Patient Services Representative
Resume:
Syretta Anderson
Temecula, CA 619-***-**** ******************@*****.***
Professional Summary
High-performing Healthcare Professional with over 5 years of progressive experience in medical administration, patient registration, and insurance verification. Proven track record in managing patient flow, processing specialized referrals, and navigating complex insurance programs
(Commercial, Medicare, Medi-Cal). Adept at utilizing EHR systems, ensuring strict HIPAA compliance, and delivering exceptional customer service within high-volume medical environments.
Core Competencies
● Patient Access & Flow: Demographic Verification, Patient Registration, Appointment Scheduling, High-Volume Phone Management (60+ daily interactions).
● Insurance & Revenue Support: Eligibility Verification, Referral Management, Medical Billing & Coding, Care Approvals.
● Compliance & Systems: HIPAA Regulations, Medical Terminology, EHR/EMR Data Entry, Financial Records Management.
Professional Experience
Healthcare Administration & Care Coordination (Combined Experience) 2019 – Present Specialized Healthcare Roles Temecula, Murrieta, Vista, & San Bernardino, CA
● Insurance Navigation: Managed patient and client documentation to facilitate seamless insurance verification and care approvals across multiple programs.
● Referral Coordination: Collaborated with physicians to manage external specialized referrals, track treatment progress, and coordinate interdisciplinary care plans.
● Front-End Revenue Support: Handled medical billing inquiries, educated patients on insurance coverage, and assisted individuals in securing care funding.
● Data & Records Integrity: Inputted and updated sensitive clinical, financial, and demographic data into electronic health records while strictly adhering to HIPAA compliance.
● Staff Oversight: Spearheaded the training and orientation of new team members on facility protocols; served as the central point of contact for shift scheduling and log maintenance.
World Mission Society Church of God Temecula, CA 2015 – Present Administrative & Program Coordinator
● Financial Operations: Oversee the general ledger, process payroll, and execute accurate financial data entry.
● Office Administration: Handle multi-line phone communications, manage scheduling, and coordinate volunteer teams to optimize program effectiveness. Dexcom San Diego, CA 2018 – 2019
Billing Account Representative
● Revenue Cycle Management: Managed high-volume customer billing inquiries, reviewed technical invoices, and ensured accuracy across active medical accounts.
● Issue Resolution: Resolved complex billing discrepancies and payment concerns while maintaining detailed financial records in company systems. Education & Certifications
● Medical Billing and Coding Certification (MCBC) MedCerts, Livonia, MI
● Coursework in Healthcare Administration / Business University of Phoenix, Wichita, KS
● Medical Administrative Assistant Studies Pima Medical Institute, San Diego, CA
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