Service Representative Team Lead
Resume:
Kita Payne
Murfreesboro, TN *****
*************@*****.***
Willing to relocate: Anywhere
Work Experience
Perioperative Support 10 Main OR Trauma
Vanderbilt University Medical Center-Nashville, TN December 2024 to February 2025
Clearing Rooms for Procedures and Operations that were done for Heart Transplants, Liver Transplants,
& Bariatric Sleeve Surgeries
Cleaning Sinks that the Operating Rooms used to Insert Certain Dyes for the Procedures and Operations Stocked PPE Equipment on the Main Operating Floor for the Main Operating Staff Cleaned PACU Rooms deep Cleaning along with the Pods and Bathrooms Patient Registrar
St. Thomas Medical Partners-Nashville, TN
October 2013 to August 2017
• Collected copayments from patients
Verified all demographical
Information
Scanned Insurance cards
Insurance Verification
Scheduled follow up appointments
Patient Service Representative/Team Lead
St. Thomas Medical Partners
October 2013 to January 2016
● Patient registration, insurance verification and obtained pre certification authorization
● Ensured charts are completed and accurate
● Calculated and collected patient liable amounts
● Ensured that all necessary signatures are obtained for treatments
● Answered questions and explained policies clearly
● Processed patient charts and established productivity standards
● Contacted the nursing staff for emergency medical needs
● Explained policies regarding services, chargedinsurance billing Team Lead
Centennial Medical Center
March 2012 to October 2013
● Performed all routine registration duties in a professional and effective manner
● Processed quality self-audits on registrations as patient flow permits
● Received and applied quality assurance feedback
● Ensured the accuracy and completeness of insurance information, verifies eligibility/coverage and ensures prior authorization requirements were complete
● Requested payment for co-pays, deductibles and/or self-pay deposits
● Processed refunds to patients or insurance companies Financial Counselor
Skyline Medical Center
July 2011 to March 2012
Visited uninsured patients to advise them about different programs at the facility that will assist with medical bill charges
● Ran reports from Meditech to ensure all commercial insurance patients are seen with outstanding balances owed on account
● Assisted Pharmpacc claims to ensure they wereprocessed and correct ICD-9 codes were added to claim after final bill approval
● Handled discharge report when existing patients are discharged from facility
● Made financial arrangements on accounts to be sure status from discharge is complete
● Process refunds when needed
● Assisted in uninsured escalations to ensure scheduling for appointment will bring escalation to a resolution
● Handled 'Bridges to Care' escalation forms for all doctors' offices
● Assisted in all walk-in appointments to provide a resolution on payment discrepancies
● Called Worker's Compensation case adjuster's to verify needed information
● Maintained patient charts and verified all pertinent information thru insurance carrier then sent that information to the clinic for patient next appointment. Patient Service Representative
Vanderbilt Radiation Oncology-Nashville, TN
August 2010 to June 2011
● Processed prior authorizations
● Ensured accuracy in ICD-9 codes on 100% of ancillary requisitions
● Provided customer service including telephone etiquette and cash management including processing refunds
● Processed insurance updates
● Conducts patient check in /out and scheduling new appointments
● Demonstrated ability to identify and proactively assist a patient or visitor
● Provided accurate and complete directional assistance independently or through the use of appropriate resources
● Verify demographic and insurance information
● Knowledgeable on Hospital Software as follows: Starpanel, Epic, Timeplanner/Aria Front Desk Scheduler
Pulmonary Dept
August 2009 to June 2010
Scheduled appointments for physicians in hospital and office - about 20-35 patients daily
● Specialty in diagnosis for patients as follows: Sleep Apnea, Shortness of Breath, COPD and Snoring.
● Knowledgeable on Hospital Software as follows: E-Clinicals, Pearl, Promed and Misys Software.
● Confirmed and verified insurance coverage for patients regarding coverage.
● Collected and processed co-pays from patients.
St. Thomas Medical Group-Nashville, TN
November 2006 to June 2010
Front Desk Receptionist
Front Desk
November 2006 to July 2009
● Answered calls and directed them to the appropriate office
● Created triage messages for staff to expedite response time to fit patient needs
● Scheduled patients using Practice Management software providing patients with information on all providers and locations
● Completed patient registration by providing information regarding registration and eligibility process: received, verified and entered data
● Answered inquiries and directed visitors
Insurance Analyst/ Precertification Representative Pain Management Group-Antioch, TN
August 2005 to August 2006
Ensured proper coding and authorizations for claims that were obtained for procedures performed in the associated surgical center
● Called Worker's Compensation case adjuster's to verify needed information for appointments that were scheduled for patients
● Maintained patient charts and verified all pertinent information thru insurance carrier then sent that information to the clinic for patient next appointment. Research Analyst
Community Health Systems-Brentwood, TN
June 2003 to June 2005
Prepared and monitored case data sheets for the purpose of verifying medical bills
● Confirmed medical coding with hospitals to ensure patients treatment at facility or institution
● Printed itemized billing and UB-92's.
Customer Service Representative/Insurance Collections Specialist AIM Healthcare
2003 to April 2005
• Assisted in Referral and Precertification
• Process on commercial insurance plans along with government insurance plans
• Assisted with government insurance with Medicare Part A and B along with Medicaid Insurance Policies
• Obtained referral information as well as giving customer service to patients point of care
• Assisted with customer service for patients needs with a pleasant attitude to service the patients' healthcare needs
Education
High school diploma
Wilbur Taft High School - Chicago, IL
September 1984 to June 1987
Skills
• Medical Office Experience (10+ years)
• Medical Coding (10+ years)
• CPT Coding
• Triage (10+ years)
• Insurance Verification (10+ years)
• Records Management (10+ years)
• Medical Billing (10+ years)
• EMR Systems (10+ years)
• ICD-9 (10+ years)
• Patient Care (10+ years)
• Medical Records (10+ years)
Certifications and Licenses
Medical License
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