Medical Billing Patient Access
Resume:
Dewauna White
Katy, TX *****
********@*****.***
Highly organized and personable Patient Access Representative 5+ years of experience ensuring a smooth clinic experience for patients and medical staff, meeting daily patient intake goals and maintaining meticulous patient records
Work Experience
Patient Account Representative
Memorial Hermann Medical Group/ Addison Group
March 2022 to Present
Process and manage patient claims
Collect payments from patients for processing
Resolve any issues relating to the patient account
Answer any questions patients may have about their account
Assist patients with terms for repayment structures
Negotiate any overdue balance to recover payment from patients
Generate bills for patients including payment plan options
Explain insurance benefits to patients
Patient Service Coordinator III
Village Medical - Houston, TX January 2021 to March 2022
Booking, canceling, and rescheduling patient appointments, including annual wellness visits, transitional care management visits, and chronic care follow-up visits
•Optimizing routes to accommodate the maximum number of patients per day
•Providing general information to patients regarding scheduling and paging of providers
•Messaging clinics for additional support when necessary
•Ensuring timely communication to providers with changes to daily schedules or updates to patients' care needs
•Updating patients on prescription refill requests and lab requests
•Transferring calls to registration and nursing staff in clinics when necessary
•Escalating patient calls to the supervisor in emergency situations
•Claims Processing
•Collecting EOB and UB92's
Unit Clerk/Secretary*PRN
Surgery Specialty Hospitals of America - Pasadena, TX September 2020 to Present
Ensuring patient records are filled out and accurate.
Following security measures to ensure patients' information is safe and confidential.
Managing discharge documents, patient health history forms, admission and discharge documents and other paperwork.
Completing receptionist duties, such as sending emails, answering phone calls, ordering supplies, scheduling appointments and placing medical orders.
Greeting patients and showing them to their examination rooms.
Helping colleagues enter patient data into databases.
Coordinate the network of information passing between healthcare personnel.
Transcribing written medical orders from healthcare staff into a computer system.
Patient Access Representative Memorial Hermann Health System - Houston, TX December 2017 to April 2020
Greeting Incoming Patients
Updating and Verifying Insurance and Patient demographics, registering incoming patients
Payment Collections
Answering questions about the patient's treatment to be received. Directing patients to the correct department for treatment
Account Coordinator
Automotive Business Support Center - Houston, TX June 2015 to October 2017
Provide detailed information for each service appointment to the dealerships. Accurately advise customers on importance of routine maintenance and any recalls.
Answering incoming calls to coordinate services, ranging from oil changes, warranty repairs and recalls. Schedules clients appointments and enters required information in the computer system in an accurate and timely manner
Quote pricing on factory recommended services to provide customers with estimated repair costs
Claims Service Representative Humana Health Insurance - Houston, TX March 2011 to May 2015
Houston, United States, Texas
Communicates in an effective and professional manner with Physicians, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
Familiar with Processing HMO, and PPO Knowledge of ICD-10 and CPT Codes
Filing claims with the proper procedure codes
Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system.
Explanation of Benefits.
Collect, complete and accurate financial and consent data during intake and registration process, and verifies data during new patient registration.
Obtains insurance information, verifies benefits, and secures authorizations Answering Incoming calls from both PCP and Facilities.
Completely and accurately documents communications with payer’s, patients, and the treatment team
Education
Some College in Nursing
Texas State University - San Marcos, Texas February 2000 to May 2001
High school diploma or GED
Stephen F. Austin – Houston, Texas 77023
Skills
•Fast Learner and Easily Adaptable Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook) Multi-task and follow HIPAA guidelines Ability to use fax, copier, and multi-line phone system and other required work tools Health Quest EZ Reg, Customer Support, Insurance Verification EPIC EHR Medical Front Office (5 years)
•Medical Records Athena
•Customer service
•Medical Office Experience
•Hospital Experience
•Nursing
•Medical Terminology
•Front desk
•Microsoft Excel
•ICD-9, ICD-10
•EMR Systems
•CPT Coding
•Medical Billing
•Medical Scheduling
•Insurance verification
Certifications and Licenses
CNA
CPR Certification BLS Certification
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