Patient access representation

Geraldine B. Platt

Pittsburgh, PA ***** **********@*******.*** 412-***-****

SUMMARY

Administrative professional with over 10 years of experience working in an office setting. Initiative-taking and qualified candidate with top skills including customer service, administrative, and supporting project performance goals and initiatives.

SKILLS

Administrative

Healthcare administration

Customer Service

Compliance

Microsoft Office

Payroll

WORK EXPERIENCE

Patient Access Specialist, Metro Community Health Company 08/2021-current

Pittsburgh, PA 15218

Appointment scheduler for patients seeking medical care, acute illness, Covid & flu shots. Metro does not discriminate anyone on race greed, sexual orientation, or inability to pay.

Knows and adheres to all laws and regulations pertaining to patient health, safety, and medical information.

Knowledgeable of third-party payer policies and procedures, documentation requirements, benefit plans, benefit limitations and additions, and employer groups.

Acts as liaison between provider offices, physicians, health plans and ancillary departments. Always maintains high quality customer service, exhibiting courteous and professional behavior. Determines need for appropriate service authorizations (pre-certifications, third party payer authorizations, referrals) and will contact the physician/office and Case Management/Utilization Review colleagues, as necessary.

Communicate with physicians and patients when schedules conflicts.

Cross-training in various functions to assist in the smooth delivery of departmental services.

Validates, obtains, and enters demographic, clinical, financial, and insurance information into the patient accounting system.

Customer Service Rep, G. Stephens, Inc. 04/2018 - 03/2020

Pittsburgh, PA

Subcontractor assigned to assist PWSA as a Construction Manager

Provided exceptional customer service for mandatory lead waterline replacement

Coordinated customer, construction mangers and liaison to abide by consent decree handed down via EPA & DEP.

Assisted with open house for vendors to help gain empowerment for employment opportunities at ALCOSAN.

Urban Senior Worker, Urban League 07/2017 - 04/2018

Pittsburgh, PA

Assisted customers with energy assistance applications for federal and state assistance programs

Interviewed benefits recipients at specified intervals to certify their eligibility for continuing benefits

Assisted homeless with securing shelter

Provided resources for customers to secure furniture

Senior Market Specialist, Highmark Health 07/2016 – 10/2016

Pittsburgh, PA

Provided customer service to clients regarding their health benefits, medication inquiries and general benefit questions

Health Service Assistant, Allegheny County 07/2012 – 04/2016

Pittsburgh, PA

Assisted and prepared documentation for placement of youths going to other juvenile facilities

Coordinated physicals and wellness benefits for employees

Maintained accurate database for dental and pharmaceutical payments.

EDUCATION

CCAC- Certificate of Nursing Assistant Training, Pittsburgh, PA

CAN Certificate

Duquesne University, Pittsburgh, PA

Master’s degree in organizational leadership and Business Administration

Bachelor’s Degree in Business Communications

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