Patient Services Customer Service
Resume:
PROFESSIONAL SUMMARY
Experienced in patient services with strong skills in EMR management,
communication, and leadership. Proven ability to enhance efficiency and deliver superior patient experiences through dedication to ICARE values and compliance with healthcare standards. Eager to leverage expertise in a new leadership role to drive operational success and patient satisfaction.
SKILLS CONTACT
• Bilingual
• EMR Management
• Leadership
• Detail Oriented
• Communication
• Internet Savvy
• HIPAA Compliance
• OSHA Compliance
EXPERIENCE
Sr. Patient Svc Rep
MAY 2018 - PRESENT Houston Methodist Hospital, Sugar Land, TX
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially regarding activities impacting patient or employee safety or security.
• Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.
• Familiar with FMLA, regulations and guidance issued by the EEOC pertaining to ADA accommodations.
• Strong computer skills, Outlook and Word.
• Provide personalized care and service by consistently demonstrating ICARE Values.
• Coordinate efficiency between patients, third party requestors and medical staff to provide superior patient experience.
• Implement programs and systems (Artera, Care.ai, MAPL.)
• Charge entry, registration, scheduling, insurance verification, check in and check out functions to facilitate the patient visit.
• Ensure timely and accurate claims submission.
• Maintain Workqueue List daily.
• Obtain signatures on missing consents for treatment and financial responsibilities.
• Process referrals and work on denied claims for resubmission.
• Assign referrals on patient visits.
• Persistently observing physicians schedule for accuracy and error.
• Develop staff structures that meet high quality care and patient satisfaction goals.
• Train and mentor newly hired employees for patient access role.
• Create new employee binders to alleviate confusion with clinic decisions and processes.
• Educate patients on their medical benefits and collect towards their deductible and out of pocket if necessary.
• Assist management with quality assurance audits.
• Sit in with management during monthly revenue cycle meetings.
• Assist management with SPG denial reports.
Rebecca J. Garcia
630/631-4777
********@****************.***
6702 Harpers Dr. Richmond, TX
• JCAHO
• CMS
• AIDET
• EMTALA
• Microsoft Suites
• Billing Collection
• ICARE Values
• Order administrative and clinic supplies via Henry Schein and staples (MARS).
• Adheres to all federal and state employment regulations, company policies and procedures. Business Owner
JUL 2015 – DEC 2016 J&R Cleaning Services, El Paso, TX
• Provided specialized residential and commercial cleaning services to meet hygienic requirements. Including but not limited to product/item organization, disinfecting, and detailed deep cleaning. Practice Manager
MAR 2012 – JUN 2015 Healthcare for Women LLC., Oak Park, IL
• Answered, directed multi-line phone, entered data and scheduled patient appointments.
• Monitored co-pays, deductibles, co-insurance and posted account receivable along with EOB.
• Manage medical record inquiries, office management and pre-certify surgical and radiology procedures.
• Managed electronic medical records and Collections with Transworld Systems.
• Performed billing and coding with CPT/ICD-9 codes and Filed CMS-1500 claim forms.
• Processed Payroll (ADP) and complied with HIPAA regulations and compliance.
• Work directly with the provider and manage personal business accounts and deposits. EDUCATION
Master's Degree in Business Administration
JUN 2020
Bachelor's Degree in Health Information Systems
JUN 2014
Associate's Degree in Health Care Administration/Medical Records JUL 2012
REFERENCES
References available upon request
Contact this candidate