Access Coordinator Medical Billing

Tina Sims

Elberton Ga ***** 857-***-**** ***********@*****.***

Patient Access Coordinator

Skilled and highly trained healthcare professional with proven ability to provide quality, patient-centered support and education within dynamic and high-pressure environments. Excellent ability to schedule patients, provide medical billing, and process insurance claims. Proven record of effectively communicating with providers, insurance representatives, vendors and patients while adhering to HIPAA and patient confidentiality requirements. AREAS OF EXPERTISE

Patient Registration

Billing/ Invoicing

Staff Training & Development

Interpersonal Communication

Insurance Verification

JCAHO/HIPAA Compliance

Electronic Medical Record

Organizational Leadership

Patient Education & Support

Cross-cultural Communication

Conflict Management

Coding ICD-9, CPT & HCPS

PROFESSIONAL EXPERIENCE

PATIENT ACCESS COORDINATOR Norwood Hospital, Norwood, MA 2018 to 2020 Provide overall coordination of daily operations: including answer phone calls, check-in and register patients, and schedule follow-up appointments via MediTech registration system. Successfully generate accurate and complete medical patient records to enable hospital to maximize reimbursement.

● Serve as a primary source of communication with staff members, employees and patients and resolved problems arising from patients and staff.

● Enter and verify insurance coverage into computer system; send insurance claims to several different insurance companies; follow up on insurance claims and coordinate unpaid claims by setting up payment plans and billing with customers.

● Serve as customer service representative and ambassador for the hospital: knowledgeable of best practices and train fellow staff members.

OFFICE MANAGER Boneguard Orthopedics, PC, Randolph, MA 2009-2018 Managed the day to day operations of a busy orthopedic office servicing up to 25+ patients daily. Supervised daily staff activities, establishing an effective and smooth work environment.

● Successfully oversaw finances including cash flow, payroll, charge entry, co-payments, and accounts payable; checked patients in and out, prepared files, answered phones and scheduled appointments.

● Trained and hired personnel and maintained employee files, and ensured the practice met current medical laws, regulations and ethics.

● Established and maintained working relationship with vendors, insurance companies and other health care facilities/organizations.

DIMOCK CENTER Boston, MA 1993 - 2009

Referral Department Manager, 2008 -2009

● Successfully trained staff members pertaining to effective policies and procedures and managed referral database.

● Attended information sessions on remaining up-to-date on health insurance updates as well as monthly meetings. Clinic Coordinator Supervisor, 2003 – 2008

● Seamlessly supervised 10 employees covering sick calls and staff training and development while ensuring effective customer service and support.

● Responsible for verification of encounter forms for 5 departments for accurate billing purposes. Medical Records, 1993 -2003

● Created, assembled, distributed, and maintained patients' medical records to ensure smooth functioning of medical records department.

● Built and maintained patient's trust and confidence as well as protecting healthcare operations by assuring accuracy and confidentiality of all the related information or records as per departmental policies. EDUCATION & CERTIFICATES

Office Management Bryman institute, Brighton, MA General Education Development Diploma

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