Customer Service Access Rep

Joaquina Baptista (Jackie)

** ****** **, ******, ** 02124 857-***-**** ***********@*****.***

Objective

To utilize my extensive customer service experience in a challenging position and to help me grow professionally. Demonstrated achiever with exceptional knowledge of working as a team.

Education

HIGH SCHOOL DIPLOMA JUNE 1999 JEREMIAH E BURKE

CPR Certified

Skills & Abilities

. Knowledge of various computer software systems, including Microsoft Office, Excel, PowerPoint and hospital wide systems including EWS, SDK, and EPIC.

Excellent organizational skills to set priorities and efficiency complete assigned work. Excellent customer service skills and ability to communicate in a courteous, pleasant and professional manner with patients, general public, staff members, outside agencies and all other internal and external contacts.

Ability to work as a team player in a professional environment

Experience

PRE-CERT REPRESENTATIVE-6/2018-PRESENT

Responsible for obtaining prior and ongoing authorization for service in a timely manner

Responsible for maintaining timely and accurate database of financial/authorization information

Responsible for the timely and accurate verification of primary insurance as directed by insurer

Verify eligibility within the database system to members and provider

Contacting insurances (by phone, email) for eligibility, benefits, network status and authorization, documenting information

TEAM COORDINATOR BOSTON UNIVERSITY NEUROLOGY ASSOCIATES -4/2015-5/2018

Responsible for the planning, supervision, coordination, and direction of the day to day operations of the clinic. Ensures that provider schedules are maintained appropriately.

Ensures that all requirements for billing, such as encounter forms, referrals for managed care patients, and other administrative requirements of third-party payer are met.

Ensures that the clinic meet their standard for performance and services to patients, promote continuity of care, enhances the growth of managed care; patient satisfaction, customer service, physician and team satisfaction, patient flow and resolves operational issues and problems

TEAM LEAD BOSTON UNIVERSITY NEUROLOGY ASSOCIATES 02/2014-04/2015

Responsible for facilitating patient flow through the clinic, coaching assigned staff and providing support to the manager and the department in matters pertaining to day to day operations

Responsible for functioning of the clinic by ensuring patients receive quick access, excellent customer service, quality patient care and are referred to the appropriate sources. Assists manager in determining appropriate work schedules to meet target goal; identify problem areas and initiates changes in assignment, procedures, etc.

PATIENT ACCESS REP BOSTON UNIVERSITY NEUROLOGY ASSOCIATES 05/2000-02/2014

Responsibilities include patient registration process, clinical assistance and administrative support to physicians in the outpatient clinic setting. Perform a wide variety of administrative duties to ensure proper functioning of assigned department. Researched at resolve a wide variety patient billing or insurance coverage issues and respond to calls

Collect and organize medical records, information, materials and supplies required for admission encounter. Perform all other duties assigned, such as faxing, filing, photocopying, and completion of forms. Handled telephone inquiries from patients regarding their accounts in order to provide high level of customer service.

Awards

Chairman Award-Employee of the year 2009

Other

Fluent in Spanish and Portuguese Creole

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