Patient Access Specialist Front-End Revenue Cycle
Resume:
B. Anita Johnson
Concord, NC 28027
************@*****.***
PATIENT ACCESS SPECIALIST FRONT-END REVENUE CYCLE
PROFESSIONAL SUMMARY
Patient-focused Patient Access Specialist with 15+ years of experience supporting high-volume healthcare environments through accurate registration, insurance verification, and financial clearance. Proven track record of improving front-end data accuracy, reducing claim denials, and supporting positive patient experiences. Highly skilled in Medicare, Medicaid, and commercial insurance workflows, HIPAA compliance, and cross-functional collaboration with clinical, billing, and revenue cycle teams.
CORE COMPETENCIES
Patient Registration & Intake
Insurance Eligibility & Benefits Verification
Medicare, Medicaid & Commercial Plans
Prior Authorizations & Referrals
Financial Clearance & Patient Education
HIPAA & Regulatory Compliance
Front-End Revenue Cycle Operations
Denial Prevention & Error Resolution
Patient Experience & Customer Service
EHR Systems (Epic, Cerner, Meditech, Athena)
Microsoft Office (Word, Excel, PowerPoint)
PROFESSIONAL EXPERIENCE
Cencora, Inc. (Remote)
Patient Access Specialist
March 2018 – February 2026
Impact & Results
Processed 50–100+ patient registrations per shift while maintaining greater than 99% accuracy.
Reduced downstream billing issues and claim denials through precise front-end insurance verification.
Maintained full compliance with HIPAA and organizational privacy standards.
Supported patient satisfaction and access goals through timely, compassionate communication.
Key Responsibilities
Completed end-to-end patient registration, ensuring accurate demographic, insurance, and consent documentation.
Verified insurance eligibility, benefits, copays, deductibles, and authorizations across commercial, Medicare, and Medicaid plans.
Scheduled inpatient, outpatient, and specialty appointments, coordinating referrals and clinical prerequisites.
Educated patients on financial responsibility, coverage limitations, and payment options.
Collaborated closely with clinical teams, billing, and revenue cycle staff to ensure timely access to care.
Maintained accurate patient records within Epic, Cerner, Meditech, and Athena EHR systems.
Identified and resolved registration and insurance discrepancies to prevent billing delays.
Delivered high-quality service in fast-paced healthcare settings, including emergency and outpatient workflows.
UnitedHealth Group – National Experience Center
(Remote)
Service Account Manager
March 2016 – March 2018
Served as escalation point for complex member issues related to eligibility, benefits, billing, and claims.
Managed multiple cases simultaneously through resolution using structured case management.
Performed research and root cause analysis to resolve operational and member issues.
Acted as liaison between members, clients, and internal departments to ensure accurate resolution.
Conducted quality reviews of inbound representatives and provided feedback for coaching.
Selected for special projects including team communications, job aid updates, and training support.
UnitedHealth Group / Optum Health
– Concord, NC
Operational Trainer
December 2015 – March 2016
Delivered onboarding and up-training for healthcare lines of business including Medicare & Retirement and Prescription Drug Plans.
Developed participant and facilitator training materials aligned to quality standards.
Promoted from production floor; completed Train-the-Trainer Phase I & II.
Reinforced customer service excellence, compliance, and compassionate communication standards.
Connextions Inc.
– Concord, NC
Customer Service Representative
July 2013 – December 2015
Supported CVS Caremark members with prescription benefit inquiries and eligibility.
Processed prescription refills and coordinated renewals with prescribers.
Assisted medical facilities with insurance and benefit verification.
Earned Quality Assurance and Customer Satisfaction certificates.
Wells Fargo
– Fort Mill, SC
Mortgage Operations & Customer Service Roles
February 2003 – October 2010
Managed high-volume customer portfolios requiring strict compliance and documentation accuracy.
Reviewed financial records, verified eligibility criteria, and resolved discrepancies.
Processed regulated financial documentation under federal and investor guidelines.
Built strong customer relationships while navigating sensitive financial matters.
Colleton County Memorial Library
– Walterboro, SC
Administrative Supervisor
February 1995 – February 2003
Supervised daily operations, staff scheduling, and customer billing processes.
Maintained system records, reporting, and compliance documentation.
Led customer-facing training initiatives and administrative coordination.
EDUCATION
Brookstone College – Charlotte, NC
Business / Accounting
CERTIFICATIONS & COMPLIANCE
Medicare & Medicaid Health Benefits & Regulations
HIPAA Privacy & Security Compliance
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