Insurance Customer Service
Resume:
KOKELYN JOHNSON-JONES
Houston, Texas 77033
OBJECTIVE: Position to expand my experience as a Patient Access Specialist in the hospital facilities with a focus in maintaining customer service, insurance verification (including Medicaid), patient access and becoming successful in the healthcare field.
EDUCATION:
Success Institute of Business (1996) Houston, Texas
• Certificate in Business office application
University of Phoenix Houston, Texas
SKILLS:
• Microsoft word • Clinic Station
• Excel • Care System
• 35 wpm • Health Quest
• Meditech system • 8,000 Keystrokes
• Mediserve system
• IDX
WORK EXPERIENCE:
Memorial Hermann Hospital______ 09/26/2011- Present______________
Patient Access Rep Emergency Room
• Accurately registrar patients by bedside or workstation in a timely manner for demographic
and financial information.
• Admits patients in a timely manner, obtains all signatures, copes of insurance cards and,
obtains the necessary approval numbers from insurance companies and HMO centers on
urgent elective and transfers from other facilities to ensure payment of patient accounts.
• Verifying insurance and obtaining authorization by obtaining copies of the patient card
and collects co-pays due from patient.
• Providing financial counseling to patients about their insurance policies, benefits,
requirements of the plan. Assisting patients with inadequate insurance coverage and making
contact with guarantor to make financial arrangements.
• Making sure medical records are attached to the patients chart to ensure appropriate
tests are ordered.
• Performs other related functions as assigned.
University of Texas M.D. Anderson Cancer Center 12/08 – 08/11__________
Patient Access Services Patient Access Specialist
• Coordinate financial arrangements for various payers in order to ensure maximum
• Communicate with patients, referral sources, payers and the treatment team.
• Obtained authorization from Managed Care patients and Medicaid.
• Maintained acquired demographic information on all patients.
• Intake information from new patients for referrals, gather medical information to
send to the insurance company for pre-determination.
• Responsible for insurance verification and responds to insurance and patient
correspondence according to procedure.
University of Texas M.D. Anderson Cancer Center 10/06 –12/08__________
Patient Reception Services Patient Service Coordinator
• Communicating with physicians, physician’s assistants, nurses, technologists for
scheduling, reschedules & add-on.
• Assisting other clinics with scheduling patients for procedures.
• Conveying appointment information to patients in a timely manner in person and by
telephone.
• Coordinating physician orders to schedule diagnostic test.
• Creating physicians orders and sending them for signature.
• Answering telephone, scheduling patients, arriving patient, revising schedules for
patient to accommodate with other clinic appointments.
Texas Children’s Hospital 06/00 - 01/31/2005
Home Health Department Funding Team Assistant
• Coordinate financial arrangements for various payers in order to ensure maximum
reimbursement for services provided.
• Communicate with patients, referral sources, payers and the treatment team.
• Obtained authorization from Managed Care patients and Medicaid.
• Maintained acquired demographic information on all patients.
• Intake information from new patients for referrals, gather medical information to send
to the Insurance company for pre-determination.
• Responsible for insurance verification and responds to insurance and patient
correspondence according to procedures.
• Use established criteria to screen patients for medical acceptance. Refer patients not
meeting medical acceptance for clinical review.
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