Medical Office Admissions & Insurance Clerk

Maurcheri Hall

Denver, CO ***** • 720-***-**** • *************@*****.***

Professional Summary

Dedicated and service-oriented healthcare professional with 15+ years of experience in patient admissions, insurance verification, and healthcare customer service. Skilled in navigating EMR systems, managing confidential patient data, and ensuring efficient patient access workflows. Demonstrates strong communication, organizational, and problem-solving abilities to provide a seamless and compassionate experience for patients and families. Core Skills

● Patient Admissions & Registration

● Insurance Verification & Authorization

● EMR Systems: Epic, Meditech, Siebel

● Data Entry & Confidential Records

Management

● Customer Service & Patient Support

● Scheduling & Appointment

Coordination

● Critical Thinking & Problem Solving

● Microsoft Office Suite (Word, Excel,

Outlook)

● HIPAA Compliance

● Enrollment & Eligibility Processing

● Team Collaboration & Time

Management

Professional Experience

Admissions Representative

DaVita, Denver, CO Nov 2020 – Feb 2023

● Processed and reviewed patient admissions applications, verifying insurance eligibility and chair-time availability for dialysis centers.

● Coordinated patient placement in nearby facilities using PPS systems to ensure convenience and continuity of care.

● Accurately entered patient demographics and insurance data into Siebel CRM and other internal systems.

● Collaborated with spotlight teams to assist patients in applying for Medicare and Medicaid.

● Maintained compliance with HIPAA and organizational privacy standards. Patient Access Representative

AdventHealth – Denver, CO Nov 2018 – Oct 2020

● Greet and register patients for inpatient, outpatient, and emergency services, ensuring accurate demographic and insurance information is entered into EHR systems (Epic/Meditech).

● Verify insurance eligibility, obtain authorizations, and determine patient financial responsibility, including co-pays and deductibles.

● Collect payments and educate patients on financial policies and billing processes.

● Maintain HIPAA compliance and uphold AdventHealth’s commitment to compassionate, patient-centered service.

● Collaborate with clinical and administrative teams to coordinate patient flow and resolve registration or scheduling issues efficiently.

Member Service Representative

Kaiser Permanente, Denver, CO Jan 2017 – Jun 2018

● Responded to inbound member calls regarding insurance benefits and coverage details.

● Assisted members in selecting primary care physicians and approved facilities based on plan coverage.

● Explained benefit structures, authorizations, and billing in accordance with HIPAA guidelines.

● Demonstrated empathy and clarity when addressing patient concerns and coverage questions. Patient Account Representative

Health Care Outsourcing, Denver, CO Sep 2010 – Jul 2016

● Managed 80+ inbound calls daily, resolving billing disputes and patient inquiries regarding facility and physician charges.

● Verified insurance, reviewed coding discrepancies, and processed financial assistance applications.

● Accepted and posted patient payments, established payment arrangements, and maintained up-to-date account records.

● Ensured all customer interactions were documented accurately and met compliance standards. Personal Care Provider

Queens Care, Denver, CO Jun 2005 – Aug 2010

● Provided direct patient care including medication assistance, meal preparation, and vital sign monitoring.

● Maintained detailed records of patient progress and coordinated with case managers and healthcare professionals.

● Delivered compassionate in-home support focused on safety, comfort, and overall well-being. Collections Representative

First Revenue, Denver, CO Jan 2003 – May 2005

● Contacted clients regarding delinquent accounts to negotiate repayment schedules.

● Recorded payments, address changes, and maintained confidential customer account data.

● Balanced assertiveness with empathy to achieve collection goals while maintaining client trust. Education

Associate of Science, Business Administration

and Management

Community College of Denver – Denver, CO

High School Diploma

Manual High School – Denver, CO

Certifications

● CPR Certified

● HIPAA Compliance Training

● Patient Access & Customer Service

Training

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