ANTOINETTE JENKINS

Missouri City, TX ***** 832-***-**** adzvqi@r.postjobfree.com

Professional Summary

Authorized to work in the US for any employer Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Managed patient-related accounts receivables at large medical facility and achieved 100% repayment rate. Excellent communications skills and empathetic nature enabled achievement of positive outcomes. Organized Patient Service Representative with 20+ years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situation. Accomplishments

Collaborated with team of members to score high on Press Ganey yearly. Served as an ambassador

Resolved product issue through consumer testing.

Skills

Insurance Knowledge

Appointment Scheduling

Scheduling

Patient Care

HIPAA Compliance

HIPAA Regulations

Appointment Setting

Patient Information Collection

Patient Information Verification

Medical Records Review

Insurance Billing

Work History

Patient Access Representative/ Insurance Verifier 10/2015 to Current Memorial Hermann Health System – Houston, TX, Texas Responsible for administrative work to the office and physician support tasks. Also responsible to obtain accurate demographics to ensure the accuracy of patient accounts.

Billing and medical coding, and conducting claim examinations to all accounts. Update all UB92 and HIFCA 1500 for adjudication., Managed customer accounts in regards to refunds and refunds processing for over payments.

HIPPA Compliance Department to maintain federal privacy regulations. Maintain communications with patients, providers and billing departments. Customer Services Representative answered 75-125 calls daily with FCR (first call resolution) to reduce call back rate.

Submitted accounts for Simple Adjustment - Coordinated Benefits on all accounts that denied for COB - Collections of Copayments, co-insurance and High Dollar Deductible Amount prior to service performed.

Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.

Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.

Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.

Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.

Senior Customer Service Specialist 06/2015 to 10/2016 United Healthcare – Sugar Land, TX

Handle advance account management for members in regards to billing, eligibility, and account issues.

Research and resolve complex member issues; i.e., billing and eligibility discrepancies and internal issues.

Serve as a source of truth and advocate for member's navigation the United Healthcare network.

Maintain and meet expected quality and performance goals set by team leadership. Benefit Specialist 01/2011 to 01/2013

St. Luke's Episcopal Hospital – Houston, Texas

Prior Authorization processor - Claims Processor - Route claims for complex and simple adjustments - Review all balance billed statements - Review all EON'S with patient and explain all remarks codes, Generated and submitted authorization and referrals for medical procedures, inpatient hospital stays, out-patient services, durable medical equipment, Home Health and other ambulatory services.

Created and sent out written correspondences with status of authorization. Maintained and reviewed all referrals and authorizations to minimize billing issues. Patient Account Representative 01/2014 to 01/2015

Kelsey Seybold – Pearland, TX

Managed customer accounts in regards to billing issues and resolution. Maintained communications with patients, providers and billing departments. Routed all calls to appropriate departments for escalated issue resolution. Collected all deductibles, copayments and other outstanding balance due on accounts. Insurance Specialist 01/2006 to 01/2013

Methodist Sugar Land Hospital – Sugar Land, TX

Scheduled patients for in-patient, and out-patient procedures, ancillary test and surgeries and other services.

Communicated with patients via phone, email with all correspondence received. Obtained authorizations on all accounts required for any diagnostic procedures and tests. Communicated with other medical staff members and health insurance providers as the situation required.

Updated internal database which electronically stored and organized patients' medical records, billing details and registration forms.

Education

Associate's degree: Medical Assistant

Phillips Junior College - Metairie, LA

Business Administration

Southern University And A & M College - Baton Rouge, LA Certifications

Certified Medical Administrative Assistant, Williams & Williams Medical Center -1995-2000 Languages

English

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