Service Representative Patient Care
Resume:
Kelly Vignon
China Grove, NC *****
**********@*****.***
Professional Summary
Professional in healthcare industry, bringing valuable experience in authorization management and compliance. Known for delivering reliable and timely authorizations while maintaining robust communication with healthcare teams. Consistently focused on collaborative efforts and achieving results, ensuring organizational goals are met. Skilled in problem-solving and adaptable to changing requirements.
Work Experience
Insurance Specialist
Rowan Digestive Health Associates-Salisbury, NC
April 2024 to Present
• Conduct pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
• Use eCW to accurately schedule patient appointments for multiple providers.
• Accurately process patient payments, ensuring all financial transactions are recorded correctly.
• Create claims for specific services, maintaining an average of 98% accuracy rate.
• Assist with obtaining authorizations for procedures, reducing delays in patient care.
• Aid in patient check-in and check-out processes, enhancing the overall patient experience.
• Responded to customer calls swiftly to resolve issues and answer questions. Patient Services Representative
Tidelands Health Oncology-Myrtle Beach, SC
February 2023 to April 2024
• Verified insurance coverage for patients, ensuring accurate billing and reducing payment denials.
• Used EPIC and Meditech to schedule imaging appointments efficiently to optimize clinic workflow, resulting in a reduction in wait times.
• Obtained necessary authorizations required by insurance for imaging services, facilitating timely medical care.
• Trained new staff on process of obtaining authorizations. Business Office Assistant
Coastal Eye Group-Myrtle Beach, SC
August 2022 to February 2023
• Efficiently scheduled appointments, optimizing the provider's schedule.
• Collected payments for services, maintaining a consistent cash flow for the clinic.
• Optimized document management by scanning medical records in a secure database.
• Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
• Assisted with entering insurance remittances, ensuring accuracy and reducing billing errors. Patient Service Representative
Elite Pain Management And Recovery Centers-Myrtle Beach, SC January 2022 to August 2022
• Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
• Improved patient satisfaction by providing exceptional customer service during check-in and check- out processes.
• Accurately scheduled appointments according to the provider's direction.
• Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
• Balanced deposits and credit card payments each day.
• Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
Patient Service Representative
Griffin Eye Center-Myrtle Beach, SC
February 2021 to December 2021
• Streamlined appointment scheduling for increased patient convenience and reduced wait times.
• Verified insurance coverage details to ensure eligibility for services.
• Used AdVancedMD to accurately schedule appointments.
• Answered phones promptly and provided courteous assistance to callers
• Took copayments and compiled daily financial records.
• Compiled and faxed records to referring providers. Education
High school diploma
Iowa City High School-Iowa City, IA
August 1991 to June 1995
Skills
• Meditech
• HIM
• EPIC
• CPT
• eCW
• Medical terminology
• EMR systems
• Insurance verification
• Appointment scheduling
• ICD-10
• Pre-authorization
• Call center
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