Patient Service Representative

Kim Anderson

**********@*****.*** 531-***-****

Patient Service Representative

Innovative administrative professional with 15 years’ accomplishment improving organizational effectiveness and efficiency while providing excellent customer service.

— Areas of Expertise —

Crisis Management Healthcare Continuity Planning Project Management

Deliberate & Adaptive Planning Quality Care Control Relationship Management

Process Re-Engineering Electronic Medical Records Patient Eligibility

— Career Accomplishments —

Catholic Health Initiatives Omaha, NE

Lakeside Women’s Health 10/2019 – current

Patient Service Representative

Perform patient check-in at the time of visit and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance. Answer phone calls and direct them appropriately. Schedule appointments according to office guidelines. Obtain accurate patient and insurance information, collecting copays (TOS) and deductible amounts. Copy/scan patient access related hardcopy materials (e.g. ID, referrals, insurance cards, etc.) into the correct location in the electronic medical record. Prepare charts for patient appointments making sure all necessary information is complete. Conduct all functions associated with patient check-out including pricing services, collecting patient responsibility payments and scheduling follow-up appointments.

Ortho Nebraska Omaha, NE

Finance 01/2019 – 07/2019

Evaluate information for processing according to office guidelines and procedures. Enter assigned data into the hospital information system in accordance with policy and procedure. Collect and record and to ensure timely and accurate processing of paperwork to maximize reimbursement, and achieve improved customer satisfaction. Maintain logs and summaries of all completed quality monitors, utilizing appropriate software packages. Maintain a high level of knowledge regarding government compliance regulations. Maintain up-to-date knowledge of all business office policies and procedures, team goals, department objectives and hospital strategic plans to maximize the decision-making process. Demonstrate working knowledge of billing functions on the hospital information system to continue to reduce receivables. Review and track all private, state and federal regulations regarding reimbursement. Monitor account activity for accurate compliance by payers. Evaluate contractual postings to ensure proper billing to secondary payers. Maintain current knowledge of private, state and federal contractual agreements, to ensure proper posting of payments and adjustments. Review and initiate correspondence with third party payers to resolve discrepancies. Resolve patient questions/complaints through written, verbal communication or through financial counseling. Identify, document and report billing system errors.

Robert Half/Office Team Staffing Group Manassas, VA

Retina Group of Washington

Temporary Medical Receptionist 10/2018 – 11/2018

Energetic administrative professional with great communication skills and proficiency with computers. Personality to work in a fast-paced environment, and work well independently and under pressure. Answered phones, scanning, insurance verification, collected co-payments and balances. Checking in and out patients. Schedule new and follow-up appointments.

Quadrant Staffing Group Reston, VA

Temporary Revenue Integrity/Reconciliation Specialist 4/2018 – 7/2018

Responsible for the thorough reconciling of patient’s medical records, collections of insurance coverage information, conducting research for specific document through facilities’ EMR systems.

Perform reconciliation of anesthesia records, enter patient registration and charge entry, Follow-up with sites to obtain any missing information (records and/or coding), Maintain a list of missing information for follow-up entry and reconciliation, and Reconcile (Daily, weekly, and monthly) completeness of all assigned cases.

Beacon Hill Staffing Group St. Louis, MO

Temporary Administrator 3/2017 – 6/2017

Obtained prior client information and assisted with transfer to new company. Answered phone and delegated calls to appropriate person. Fulfilled administrative tasks including inputting of client information into computer system, copied and scanned documents, and distributed incoming mail.

Key Accomplishment:

Served significant role in the opening of new business venture for two Financial Advisors

Center for Foot and Ankle Care Fairfax, VA

Back Checkout 8/2016 – 11/2016

Greeted and interacted with patients during checkout process for multi-doctor facility. Collected copays and outstanding balances as well as scheduled patients for follow-up appointments. Ensured daily books were balanced. Provided back-up assistance with answering phones, rooming patients, and taking patient vitals.

Key Accomplishment:

Commended by Practice Manager as mastering Athena EMR system and transitioning to new system without any errors.

GTW Consultants & Associates, LLC/Offutt Air Force Base San Antonio, TX

Medical Appointment Clerk 3/2015 – 7/2016

Determined patient eligibility in addition to scheduling medical appointments. Registered new patients into computer system. Coordinated and maintained patient schedules, appointments slots, rescheduling options, and appointment cancellations.

Key Accomplishment:

Gained valuable knowledge of various computer systems including Composite Health Care System (CHCS), AHLTA, and Defense Enrollment Eligibility Reporting System (DEERS).

MSGI Omaha, NE

Client Services 7/2014 – 1/2015

Handled customer inquiries, complaints, billing questions, and payment extensions requests. Provided exceptional customer service while interacting with clients, including discontent clients.

Key Accomplishment:

Effectively regained client trust while engaging in problem resolution with unsatisfied clients.

JAS Recruitment/HealthPort Omaha, NE

Release of Information Specialist 9/2013 – 2/2014

Managed protection and security of medical records including confidentiality, informational accuracy, and completeness. Compiled condition and treatment documentation and performed data analysis to be used for research and cost control.

Key Accomplishment:

Played key role in strategizing on maximizing and improving treatment protocols.

Creighton University Medical Center Omaha, NE

Data Management Specialist/Unit Coordinator 12/2003 – 10/2009

Processed daily surgery charges and produced reports as Data Management Specialist. Managed operational codes, maintained files for future follow-up and verification of surgical charges, and supported physician needs by developing preference lists. Compiled medical information within charts, files, and interoffice documentation as Unit Coordinator. Supported and organized clinical office operations and inventory.

Key Accomplishment:

Achieved corporate goals by ensuring compliance with all applicable rules, regulations, and policies.

Additional Experience

Customer Service Professional (2013 – 2013) United Healthcare Group, Overland Park, KS

ED Unit Secretary (2010 - 2012) Alegent Health Midlands Medical Center, Papillion, NE

Medical Records Specialist (2009 - 2010) Alegent Health Immanuel Medical Center, Omaha, NE

Health Unit Coordinator (2003 – 2009) Creighton University Medical Center, Omaha, NE

Education and Credentials

Associate of Science in General Studies

Metro Community College – Omaha, NE

Professional Development:

Medical Terminology Coursework Anatomy & Physiology Coursework International Business Coursework

Contact this candidate