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Customer Service Data Entry

Location:
San Pablo, CA
Posted:
September 01, 2023

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Resume:

HYLISHA MACK

adzeed@r.postjobfree.com 510-***-**** 510-***-**** 3547 May Road, Richmond, CA 94803

Summary

Mature professional with healthcare & customer service experience and the ability to work in a fast-paced environment. Seeking a position that I can fully utilize my skills while learning, developing and growing with a company.

Skills

Over 17 years of experience in Patient Registration, copayment collection and revenue

Recycle Experience .

Proficient in customer service, multitasking, self-starter, work independently, problem solver, strong communicator. Proficient in ACCESS (10+ years), CUSTOMER SERVICE (30+years), EXCEL (20+ years), LOTUS NOTES (5 years), Supervisor (4 year), Word (25+ years), Meditech (Less than 1 year), Electronic Document Management (22years), Outlook (22+ years), Mede analytics (5year),Salucro (7year), Epic (6years), Microsoft Word, Excel, Lotus Notes, Outlook, MS4 (10years).

Experience

Supervisor of Patient Access & Telecommunications 10/2022- Current

United Health Group/ Optum 360

St Francis Memorial Hospital San Francisco, Ca

Supervises admissions human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, & disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies & procedures. Auditing staff accounts to assure 100% accuracy & bi-weekly payroll. Meets admissions operational standards by contributing information to strategic plans & reviews; implementing production, productivity, quality, & customer-service standards; resolving problems; identifying system improvements. Meets admissions financial standards by providing annual budget information; monitoring expenditures; identifying variances; implementing corrective actions. Maximizes revenues by tracking short-term & long-range patient-pay & third-party reimbursement issues; recommending potential opportunities; preventing revenue-reducing clerical & coding errors. Accomplishes high bed occupancy by following procedures & policies to assure high bed occupancy & control bed availability and patient traffic, identifying and monitoring potential problem clerical or system practices. Resolves admissions conflicts by identifying potential conflicts; analyzing issues; conferring with physicians on admissions priorities & bed availability; engaging others to obtain information or to help. Assures accuracy of patient data & fiscal information by conducting and reviewing daily audits of previous day's patient data & fiscal information. Monitors admitting trends by maintaining various categories of statistical data for utilization within internal reporting systems. Keeps patients, relatives, visitors, & admitting staff informed by communicating admitting rules, regulations, policies, & procedures. Enhances patient care delivery system by implementing admissions function interface with the nursing & professional staff; implementing admissions functions with the emergency room, maternity, out-patient clinic registration, outpatient surgery, & other special care units; maintaining bed reservations, financial reimbursement, & other systems. Serves and protects the hospital community by ensuring adherence to professional standards, hospital policies & procedures, federal, state, and local requirements, & Joint Commission on Accreditation of Healthcare Organizations (MACHO) standards. Identifies current & future patient admissions requirements by establishing personal rapport with

patients, their families, and relatives; conducting de-briefing sessions with staff; reporting findings. Maintains professional & technical knowledge by attending educational workshops; reviewing professional publications; participating in professional societies

Lead Coordinator of Patient Registration 8/2018-10/2020

Saint Francis Memorial Hospital San Francisco, CA

Make sure that the daily staffing schedule is appropriate as well as the distribution of staff assignments and workload. Projects that focus on developing solution to service and operational barriers, in either leadership or participatory role as determined by the Admitting Manager. Develops operating and customer service procedures. Supervises, coordinates and provides leadership to and reviews the work of assigned staff. Provides training, coaching, and professional development. Interviews and recommends candidates for employment or termination. Provides support and advice to management. Experience and knowledge of procedures, policies, regulations in a specific functional area. Assisting in proper identification of the patient Responsible for Collection of thorough and accurate patient/insurance information with a timely data entry into ADT system. Understanding of government commercial/managed care payer’s requirements regarding verification of eligibility, benefits, potential patient liabilities, working knowledge of hospital scheduling systems, and admission ER registration processes. Accountable for cash handling, reconciliation reports, deposits, and registering all patients. Assisting in a daily financial report for the department, acknowledgement for capacity to build consensus and drive solutions that meet short- and long-term goals.

Interim Supervisor of Patient Access 7/2017 – 8/2018

St Francis Memorial Hospital San Francisco, Ca

Supervises admissions human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, & disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies & procedures. Auditing staff accounts to assure 100% accuracy & bi-weekly payroll. Meets admissions operational standards by contributing information to strategic plans & reviews; implementing production, productivity, quality, & customer-service standards; resolving problems; identifying system improvements. Meets admissions financial standards by providing annual budget information; monitoring expenditures; identifying variances; implementing corrective actions. Maximizes revenues by tracking short-term & long-range patient-pay & third-party reimbursement issues; recommending potential opportunities; preventing revenue-reducing clerical & coding errors. Accomplishes high bed occupancy by following procedures & policies to assure high bed occupancy & control bed availability and patient traffic, identifying and monitoring potential problem clerical or system practices. Resolves admissions conflicts by identifying potential conflicts; analyzing issues; conferring with physicians on admissions priorities & bed availability; engaging others to obtain information or to help. Assures accuracy of patient data & fiscal information by conducting and reviewing daily audits of previous day's patient data & fiscal information. Monitors admitting trends by maintaining various categories of statistical data for utilization within internal reporting systems. Keeps patients, relatives, visitors, & admitting staff informed by communicating admitting rules, regulations, policies, & procedures. Enhances patient care delivery system by implementing admissions function interface with the nursing & professional staff; implementing admissions functions with the emergency room, maternity, out-patient clinic registration, outpatient surgery, & other special care units; maintaining bed reservations, financial reimbursement, & other systems. Serves and protects the hospital community by ensuring adherence to professional standards, hospital policies & procedures, federal, state, and local requirements, & Joint Commission on Accreditation of Healthcare Organizations (MACHO) standards. Identifies current & future patient admissions requirements by establishing personal rapport with

patients, their families, and relatives; conducting de-briefing sessions with staff; reporting findings. Maintains professional & technical knowledge by attending educational workshops.

Lead Coordinator of Patient Access 4/2016- 7/2017

St Francis Memorial Hospital San Francisco, Ca

Make sure that the daily staffing schedule is appropriate as well as the distribution of staff assignments and workload.

Projects that focus on developing solution to service and operational barriers, in either leadership or

participatory role as determined by the Admitting Manager. Develops operating and customer service

procedures. Supervises, coordinates and provides leadership to and reviews the work of assigned staff. Provides

training, coaching, and professional development. Interviews and recommends candidates for employment or

termination. Provides support and advice to management. Experience and knowledge of procedures, policies,

regulations in a specific functional area. Assisting in proper identification of the patient Responsible for Collection

of thorough and accurate patient/insurance information with a timely data entry into ADT system. Understanding

of government commercial/managed care payer’s requirements regarding verification of eligibility, benefits,

potential patient liabilities, working knowledge of hospital scheduling systems, and admission ER registration

processes. Accountable for cash handling, reconciliation reports, deposits, and registering all patients. Assisting

in a daily financial report for the department, acknowledgement for capacity to build consensus and drive

solutions that meet short- and long-term goals

Patient Access Representative 6/2013-4/2016

St Francis Memorial Hospital San Francisco, Ca

Assisting in proper identification of the patient, responsible for Collection of thorough and accurate patient/insurance information with a timely data

entry into ADT system. Understanding of government commercial/managed care payer’s requirements regarding verification of eligibility, benefits, potential patient liabilities, working knowledge of hospital scheduling systems, and admission ER registration processes. Accountable for cash handling, reconciliation reports, deposits, and registering all patients. *Answering phones in a professional courteous and positive manner promoting excellent customer relations when providing information/directions to physicians, staff, and pub

Senior Admitting Representative 1/2012-5/2013

On assignment/Contra Costa Regional Medical Center Martinez, CA

Supervises the day-to-day activities of the Admitting staff to ensure quality and or quantity goals are met,coordinates and provides leadership to and reviews the work of assigned staff, Develops operating and customer service procedures. Projects that focus on developing solution to service and operational barriers, in either leadership or participatory role as determined by the Admitting Manager. Made sure that the daily staffing schedule is appropriate as well as the distribution of staff assignments and workload. Assisting in a daily financial report for the department, acknowledgement for capacity to build consensus and drive solutions that meet short- and long-term goals.

Senior Admitting Representative 12/2006-11/2011

Kaiser Permanent San Rafael, CA

Supervises, coordinates and provides leadership to and reviews the work of assigned staff. Develops operating and customer service procedures. * Made sure that the daily staffing schedule is appropriate as well as the distribution of staff assignments and workload. Provides support and advice to management. Assisting in a daily financial report for the department, acknowledgement for capacity to build consensus and drive solutions that meet short- and long-term goals.

Education and Training

Licensed/ Certification: Adult Residential Facility

2018

ONCOURSE Concord, CA, USA

State of California license number # 605*******

Emergency Medical Technician Certification: EMT

2004

Merritt Community College Campus Oakland, CA, United States

Internship Highland Hospital Oakland, Ca. November2003-December2003 EMT Emergency Medical Technician Duties: Providing patient care, checking patient's vital signs, filing out a patient report, and monitoring EKG machines

High School Diploma: General Education

1995

John F Kennedy High School Richmond, CA, USA

Activities and Honors

Mt Zion Church (President of The Mass Choir) & Minster of Music



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