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Click here or scroll down to respond to this candidateCandidate's Name
North Little Rock, Arkansas, Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEWORK EXPERIENCEVA Hospital in North Little Rock Arkansas (Current)Advanced Medical Support Assistant 11/2021Coordinates with the patient care team to review the clinic utilization by using various reports.Develop/maintain effective and efficient communication with the patients, interdisciplinary teams, VA medical centers, and other agencies to assist with communications during the inpatient to outpatient discharge.-Communicate with non-VA medical facilities.-Notify patients of normal lab results.-Develop and manage a tracking system for follow-up care such as consults, tests, etc.-Participating in team huddles and team meetings to manage and plan patient care.-Setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs.-Monitoring pre-appointment requirements to assure readiness for patient visit/procedure (e.g. X-ray, lab work).-Participating and providing input in problem solving on operational issues or procedures in team meetings.-Identifies and collates health insurance company enrollment identification cards.-Evaluating patient information and clinic schedule lists to determine whether patient is vested.-Verifies eligibility/entitlement for benefits of all applicants using various methods including income assessments, military discharge documents, computer hospital inquiry (HINQ), Veterans Information Solution (VIS), and other means, such as communications with VA Regional Office or VA Records Processing Centers.UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, LITTLE ROCK ARKANSAS, ARPATIENT REPRESENTATIVE 12/2018-11/2021Verifies insurance coverage; benefits; pre- and post-authorization requirements and obtains initial authorizations for patientsConducts insurance verification and benefit explanation by runningEligibility on patients, request outside records, and gather outsideMedical records from referrals and file patient charts as needed.*Access-Coordinator III 11/2016-12/2018The Access Coordinator III works under supervision to function as aPatient resource for all scheduling and billing questions and toFacilitate comprehensive patient data collections, timely and accurateBilling, prompt collections of payment for services rendered,Facilitates scheduling coordination and conflicts. This position mustBe able to perform all duties of the Access Coordinator I & II level andPerforms other duties to support the patient care activities as needed.Responsibilities:-Meets, greets and assists the public, answers telephones in aProfessional and friendly manner.-Obtains accurate pre-certification and pre-authorization for servicesWhen needed-Obtains and maintains accurate demographic and insurance information-Obtains referrals and managed care information, schedules, reschedules,And coordinates appointments as needed-Coordinates hospital admissions, coordinates consults and surgeries,Performs check-in and registers patients-Demonstrates positive working relationships with co-workers, managementTeam, and ancillary departments.-Follows the Circle of Excellence Guidelines-Performs check-out and accepts payments as needed.-Inventory, order, and stock supplies, clean and maintain equipment,Pick-up and deliver mail to mailroom, ensure the waiting room is clean,Stocked with educational information, and coffee.-Process walk-in's, create new patient charts, access systems for ordersAs appropriately.-Conducts insurance verification and benefit explanation by runningEligibility on patients, request outside records, and gather outsideMedical records from referrals and file patient charts as needed.-Perform ABN completion, schedule surgeries and/or tests. IssuesSchool/work excuses, send out no show letters, and take patient photos.Responsible for blocking schedules as appropriately, cancel andReschedule appointments as requested.-May maintain initial plan of care (signatures, etc.), and is responsibleFor recording daily and monthly statistics and communication or anyMedical records issues.-Collects and post payments in and issues receipts. Responsible forReconciliation/management change fund. Responsible for reconciliation ofDaily deposit & batch dollars, and must complete deposit agreement.-Promotes guest relations by offering frequently to assist otherEmployees when needed.-Deals with conflicts in a positive and professional manner usingCareful listening and negotiation skills to resolve disagreements.-Models the Core Values of UAMS - Integrity, Respect, Diversity,Teamwork, Creativity, and Excellence in compliance with companyGuidelines.Medicaid ReferralsNotifies the client of appointments scheduled, makes follow-up calls to off-site providers to ensure that client kept appointment and reminds provider to submit a Consultation ReportMaintains competency in obtaining and inputting medical information to and from clinical and /or other information systems including accessing information as required to complete the referral processScreen and schedule incoming referralsObtain prior authorization for diagnostic services and proceduresAnswers questions from patients, clerical staff, and insurance companiesEstablish and maintain relationships with identified server providers Utilizes software to code ICD-9 and CPT codesContact customers to obtain or relay account informationProvides back up support to front desk registrationInsurance Verifier, Jul 2015 Nov 2016As an insurance verification specialist in this Health Care professional working to ensure that the patients' insurance company to verify coverage levels and works with individuals to educate them on their benefits information. I serve as an valued employee of the Hospital Billing TeamTRANSAMERICA EMPLOYEE BENEFITS, LITTLE ROCK, ARClaims Coordinator/ Indexing Tech, Apr 2012 Sep 2014Claims Document coordinator= Maintained and updated and archiving master support documents. Adhere to all rules and policies regarding the proper handling of the company's document. Indexing Tech= Indexed each document according to the image presented and ensured a good quality image. Updated the control legacy system with specific date. I was responsible for destroying and disposing of confidential drawing notes or documents.Heifer InternationalDonations Processor, Sep 2010 Oct 2011Received donations into department for processing, stamps donations receipt and date on all gifts. Copied checks on all donations associated with the gift correspondence for paper files. Made demographic changes to donor profiles as identified by processing.Arkansas UrologyInsurance specialist (temp position), Oct 2011 Jan 2012Processed and filed primary and secondary claimsPulaski County CourthouseReceptionist (temp position), Jul 2009 Aug 2010Answered telephone and screened direct calls. Took and relayed Messages Greeted persons entering the organizationARKANSAS BLUE CROSS BLUE SHIELD, LITTLE ROCK, ARClaims Specialist, Aug 1998 Apr 2009Completed an intensive course of claims training passing 95 procedural 99% dollar amount. Determined eligibility according to the benefits Processed Hospital, Physician and Dental claims Maintained a quota of 100 claims per dayARKANSAS CRIME INFORMATION CENTER, LITTLE ROCK, ARDocument Examiner, Jun 1996 Aug 1998Verified criminal statistics Met quotas and deadlines on a daily basis Verified FBI information along with the state informationAdministrative Office of the Supreme Court, Jul 1996 Aug 1998Data Entry ClerkInput criminal statistics in a state wide database Organized and adhered to imposed time constraintsEDUCATIONPHILANDER SMITH COLLEGE, LITTLE ROCK, ARBachelor of Arts, Jul 1986MASTERSSouthern New HampshireHuman Resources Management Candidate, Expected graduation, July 2021(Capstone class remaining)ADDITIONAL SKILLSReceptionist experience, Medical Terminology competent, Multi-Line Phone proficiency, Types 50 wpm,Critical thinking, Attention to detail, Physician and Hospital billing, inpatient authorizations HIPPA compliant |
