Patient Representative Customer Service

OBJECTIVE

To obtain a position which provides the opportunity to utilize my skills, knowledge, and experience in assisting an organization to meet and exceed their goals, while allowing career advancement opportunities.

SKILLS

SPECIAL TRAINING

Active Listening

Creative Thinking

Customer Service (AIDET and Caring Communication Trained)

Decision-Making

Interpersonal

Teamwork

Epic Grand Central Prelude

BCBS, Humana and other insurance website authorization portals

Time Management

Written and Verbal Communication

Insurance Verification, Authorization and Billing

PROFESSIONAL EXPERIENCE

Ochsner Health System Dec 2019 – Present

New Orleans, LA

Transplant Financial Coordinator

Responsibilities:

Initiate insurance authorization of observation and inpatient admissions. Monitored work queues and proxy boxes for upgrades, downgrades, direct admits and transfers. Work closely with Utilization Management and other departments to ensure timely and accurate updates are transmitted to and received by insurance carriers.

Cross-trained in all areas of the admit department – able to assist in all Hospital and Surgery Admission areas, as well as Hospital Registration of currently admitted patients. Document accurate demographic and insurance information, obtain needed signed forms, and collect on patient liability prior to admission.

Created a great experience for every patient and visitor to the facility. Ensure a clean and comfortable environment, keep patients updated as able, and escalate concerns as needed.

Cleared Referrals.

Completed Evaluations and Listings.

Obtained pharmacy benefits, BIN and PCN.

Ochsner Health System Feb 2018 –Nov 2019

New Orleans, LA

Patient Financial Counselor

Responsibilities:

: Assisted and provided accurate information to patients regarding their accounts or services face to face, e-mail, fax, regular mail correspondence, phone call.

: Ensured appropriate authorizations were obtained timely and accurate and provided estimates for upcoming procedures.

: Educated the patients on various available assistance options.

Ochsner Health System Dec 2016 – 2018

New Orleans, LA

Patient Access Representative

Responsibilities:

Initiate insurance authorization of observation and inpatient admissions. Monitor work queues and proxy boxes for upgrades, downgrades, direct admits and transfers. Work closely with Utilization Management and other departments to ensure timely and accurate updates are transmitted to and received by insurance carriers.

Cross-trained in all areas of the admit department – able to assist in all Hospital and Surgery Admission areas, as well as Hospital Registration of currently admitted patients. Document accurate demographic and insurance information, obtain needed signed forms, and collect on patient liability prior to admission.

Create a great experience for every patient and visitor to the facility. Ensure a clean and comfortable environment, keep patients updated as able, and escalate concerns as needed.

Gray Line Tours Feb 2011 – May 2016

New Orleans, LA

Tour Guide

Responsibilities:

Book and guide various local tours including French Quarter, Mansion, Plantation, Swamp/Bayou, Cemetery, and Ghosts & Spirits tours. Create a rapport with clients to ensure a complete customer experience.

Coordinate with bus lines, hotels and restaurants to provide total package options for clients.

Walmart Jul 2013 – Oct 2014

New Orleans, LA

Associate

Responsibilities:

Greet customers as they come in the doors and offer assistance with carts, locations of departments and goods.

Accountable for accurate cash handling and clean check-out area.

Resolve customer concerns and complaints, as well as provide policies and procedures as needed. Issue refunds, store credit or change due.

Touro Hospital Aug 2006 – Nov 2008

New Orleans, LA

Patient Representative

Responsibilities:

Receive calls and schedule appointments for patients seeking medical care. Redirect non-scheduling calls to appropriate personnel or department.

Document accurate demographic and insurance information, obtain needed signed forms, and collect on patient liability prior to check-in or admission.

Create a great experience for every patient and visitor to the facility. Ensure a clean and comfortable environment, keep patients updated as able, and escalate concerns as needed.

EDUCATION

Southern University at New Orleans Credit Hours

New Orleans, LA

Early Childhood Education

Bishop McManus Private Academy Diploma

New Orleans, LA

CERTIFICATIONS

CNA 2007

REFERENCES

Available Upon Request

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