Service Representative Patient

RICHELLE BUSCH

***********@*********.*** 314-***-****

Summary

Organized Patient Service Representative with over 2 years of experience in the healthcare industry. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.

Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel in the healthcare industry. Excellent reputation for resolving problems and improving customer satisfaction. Skills

• Insurance Billing

• Appointment Scheduling

• Insurance Knowledge

• Scheduling

• Patient Care

• HIPAA Compliance

• Patient Assistance

• HIPAA Regulations

• Appointment Setting

• Managed Care

• Patient Information Collection

• Medical Coding

• Patient Information Verification

• Treatment Planning

• Payment Collection

• Patient Privacy

• Financial Consulting

• Patient Contact

• Patient Admission

Experience

Esse Health St Louis, MO

Patient Service Representative II

03/2021 - Current

• Greeted patients upon arrival and directed them to the appropriate area.

• Provided customer service by answering patient questions and addressing concerns.

• Verified insurance information, collected payments, and scheduled appointments.

• Assisted with the completion of medical forms and records.

• Maintained a clean and organized reception area.

• Answered incoming calls in a professional manner.

• Ensured all necessary paperwork was completed prior to patient visits.

• Informed patients about payment options, billing policies, and procedures related to their visit or procedure.

• Inputted patient demographic data into electronic health record system.

• Scanned documents into electronic health record system as needed.

• Performed administrative duties such as filing, faxing, photocopying.

• Assisted with scheduling follow-up appointments according to provider availability.

• Responded promptly to emails from patients regarding appointment changes or cancellations.

• Adhered to HIPAA regulations when handling confidential patient information.

• Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.

• Scanned completed forms, identification and insurance cards, maintaining patient documents folder.

• Scheduled patient appointments and procedures.

• Scheduled and confirmed patient appointments with patients and healthcare professionals.

• Scheduled patient appointments over phone and in person, maximizing productivity.

• Documented and managed patient information in computer system.

• Answered patient questions and fielded complaints to resolve issues.

• Registered patients by verifying records to update computer system and patient charts.

• Coordinated with patients and healthcare professionals to meet patient needs.

• Provided helpful assistance by anticipating and responding to needs of patients and family members.

• Supported hospital and clinic operations using customer service skills and detailed system knowledge.

• Obtained insurance verification and authorization to submit financial clearance of patient accounts.

• Ran credit card batches and balanced deposits on daily basis.

• Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.

• Instructed patients on policies and required actions for different types of appointments and procedures.

• Documented patient counters in hospital system and initiated follow-up actions.

• Stayed current on community-based resources and services useful to patients.

BJCMG Family Medicine Festus, MO

Patient Access Representative/Medical

Secretary

08/2020 - 02/2021

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

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

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

• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.

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

• Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.

• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.

• Assisted patients in filling out check-in and payment paperwork.

• Used Epic to schedule appointments.

• Educated patients on medicine and at-home healthcare tools.

• Explained plans for treatment and payment options.

• Compiled and reviewed medical charts.

• Balanced deposits and credit card payments each day.

• Reviewed and corrected claim errors to facilitate smooth processing.

• Triage phone calls.

• Preparing referrals to specialist from primary care physician for all insurance providers.

• Refilled prescriptions using Epic.

• Provided patient results from lab work and imaging to patient.

• Scanned consults in to patient charts.

• Identified fasting labs from non-fasting labs.

• Filed documents using Onbase.

• Sorted faxes through Faxcom.

• Communicated with doctors in reference to patients.

• Maintained low volumes on daily work ques.

Barnes West County Hospital Creve

Coeur, MO

Emergency Department Patient Access

Representative

10/2018 - 08/2020

• Made initial contact with patients arriving in the ED.

• Determined urgency of patient status.

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

• Received patient deductibles, co-pay amounts and them through InstaMed. Discussed options to satisfy remainder of patient financial obligations.

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

• Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions.

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

• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.

• Assisted patients in filling out check-in and payment paperwork.

• Reviewed and corrected claim errors to facilitate smooth processing.

• Called codes coming from Vocera through the fire enunciator.

• Logged codes in to Everbridge.

• Entered lab orders through Soarian.

• Notify on-call doctors for ED doctors.

• Worked with Guardian to schedule drug testing for workmen's compensation claims.

• Administered COVID screening all patients and employees entering the building.

Gamma HealthCare Oakville, MO

Lab Processor

05/2017 - 10/2018

• Assisted with safe transfusions by conducting tests and completing blood counts.

• Input orders for bloodwork.

• Prepared blood samples for transportation.

• Stored samples in proper conditions.

• Performed duties in accordance with all applicable standards, policies and regulatory guidelines to promote safe working environment.

• Completed all paperwork, recognizing any discrepancies and addressing them in a timely fashion.

• Maintained excellent attendance record, consistently arriving to work on time.

Education and Training

Fox High School Arnold, MO

High School Diploma

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