Patient Care Customer Service

Tiffany Bishop

Phone: 864-***-****

Email: **********@*****.***

SC 29673

Profile

Dedicated office professional with over 15 years of experience in healthcare, committed to delivering optimal customer service, patient care, and staff support. Proven ability to manage patient intake, insurance verification, and office operations efficiently. Experience

Patient Access Specialist, Prisma Health

Greeneville, SC

February 2021 - September 2024

• Verified patient insurance coverage, ensuring all information was up to date for claims processing and eligibility verification.

• Payment posting and refunds for all payments received from insurance, patients, and other ancillary.

• Inbound call requests for claim processing applications, approval, and denials.

• Took outbound calls and inbound calls (60 to 70 per day).

• Verified benefits, obtained referrals, initiated authorizations, and produced cost estimates

• Collected necessary information.

• Communicated courteously and professionally with provider offices and insurance health plan representatives.

• Collected co-pays and processed insurance information, ensuring patients' financial responsibilities were clearly communicated and accurate claims were submitted.

• Provided patients with detailed information on their insurance benefits, including out-of-pocket costs, co-pays, and deductibles, ensuring they understood their financial obligations.

• Monitored and updated work queues, ensuring timely follow-up on outstanding claims and insurance queries.

• Assisted patients with triage calls, addressing questions related to insurance coverage, benefits, and scheduling, while resolving any immediate concerns or escalating issues as needed. CNA/Patient Care Technician, Prisma Health

Greeneville, SC

July 2003 - February 2021

• Assisted patients during the check-in process, verifying insurance information, and ensuring that all billing and claims processes were correctly initiated.

• Took outbound calls and inbound calls (20 to 30 per day).

• Supported patient care by gathering and verifying insurance coverage for in-office procedures, ensuring that patients' benefits were applied correctly for their medical treatments.

• Helped the office staff by ensuring accurate medical coding for claims submissions, contributing to efficient reimbursement from insurance providers.

• Assisted medical staff by preparing and verifying prior authorizations for procedures requiring insurance approval, ensuring no delays in patient treatment. Education

Greenville Technical College — Greenville, SC

Prerequisites for Nursing/Certified Nursing Assistant, 2007 - 2009 High School Diploma

Palmetto High School — May, 1999

Skills

• Insurance Verification

• Claims Processing

• Benefits Explanation

• Prior Authorizations

• EPIC

• Microsoft Office Suite

• Work Queue Management

• Customer Service

Awards

• Stellar Star recipient with numerous stars for exemplary service

• Served on Unit Council, contributing to policy improvements and team collaboration

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