detail.

Team collaboration

Time management

Communication skills

EPIC Software

65 WPM

Insurance follow-up

Authorization

HIPPA and PHI

Excel

Word / PowerPoint

Medical Terminology

Understands CPT Codes and Diagnosis

References Available upon request.

Other experience will be provided upon request only added experiences that was relevant to the position posted. I have over 30 years of experience in Hospital and Clinical.

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