Patient Access & Policy Service Specialist

Kristopher Miller

Bartlesville, OK ***** +1-918-***-**** ***********@*****.***

Work Experience

Patient Access Specialist

Ascension St. John Hospital & Medical Center Emergency Room Bartlesville, OK January 2025 to Present

Register and admit emergency department patients while accurately collecting and verifying demographic, insurance, and financial information.

Perform insurance verification, eligibility checks, ICD coding support, billing functions, and account review to ensure accurate reimbursement and minimize claim denials. Coordinate patient case management tasks including pre admissions, patient transfers, bed assignments, and admission workflow management.

Process patient accounts, collect payments, maintain documentation, and update medical records in hospital systems. Collaborate with physicians, nurses, and care teams to facilitate patient flow and maintain efficient department operations.

Senior Advisor(remote)

Everest Houston, TX

February 2023 to Present

I collaborate closely with clients and their families, offering support before or at the time of need to explore options and coordinate funeral arrangements.

Serving as first contact, I deliver personalized solutions focused on the customer's needs, guiding families through the emotional and complex process with care.

I negotiate competitive prices, tailor funeral plans, and expedite the processing of life insurance policy proceeds, ensuring assistance at every stage within as little as 48 hours after the passing. Policy Issue Specialist

AmeriLife(remote) Tampa, FL

July 2022 to February 2023

Answer incoming calls regarding health policies, which will include general inquiries, service requests, concerns from clients, healthcare providers, and agents

Process all service requests for policy holders

Keep track of inquiries and follow up to verify that they are answered Stay up to date on carrier and company policies and procedures Handle complaints, present appropriate solutions, and alternatives within the timeframes set, and follow up to ensure that the issue has been resolved

Adhere to established service standards while maintaining quality standards Patient Eligibility & Insurance Specialist

Saint Francis Tulsa, OK

March 2022 to July 2022

• Responsible for verifying insurance eligibility and benefits via RTE and/or via the web, and ensuring an accurate estimate of cost is run on each patient procedure prior to the delivery of inpatient, outpatient, and ancillary services

• In addition, responsible for collecting money upfront, prior to the delivery of inpatient, outpatient and ancillary services

• Ensure correct hospital account documentation is made on each patient

• Collect comprehensive demographics, financial and insurance information

• Verify patient demographics and insurance to ensure compliance with precertification and other payer requirements

• Counsel patients regarding their financial obligations

• Notify patients of the expectation for payment and/or refer patients to financial counselor when appropriate

• Answer any questions which the patient may have related to their upcoming admission/appointment and/or provide additional information (i.e. telephone numbers, reference to information on internet site

• Appropriately prioritizes workload to ensure the most urgent cases are handled in a timely manner

• Records and collects patient data to ensure timely filing, billing and claims processing

• Responsible for obtaining, verifying and investigation of accurate insurance, benefit and estimate Coordinates and supplies information to the review organization (payer) including medical information and for determination of benefits

• Complies with all rules and regulations regarding maintaining confidentiality of Personal Health Information Essential Functions and Responsibilities Answers incoming phone calls from patients, doctor offices, clinical staff, central scheduling and other appeaser

• Experience with the Epic system

Medicare Relationship Manager II, Ehealth

eHealth Tulsa, OK

August 2020 to February 2022

• Licensed to sell in 43 states for multiple major carriers

• Ability to work independently to establish rapport with clients and promote products and services

• Exceed monthly/quarterly/yearly sales objectives

• Connect with and sell to Medicare eligible leads

• Provide information on product and service inquires; recommend features and benefits about Medicare products and services to attract potential customers

• Assist the prospect in completion of the enrollment application over the phone to ensure accuracy and adherence to Medicare requirements and enrollment guidelines; assess an individual's healthcare needs and concerns; establish eligibility; provide overview of organizational mission; effectively and clearly present benefits of products in accordance with all governmental regulations; review documentation requirements and schedule follow-up appointments

• Complete and maintain sales paperwork, CRM and other records in a timely and accurate manner. Server

Neighborhood Jam Tulsa, OK

August 2019 to August 2020

- Trained incoming staff on restaurant's practices, culture, and procedures.

- Performed complete opening and closing change duties to keep restaurant working efficiently.

- Presented menu items, including specialty drinks and dishes, according to corporate specifications. Server

Savoy

June 2015 to August 2019

- Used correct cleaning and food handling procedures to sustain optimal protection for customers.

- Delivered efficient service in a friendly manner to ensure a pleasant dining experience for all customers. Senior Advisor

Education

Healthcare Management

Tulsa Community College

August 2019 to Present

Skills

Customer service Custodial experience Food industry Stocking Phone triage Guest services negotiation Cold Calling Food service Office experience Microsoft Powerpoint SKILLS detail oriented active listening negotiation Lesson planning collaboration Analysis skills Night audit stress tolerance Cash register Leadership judgement Microsoft Word communication Computer literacy Typing Human resources Research Administrative experience Bussing HIPAA Customer support Food safety Managing customer accounts business acumen buyer research HRIS Epic Google Suite Microsoft Outlook Attention to detail Clerical experience Guest relations Restaurant experience Call center experience Organizational skills Workday Insurance sales Hospitality POS Time management Phone etiquette Culinary experience curiosity Word processing Math resilience

Certifications and Licenses

Food Handler Certification

Life & Health Insurance License

Driver's License

Additional Information

Authorized to work in the US for any employer

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