GRACE M. RHODES, CMRS
Baltimore, MD ***** ***********@*****.*** 434-***-****
OBJECTIVE: Seeking to obtain a Supervisor/Registrar/Administrative Assistant position
SUMMARY OF QUALIFICATIONS
●Registering patients and obtain
● Reconcile and balance transaction.
● demographic information
● Knowledgeable of HIPAA policy and regulations
●Supervisor Insurance Verification
●Utilize EPIC EHR System
● Certifications: CPR, & First Aid, Certified
●Maintaining staff time in the Kronos system
●Medical Reimbursement Specialist (CMRS)
●Maintaining patient charts to include verifying Insurance eligibility and authorization.
● Supervisor in the Emergency Department
● ER/Bed Control
EDUCATION RELATED COURSES
Bachelor of Science: Medical Terminology
Health Services Administration, August 2014 Advanced Billing
Associate of Applied Science: Advanced Coding
Medical Administrative Assistant, April 2011 Anatomy & Physiology I & II
Bryant & Stratton College, Healthcare Reimbursement/Billing Emphasis
North Chesterfield, VA Medical Office Systems/Electronic Records
Medical Assistant Diploma, June 1998 Health Services Management I & II
Beta Tech, Richmond, VA Long Term Care Management
Executive Secretary Diploma, June 1988 Healthcare Finance & Accounting Management
Kee Business College, Richmond, VA Legal Aspects of Healthcare Management
WORK EXPERIENCE
Patient Financial Coordinator-Surgical Center October 2023-Present
Medstar Georgetown
Washington, DC
Registrar all patients for outpatient and inpatient surgery
Accurately completes all MSP forms and admission paperwork.
Verify demographics and insurance information.
Explain process and procedures to patient and family members.
Collect copay and deductible.
Verify insurances thru HDX and EVS
Scan all documents in medical records.
Communicate with staff to have a flow of day-to-day operations.
Provides all services needed by patients and family members to ensure registration is a smooth process.
Customers services, greeting patients with a smile
Patient Services Coordinator/ER Department April 2025-Present
John Hopkins Howard County General Hospital
Columbia, MD
Greeting patients and their caregivers on arrival. Verifying all demographic information,
and insurance information, etc. Preparing patient admission and discharge
documentation. Entering information into databases and maintaining accurate records. Relaying
information to relevant staff members. Informing patients and their caregivers of hospital
procedures, policies and protocols. Providing patients with billing and payment information.
Reviewing patient accounts, identifying delinquent accounts, and collecting overdue payments.
Receiving and processing cash and credit card payments for medical services rendered. Faxing,
scanning and copying medical records. Answering multiple phone lines.
Insurance Verification Supervisor - Inpatient/Observation May 2020-Dec 2020
University of Maryland Medical Center, Midtown
Baltimore, MD
Conducts pre-admission registration for elective admissions, including, but not limited to screening patients for appointments based on department guidelines. Assist manager with training of new staff demonstrating department operating processes and procedures. Obtains demographic and financial data from patients and accurately inputs data into the Electronic Medical Record (EMR). Verifies patient’s insurance information and benefits utilizing all verification and eligibility tools and calls payer when needed. Communicate and document insurance updates including concurrent review as needed to other departments, such as Perioperative Services, Physician Scheduling Offices, Utilization Management, etc. Checks MHIN system to ascertain Medicare coverage and the status of primary and secondary coverage as well as the status of the available Medicare days.
Patient Access Coordinator May 2018-Present
MedStar Hospital/Prompt Care
Baltimore, MD
Operate telephone switchboard to answer, screen, or forward calls, providing information or taking messages. Greet persons entering establishments, determine nature and purpose of visit, and direct or escort them to specific destinations. Transmit information or documents to customers, using computer, mail, or facsimile machine. Resolve complaints from customers or the public. Perform administrative support tasks, such as proofreading, transcribing handwritten information, or operating calculators or computers to work with patient information, or other documents. File and maintain patient records and adhere to patient confidentiality policy. Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations. Receive payment and record receipts for services.
Pre-Certification Coordinator 2018-2020
Chesapeake Urology
Owing Mills, MD
Review chart documentation to ensure patient meets medical policy guidelines. Prioritize incoming authorization requests according to urgency. Obtain authorization via payer website or by phone and follow up regularly on pending cases. Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations. Initiate appeals for denied authorizations. Respond to clinic questions regarding payer medical policy guidelines. Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order. Contact patients to discuss authorization status responsible for providing support to the surgical poster in communicating with the insurance companies to ensure proper certification/authorization is obtained prior to surgery. Obtain verification of insurance coverage and authorization from the primary care office for clinical visits and surgical procedures.
Medical Assistant 1999-2016
MCV, Family Practice
Richmond, Virginia
Assist in examination and treatment of patients under the direction of a physician. Interview patients, measure vital signs (i.e., pulse rate, temperature, blood pressure, weight and height) and record information on patients' charts. May be required to draw and collect blood samples from patients and prepare specimens for laboratory analysis. Prepare treatment rooms for examination of patients. Inform patients of costs for care being provided and guide them to appropriate resources for further information. Type routine correspondence and reports from dictation or handwritten copy. Answer telephones, screen callers, relay messages and greet visitors. Educate patients by providing medication and diet information and instructions, answering questions.
Admitting/ED Coordinator 1999-2018
Bon Secours
Richmond, Virginia
Greeting patients and their caregivers on arrival. Collecting information such as patient details, medical history, billing, and insurance information, etc. Preparing patient admission and discharge documentation. Entering information into databases and maintaining accurate records. Relaying information to relevant staff members. Informing patients and their caregivers of hospital procedures, policies and protocols. Providing patients with billing and payment information. Reviewing patient accounts, identifying delinquent accounts, and collecting overdue payments. Receiving and processing cash and credit card payments for medical services rendered.