Customer Service Patient Access
Resume:
Keri Anne Buscemi
**** ******** ***** *********, ******** 48871
989-***-**** • ***********@*******.***
Objective
Highly detailed individual looking to make a difference in people’s lives with a vast amount of experience in customer service, business administration, and sales experience seeking to obtain a career position using my exemplary customer service abilities, and administration experience to provide the most positive experience as possible.
Key Qualifications
● Customer Service SME
● BLS Certified
● Experienced with EPIC
● Medical Insurance Eligibility
● Medical Insurance Authorization
● Medical Scheduling
● Multitasking & Prioritizing
● Root Cause Analysis
Employment Experience
Patient Access Specialist
University of Michigan Health - Sparrow Clinton
● • Pre-Registration of patients over phone (primary responsibility).
● • Covers both Emergency Department as well as Scheduled Hospital Appointments.
● • Interviews patients for the purpose of collecting complete and accurate confidential demographic and financial information to comply with regulatory agencies and billing requirements.
● • Provide Excellent Customer Service to patients and families for individual needs, with empathy.
● • Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration.
● • Obtain signatures and information as required by regulatory agencies while in compliance with federal regulations such as HIPAA, EMTALA and Identity Theft (Red Flag) reporting.
● • Verify insurance eligibility and covered benefits by using all electronic systems available to them or by phone.
● • Educate the patient as to their financial responsibility & collect prepayment for hospital services that are not covered by the patient’s insurance, including co-pays, deductibles, or good faith deposits.
● • Work exception accounts held internally or rejected by payers for errors related to registration.
● • Supports continuous improvements and lean initiatives implemented in Patient Access 3/2024 to 7/2024
3/2023 to 7/2024
2/28/2022 to 8/5/2022
Department.
● • Provides excellent customer service to patients and their families Emergency Department Unit Secretary
University of Michigan Health Sparrow Carson
● • Uses computer to verify physician orders and coordinates the execution of those orders with various departments.
● • Assumes all other duties and responsibilities as necessary.
● • Attends all required safety training programs.
● • Follows the hospital exposure control plans/bloodborne and airborne pathogens.
● • Promotes effective working relations and works effectively as part of a department/unit team to facilitate the department's/unit's ability to meet its goals and objectives. Patient Access Specialist
University of Michigan Health Sparrow Carson
● • Covers both Emergency Department as well as Scheduled Hospital Appointments.
● • Interviews patients for the purpose of collecting complete and accurate confidential demographic and financial information to comply with regulatory agencies and billing requirements.
● • Provide Excellent Customer Service to patients and families for individual needs, with empathy.
● • Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration.
● • Obtain signatures and information as required by regulatory agencies while in compliance with federal regulations such as HIPAA, EMTALA and Identity Theft (Red Flag) reporting.
● • Verify insurance eligibility and covered benefits by using all electronic systems available to them or by phone.
● • Educate the patient as to their financial responsibility & collect prepayment for hospital services that are not covered by the patient’s insurance, including co-pays, deductibles, or good faith deposits.
● • Work exception accounts held internally or rejected by payers for errors related to registration.
● • Supports continuous improvements and lean initiatives implemented in Patient Access Department.
● • Provides excellent customer service to patients and their families CERA Specialist (COVID Emergency Rental Assistance) EightCAP LLC
● • Receive applications and/or referrals for households who are in danger of eviction.
● • Review submitted documents for accuracy and reliability according to program guidelines.
● • Collaborate with other departments, local resources, legal aid, and District Court to maximize a positive outcome for the client.
● • Ensure payments and billings are processed in a timely manner.
● • Maintain accurate client records for all clients. Responsible for all required reports to be completed and submitted in a timely and organized manner. Entering of real-time data into FACSPro or required data systems.
● • Ensure all grant requirements are met.
● *** This was a temporary position.
2/2003 to 3/2007
8/2023 to present
11/2002
09/2002
12/1999
01/1995 to 05/1997
Corporate Program Specialist/Program Specialist
WISH Center
● • Handled all Insurance functions for all local patients, including but not limited to; benefit & eligibility verifications, organization and submission of all prior authorizations & pre- determinations as well as follow-up on both. Explanation of pre-determination coverage and pre-surgical financial responsibilities. Charge entry and coding (ICD-9, ICD-10 & CPT coding). Fee disclosures & insurance appeal assistance & organization. Appointment Scheduling.
● • Corporate Level responsibilities included all of the above plus overseeing and managing all program specialists at 10 other locations throughout the USA. This included writing all training materials, weekly conferences by phone, daily email contact, and organizing all details of an annual training weekend help at our corporate location in the Chicagoland area. Education
Candidate For Bachelor’s Degree
Public & Non-Profit Administration
● Taking classes to complete this degree, received academic honors last semester. Need to complete 24 additional credits at this time.
● (Switching to Healthcare Administration in the fall of 2024.) Emergency Medical Technician-Basic Certification
Morton College
Fire Fighter II Certification
Oak Lawn Fire Academy
Candidate For Bachelor Of Science
University of Wisconsin- Milwaukee
● Had to leave school in my last semester (6 credits left) due to my mother’s terminal diagnosis.
Associate In Science Degree
Morton College
Skills & Abilities
● EPIC
● ICD-09 & ICD10
● CPT coding
● Kaizen
● Microsoft Office Products
● Microsoft Word
● Microsoft Excel
● Microsoft Outlook
● PowerPoint
● Google Drive
● Skype
● Zoom
● Kronos
● FACSPro/DBA
● Previously Licensed Real Estate Agent
● Firefighter II
● Trench Rescue
● Fire Investigation
● EMT-B
● CPR
● ACLS
Contact this candidate