Patient Access Front Desk

Samantha Brown

267-***-**** - ************@******.***

Work Experience

Accredo Health Group

Senior Eligibility Representative - Sept 2022- Oct 2024

• Verified patients insurance coverages and authorizations needed for service for accurate billing and reimbursement per payer guidelines, keeping the weekly bad debt under $200,000.

• Timely processed up to 25 specialty prescription drug orders daily for same-day shipping using in-depth understanding of insurance plans and internal processes.

• Utilize daily reports to identify drug coverage or billing issues and proactively address, research and resolve issues for daily and future shipments that may impact revenue optimization.

• Maintain regular communication with internal departments and external clients.

• Demonstrate discretion and independent judgment when handling patient or complex client complaints.

Doylestown Health

Patient Access Representative - Doylestown, PA May 2016 – Oct 2021

• Responsible for scheduling, pre-registration and registration of up to 100 patients per day to maintain optimal department flow and positive patient relations in the Emergency, Outpatient Services, Admissions, and Prenatal Testing Departments.

• Obtained accurate demographic, insurance, medical, and financial information in Meditech to maintain a minimum RQA quality score of 97.4%. .

• Verified insurance benefit coverage and obtained any authorization needed for service.

• Calculated and collected patient copays and financial responsibilities for services.

• Run daily activity reports to capture and process all patient registrations, admissions, and testing.

• Assigned inpatient beds for optimal placement based on the Physician’s orders and staffing, enhancing patient safety satisfaction.

• Served as a Patient Access Lead to over 300+ employees during routine scheduled and unexpected emergent EHR technical downtime from IT.

• Provided on the job training to new department employees. Dr. Elizabeth Spiers Dermatology

Front Desk Coordinator - Fountainville, PA July 2014 – May 2017

• Provided administrative support to clinical staff, serving as the initial point of contact for up to 65 patients daily.

• Managed incoming calls for scheduling appointments or directing calls to the relevant department.

• Utilized EMA, Navinet and NextGen systems for patient check-in and check-out procedures

• Input CPT coding and diagnostic codes into EHR for front-end billing processes.

• Balanced cash and charge batches, ensured cash drawer balance, prepared deposits, and created daily reports to maintain billing accuracy.

• Processed confidential medical records requests from patients, physicians, and hospitals

• Gathered and verified all patient demographic information, copays, insurance details, and referrals

Doylestown Drugs

Pharmacy Technician - Doylestown, PA Feb 2014 – July 2014

• Provided assistance to the Pharmacist by communicating with healthcare providers and insurance companies to resolve prescription discrepancies.

• Filled an average of 50 prescriptions per day with a 99% accuracy rate under Pharmacist supervision.

• Ordered and stocked pharmaceutical inventory delivery orders, verified quantities received against invoices and stock, and routinely assessed medication expirations.

• Served as pharmacy cashier and was responsible for over-the-counter pharmacy sales. EDUCATION

Bucks County Community College, Newtown PA

- Associates in Health Science, 42 credits completed Archbishop Wood High School, Warminster, PA

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