Patient Access A Team

Summary of Qualifications:

Obtain a position as a team-player in a people-oriented organization where I can maximize my strong interpersonal communications skills in customer-service. Utilizing my organizational skills, problem analysis abilities, in a challenging environment to achieve the corporate goals. Demonstrate ability to work well in a team environment. Ability to prioritize and multitask. Positive and professional demeanor. Exceptional written and verbal communication skills.

Skills:

•Microsoft Office; Word, Excel, Outlook

•Teams

•EMR, EPIC, Citrix

•Scheduling

•Insurance Verification

•Calendar Management

•Prior Authorizations

•Medical Terminology

•Patient Registration

•HIPAA NY

Experience:

Mount Sinai New York, NY

Register/Patient Access/ Medical Sec II (Contract) 05/2023-Present

Meet, greet and navigated patients, visitors, and staff.

Answered incoming calls, collect and assign referrals from other physicians.

Registered/verified patients by updating or entering patient demographic, financial information and emergency contact data into the computer system as well as all other pertinent information, along with escorting.

Generated patient charts and attached pertinent information such as Emerg Card, Medicaid threshold and EMS sheet, etc.

Reviewed discharge patient charts for diagnosis, physician signature, dictation code, menu and appropriate forms for completion.

Processed specimens for laboratories. Patient and doctor charts assigned, retrieved and prioritized daily.

Logged patients on/in to the appropriate registration sheets/logs. Reconcile log books.

Scheduled for clinic appointments

Administrative duties.

Montefiore Medical Center Westchester Square Bronx, NY

Intake Patient Registrar / Coordinator - ER (Contract) August 2022-Present

•Meet, greet, and serve as the primary contact for patient admissions by coordinating the admission process from the initial request for emergency services.

•Obtain the necessary information for patient admission; demographic, financial and insurance information.

•Collaborated with ER teams and triage to ensure and expedite patients care and intake.

Columbia Doctors Orthopedics New York, NY

Patient Access Coordinator /Scheduler February 2021-September 2022

Call Center Atmosphere

•Scheduled inbound calling patients to appointments to various orthopedic doctors, surgeons, and sports medical staff in EPIC with association with Columbia Presbyterian Hospital.

•Verified all demographic information including home address, proper phone number, and email address.

•Updated and inputted all callers. 60-80 calls per day.

•Insurance eligibility, Medicaid, Medicare and Workmans compensations cases.

•Prior Authorized when necessary for procedures and imaging. MRI’s, CT scans with and without contrast both in and out of network.

•Coordinated with various OC’s to the proper protocols and office procedures according to doctors’ locations and availability.

•EPIC trained in front desk, scheduling, and work queue, HIPPA certified.

Dr. Thomas Ziolkowski, MD Dermatologic Surgeon New York, NY

Medical Front Desk Assistant March 2016-February 2021

•Greeted and attended to patients in person, virtually, and over the phone.

•Answered inbound phone calls in a professional and courteous manner.

•Scheduled appointments between doctors and patients and relayed medical information per scripts, averaging 40-70 calls per day.

•Communicated medical results to patients under clinical supervision.

•Completed accurate documentation of patient calls and visits.

•Prior Authorized procedures and reviewed clinicals to verify medical necessity vs. cosmetic.

•Utilized discretion while working with sensitive information.

Horizon Blue Cross Blue Shield Newark, NJ

Participant Services Coordinator February 2007-January 2016

•Effectively answered inbound call center calls with participant inquiries regarding various aspects of their benefit plans, Utilization Management team.

•Conducted Prior Authorizations for surgical procedures along with clinical and policy medical review.

•Responded accurately and courteously to physicians and participants telephone inquiries, live chats, email inquiries, and in- person visits.

•Documented participant calls, emails and visits using BCBS internal programs/tools.

•Prepared accurate, customized, and well-written explanations for participants regarding various questions of their benefit plan.

•Worked with other Benefit Resource personnel to resolve participant concerns.

IATSE New York, NY

Care Management Team Leader February 2001-December 2007

•Responsible for assignment and completion of specific projects in the units of responsibility.

•Provide input to individual stuff evaluations.

•Assisted with in-service and training of all Customer Service Representatives (CSRs).

•Assist with daily supervision to CSRs monitoring all work assignments and ensuring that they are completed timely and efficiently

•Prepared and assisted with the running of all required reports: PCPs, Orientations, and Outreach for distribution to all CSRs on their teams.

•Monitor weekly status of projects providing performance reports to Supervisor.

•Worked with other departments for the resolution of complaints and eligibility issues for immediate same day resolution call activity to ensure required call volume handling.

Education:

Audrey Cohen College, New York, NY

Associates Human Services, September 1997-June 2000

Contact this candidate