Patient Care Support Assistant

SANDRA ENOCH

North Little Rock, Arkansas, ***** 501-***-**** ******.*****-*****@****.***

WORK EXPERIENCE

VA Hospital in North Little Rock Arkansas (Current)

Advanced Medical Support Assistant 11/2021

Coordinates with the patient care team to review the clinic utilization by using various reports.

Develop/maintain effective and efficient communication with the patients, interdisciplinary teams, VA medical centers, and other agencies to assist with communications during the inpatient to outpatient discharge.

-Communicate with non-VA medical facilities.

-Notify patients of normal lab results.

-Develop and manage a tracking system for follow-up care such as consults, tests, etc.

-Participating in team huddles and team meetings to manage and plan patient care.

-Setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs.

-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 in team meetings.

-Identifies and collates health insurance company enrollment identification cards.

-Evaluating patient information and clinic schedule lists to determine whether patient is vested.

-Verifies eligibility/entitlement for benefits of all applicants using various methods including income assessments, military discharge documents, computer hospital inquiry (HINQ), Veterans Information Solution (VIS), and other means, such as communications with VA Regional Office or VA Records Processing Centers.

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, LITTLE ROCK ARKANSAS, AR

PATIENT REPRESENTATIVE 12/2018-11/2021

Verifies insurance coverage; benefits; pre- and post-authorization requirements and obtains initial authorizations for patients

Conducts insurance verification and benefit explanation by running

Eligibility on patients, request outside records, and gather outside

Medical records from referrals and file patient charts as needed.

*Access-Coordinator III 11/2016-12/2018

The Access Coordinator III works under supervision to function as a

Patient resource for all scheduling and billing questions and to

Facilitate comprehensive patient data collections, timely and accurate

Billing, prompt collections of payment for services rendered,

Facilitates scheduling coordination and conflicts. This position must

Be able to perform all duties of the Access Coordinator I & II level and

Performs other duties to support the patient care activities as needed.

Responsibilities:

-Meets, greets and assists the public, answers telephones in a

Professional and friendly manner.

-Obtains accurate pre-certification and pre-authorization for services

When needed

-Obtains and maintains accurate demographic and insurance information

-Obtains referrals and managed care information, schedules, reschedules,

And coordinates appointments as needed

-Coordinates hospital admissions, coordinates consults and surgeries,

Performs check-in and registers patients

-Demonstrates positive working relationships with co-workers, management

Team, and ancillary departments.

-Follows the Circle of Excellence Guidelines

-Performs check-out and accepts payments as needed.

-Inventory, order, and stock supplies, clean and maintain equipment,

Pick-up and deliver mail to mailroom, ensure the waiting room is clean,

Stocked with educational information, and coffee.

-Process walk-in's, create new patient charts, access systems for orders

As appropriately.

-Conducts insurance verification and benefit explanation by running

Eligibility on patients, request outside records, and gather outside

Medical records from referrals and file patient charts as needed.

-Perform ABN completion, schedule surgeries and/or tests. Issues

School/work excuses, send out no show letters, and take patient photos.

Responsible for blocking schedules as appropriately, cancel and

Reschedule appointments as requested.

-May maintain initial plan of care (signatures, etc.), and is responsible

For recording daily and monthly statistics and communication or any

Medical records issues.

-Collects and post payments in and issues receipts. Responsible for

Reconciliation/management change fund. Responsible for reconciliation of

Daily deposit & batch dollars, and must complete deposit agreement.

-Promotes guest relations by offering frequently to assist other

Employees when needed.

-Deals with conflicts in a positive and professional manner using

Careful listening and negotiation skills to resolve disagreements.

-Models the Core Values of UAMS - Integrity, Respect, Diversity,

Teamwork, Creativity, and Excellence in compliance with company

Guidelines.

Medicaid Referrals

Notifies the client of appointments scheduled, makes follow-up calls to off-site providers to ensure that client kept appointment and reminds provider to submit a Consultation Report

Maintains competency in obtaining and inputting medical information to and from clinical and /or other information systems including accessing information as required to complete the referral process

Screen and schedule incoming referrals

Obtain prior authorization for diagnostic services and procedures

Answers questions from patients, clerical staff, and insurance companies

Establish and maintain relationships with identified server providers

• Utilizes software to code ICD-9 and CPT codes

Contact customers to obtain or relay account information

Provides back up support to front desk registration

Insurance Verifier, Jul 2015 –Nov 2016

As an insurance verification specialist in this Health Care professional working to ensure that the patients' insurance company to verify coverage levels and works with individuals to educate them on their benefits information. I serve as an valued employee of the Hospital Billing Team

TRANSAMERICA EMPLOYEE BENEFITS, LITTLE ROCK, AR

Claims Coordinator/ Indexing Tech, Apr 2012 – Sep 2014

Claims Document coordinator= Maintained and updated and archiving master support documents. Adhere to all rules and policies regarding the proper handling of the company's document. Indexing Tech= Indexed each document according to the image presented and ensured a good quality image. Updated the control legacy system with specific date. I was responsible for destroying and disposing of confidential drawing notes or documents.

Heifer International

Donations Processor, Sep 2010 – Oct 2011

Received donations into department for processing, stamps donations receipt and date on all gifts. Copied checks on all donations associated with the gift correspondence for paper files. Made demographic changes to donor profiles as identified by processing.

Arkansas Urology

Insurance specialist (temp position), Oct 2011 – Jan 2012

Processed and filed primary and secondary claims

Pulaski County Courthouse

Receptionist (temp position), Jul 2009 – Aug 2010

Answered telephone and screened direct calls. Took and relayed Messages Greeted persons entering the organization

ARKANSAS BLUE CROSS BLUE SHIELD, LITTLE ROCK, AR

Claims Specialist, Aug 1998 – Apr 2009

Completed an intensive course of claims training passing 95 procedural 99% dollar amount. Determined eligibility according to the benefits Processed Hospital, Physician and Dental claims Maintained a quota of 100 claims per day

ARKANSAS CRIME INFORMATION CENTER, LITTLE ROCK, AR

Document Examiner, Jun 1996 – Aug 1998

Verified criminal statistics Met quotas and deadlines on a daily basis Verified FBI information along with the state information

Administrative Office of the Supreme Court, Jul 1996 – Aug 1998

Data Entry Clerk

Input criminal statistics in a state wide database Organized and adhered to imposed time constraints

EDUCATION

PHILANDER SMITH COLLEGE, LITTLE ROCK, AR

Bachelor of Arts, Jul 1986

MASTERS

Southern New Hampshire

Human Resources Management Candidate, Expected graduation, July 2021

(Capstone class remaining)

ADDITIONAL SKILLS

Receptionist experience, Medical Terminology competent, Multi-Line Phone proficiency, Types 50 wpm,Critical thinking, Attention to detail, Physician and Hospital billing, inpatient authorizations HIPPA compliant

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