Experience

EyeSouth Partners

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Benefits Specialist

  • Dec 2021 - Present



Wellstar Health System

• Hospitals and Health Care
• 700 & Above Employee

• Patient Access Specialist III

  • Dec 2018 - Jan 2023

  Reports and records patient care findings and data in a timely manner. Reports changes in the patient condition quickly, and secures qualified assistance as needed • Raises efficiencies while working directly with physicians’ offices through effective communication resulting in enhanced customer satisfaction, committed to addressing patient concerns with speed, accuracy and professionalism, to minimize patient dissatisfaction and increase patient loyalty • Works with technical staff to deliver accurate and timely data, develops metrics to measure processes performed to improve quality of care, efficiency, and patient safety • Schedules patients/obtains pre-certifications for outpatient radiological, laboratory, respiratory, and wound care related procedures • Serves as switchboard operator; performs nightly reports; assists with hospital inpatient and outpatient admissions; trains new employees; various office duties • Reviews treatment sheets for completeness, ensures nursing signatures are documented, and ensures omitted entries are completed or corrected where appropriate • Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes Show less



Piedmont

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Insurance Verification Specialist

  • Jan 2016 - Sep 2018

  Completed Prior Authorization, Insurance Verification, Scheduling Appointments and coordination all patient medical and demographic information necessary to process the referral • Ensured that all insurance information needed for billing and collection processes are appropriately obtained and recorded cards, and explained to the patient his or her financial responsibility such as co-pays, co-insurance, co-deductibles, at time of service • Maintained insurance plan request database; ensuring data is entered accurately and in a timely manner, as determined through facility processes claims processing in a fast paced environment • Corrected errors in various work queues to ensure correct claim filing or refiling of denied claims Reviewed patient's medical records, for correct coding and diagnosis, to assure accurate billing and rapid turnaround of claims submitted to the insurance companies • Acted as a resource representative when questions arise regarding registration errors, proper insurance documentation and accounting correction • Completed application, reviewed patient documentation and/or medical records to take all actions necessary to expedite benefit approval • Maintained notes on hospital system, ongoing communication and provide updates with the billing department and social workers concerning patient’s hospital accounts • Obtained prior authorizations for all Oral, , Radiology and inpatient hospital admissions as well as new patient referrals • Met with patients to discuss coverage and benefits, explained to patient what their out of pocket cost for chemotherapy is as well as their copay amounts • Screened patients for eligibility of Mass Health, Health Safety Net, Connector Care, or in-hospital financial assistance and assisting in completing applications • Made determinations on in-hospital financial assistance applications based on current Federal Poverty Levels and work Show less



Renew Wellness Spa

• Personal Care Services

• Phlebotomist

  • Sep 2015 - Jan 2016

  Prepared patients for examination by having them properly draped, obtaining vital signs, verifying referrals information, and taking detailed history • Maintained exam rooms, ordering of supplies, transporting specimens, washing packing instruments, and changing solutions • Draw blood from patients for various types of lab work, process, spin down and package specimens • Assisted with office procedures including monitoring of patient flow, telephone screening, maintaining sample drug list, and ordering supplies • Assisted medical care providers as needed with routine and specialized procedures, administration of medication, and performed tests • Processed physician orders, including laboratory, x-ray, EKG, and scheduled all same day test and appointments, prepared all forms and requisitions as needed by physician • Maintained an inventory of supplies, stocked supplies on carts and hand trays when required Show less



Cleansing Waters Wellness Ctr

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Assistant

  • Jan 2015 - Sep 2015

  Greet patients and visitors in a courteous and friendly manner. Screen calls, arranges appointments and referrals. Prepares new records, files, and maintains records. Type correspondence, reports, memos, and forms as requested by physicians and/or administration. Some transcription of medical notes Prepare billing packets of each day for billing department Perform insurance verifications Take clear and concise phone messages Schedule and confirm appointments daily Collect co‐pays, deductibles and inquire on previous balances Prepare charts for the next day Maintain order and file charts Create new patient packets and charts Maintain inventory and submit front office supply order to administration. Keep front area neat and tidy at all times Copy medical information as requested following proper procedures Distribute mail and handle routine correspondence Cross train to perform back office duties when needed Show less