Patient Access Quality Assurance
Resume:
Cynthia M. Garner
**** ******** *** ****** ****, Mo 64127
********@**.**.***
Objective
To obtain employment in a health care environment that allows me to expand my skill set and offer an opportunity for advancement within the establishment.
Employment history
Utilization Specialist, Truman Medical Center, Kansas City, Mo 1/21-present
Complete insurance notification in a timely manner to ensure the facility will be compensated, communicate with the insurance companies to obtain prior authorization and respond to emails from upper management. Once patient is admitted to mother/baby unit will obtain demographic and financial data. Backup to patient access in the Emergency Department by interviewing patients and/or other causes to obtain demographic and financial data, accessing patients to clinical and financial systems of the hospital. Communicates health benefit regulations and patient financial obligation to responsible parties and collect copays.
Quality Specialist Global, (part-time work from home) HCA, Kansas City, Mo 11/21-present
To ensure that the Patient Access teams is implementation the correct information and that Patient Account teams has the correct information on the notifications such as patient name, the correct faciality information with NPI, date within 24hrs so there will be no denial. Document the information on the quality assurance spreadsheet. Communicate with leadership on improvement. Work in database PTAC, Quality Assurance and OneSource.
Resource Counselor II, Truman Medical Center, Kansas City, Mo 1/18-01/21
Assisted patients with completing application for the TMC discount, Medicaid application, crime victim application and Show me Healthy Women application., Educate the community on the TMC discount program and correspond with DSS on Medicaid application approvals and rejections. Correspond with patients to overturn the rejections from DSS.
Patient Access Representative, (part-time) Research Medical Center, Kansas City, Mo 12/15-10/21
Serves as a front-line representative in the Emergency Department by interviewing patients or family members to obtain demographic and financial data, accessing patients to clinical and financial systems of the hospital. Communicates health benefit regulations and patient financial obligation to responsible parties. Verifies financial and insurance information, obtains appropriate pre-certification and authorization for referrals, collects co-pays; completes all admission/registration paperwork; makes bed assignments, transfers and discharges patients; reconciles bed census, makes referrals to appropriate financial resources.
Patient Account Cash Poster/Cashier, Truman Medical Center, Kansas City, Mo 03/13-12/17
Post payments to patient accounts, transfer payments, complete payments in InstaMed, balance daily deposits,
data entry, analyst data research and provide daily spreadsheets and data entry.
Skills
Developed ability to work in a fast-paced atmosphere, maintained excellent customer relations and developed customer rapport, diplomatically resolved customers complaints on as-needed basis, accurately calculated and made daily deposits, ability to follow instructions well and make decisions, maintain all record-keeping procedures without error, effectively developed telephone communication skills and consistently met quotas, gather data for research and reports.
Education
University of Phoenix, Kansas City, Mo 9/2014 completed Bachelor’s Degree in Health Administration
Westport High School, Kansas City, MO 5/1991 Diploma
Reference
Sandra Rowe- Mentor- (816) 46-3475
Jearia Mitchell- Peer- 816-***-****
Charlisse.spearman@
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