Responsible for checking patients in for appointments and accurately verifying demographics.
Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
Reads and interprets insurance responses.
Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures.
Communicates financial obligations to patients and collects fees at time of service as appropriate.
Communicates the purpose of and completes all necessary regulatory forms with patient.
Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints.
Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
Performs cash posting following department guidelines.
Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
Must maintain high regard for confidentiality.
Accurately performs medical record maintenance and releases.
Properly utilizes and maintains patient recall and reschedule lists.
Patient Access Representative
St. Luke's University Health Network
05.2023 - Current
Interviewing patients
Preparing standard registration forms.
Performing other admission or transfer related tasks.
Perform clerical and secretarial work.
Performs a variety of tasks as assigned by supervisor.
Correct missing data and verify insurance eligibility from ED registrations.
Administrative Partner
Lehigh Valley Health Network
09.2023 - 11.2023
Manages charting functions to support patient care delivery.
Performs patient access functions involving coordination of bed assignments and updates bed board in a timely manner.
Uses effective and appropriate communication styles with patients, significant others, visitors, staff, and professional colleagues.
Answers telephones, records/replays messages and directs calls appropriately and in a timely manner.
Initiates, maintains, and organizes patient medical records, copies the patient medical record, and ensures that the discharge chart is broken down and sent to medical records.
Communicates to RN when notified of admits and transfers.
Refers problems when they are beyond his/her scope of authority or ability, utilizing the accepted chain of command.
Orders supplies and equipment in accordance with procurement service processes and fiscal budget.
Performs data entry of billable service charges for selected departments.
Transcribes physician's orders and takes the information from the prescribing physician and writes in the appropriate medication log.
Ensures that test results and other pertinent information is filed in the medical record on a timely basis and that all required documents are available for provider review.
Troubleshoots and takes corrective measures in care and handling equipment. Maintains knowledge of the location, operation, availability, and care of clerical equipment.
Develops an effective communication mechanism for the facility to promote a positive image with patients, visitors, co-workers, physicians, office personnel, and external agencies and offices.
Patient Access Representative
Regional Hospital of Scranton
08.2020 - 06.2023
Registers patients and processes related paperwork.
Interviewing patients
Preparing standard registration forms.
Performing other admission or transfer related tasks.
Perform clerical and secretarial work.
Performs a variety of tasks as assigned by supervisor.
Prior Authorization Representative
Express Scripts
06.2022 - 09.2022
Handle inbound telephone and written inquiries from pharmacists and doctors regarding prior authorization by screening and reviewing requests based on benefit plan design, client specifics and clinical criteria.
Provide information to clients, participants, pharmacists and doctors regarding participants pharmacy benefit, drug coverage and provide accurate procedures for medication exceptions.
Facilitate resolution of drug coverage issues and pro-actively address, research and resolve issues while maintaining accurate and complete documentation of all inquiries for continuous improvement.
Work collaboratively with other associates and supervisor to ensure that best practices are shared.
Other special projects as assigned.
Cardiac Monitor Technician
Regional Hospital of Scranton
10.2019 - 08.2020
Completes the admission set-up of telemetry monitors for the clinical units and performs monitor discharge and maintenance.
Responsible for on-going surveillance of patient cardiac monitors on multiple floors.
Examines heartbeat patterns on electrocardiograph monitors.
Makes note of irregular rhythms and monitors changes in heartbeat.
Provides RNs and/or clinicians with immediate notification of any changes in cardiac rhythms.
Ensures that monitors are functioning properly.
Patient Access Representative
CHS Regional Hospital of Scranton
03.2018 - 10.2019
Registers patients and processes related paperwork.
Interviewing patients
Preparing standard registration forms.
Performing other admission or transfer related tasks.
Perform clerical and secretarial work.
Performs a variety of tasks as assigned by supervisor.
Cashier/Customer Service
Bill's Shoprite Convenience Store
08.2017 - 06.2018
Cashier for lottery/gas/store.
Stocking
Cleaning/trash collection
Router and Batch Load Planner
Innovel Solutions
10.2016 - 03.2018
Route, schedule and batch all distribution center orders. Develop distribution center batch plan.
Determine optimal store delivery windows.
Assign appropriate carriers to each trip and proper overrides based on Fleet and Contract Carriage commitments.
Notify all carriers of equipment needs for each schedule (order set).
Procure and assign trailers to the schedule as required.
Run various reports.
Make necessary changes to schedule deliveries resulting from equipment failure, weather delays or emergencies.
Notify necessary parties (internal and external) involved in changes to prescribed delivery and/or production plan.
Perform other related duties and responsibilities as assigned
Tricare Benefits Representative
Leidos, Inc
09.2015 - 08.2016
Process enrollments, disenrollments, and portability transfers using the Defense Online Enrollment System (DOES).
Enroll beneficiaries over the phone.
Assign primary care managers to TRICARE beneficiaries.
Verify eligibility information for remote beneficiaries.
Provide education and enrollment information to beneficiaries.
Answer phones and handle faxed enrollment forms.
Research and interpret benefits, policies, and procedures to military staff, remote site points of contact, and other resources.
Maintain electronic system/paper files and data integrity.
Determine the appropriate assistance levels and when call forwarding or other referrals are needed to address the beneficiary's question.
Collect, process, retrieve, and disseminate transfer information to support the TRICARE active duty portability process.
Complete all responsibilities and duties in accordance with the Health Insurance Portability and Accountability Act (HIPAA) guidelines to include proper handling of Protected Health Information. Be eligible for and maintain ADP II/IT II clearance.
Accounts Receivable Clerk
Silvi Concrete
09.2006 - 09.2015
Generate A/R invoicing.
Maintain accurate consumer database.
Perform administrative duties: including typing, faxing, and copying.
Temporary Associate
CareersUSA
10.2005 - 09.2006
On call for temporary clerical assignments.
On call for temporary accounting assignments.
Date Transcriber
IRS
02.2006 - 05.2006
Input taxpayer data.
Input receivables.
Input tax form data.
Billing Representative
Woods Services
09.2003 - 08.2005
Generate A/R invoicing.
Input cash receivables.
Contact consumers about past due balances.
Prepare the daily deposit of receivables.
Maintain accurate consumer database.
Accounts Receivable Clerk
Advertising Specialty Institute
04.2002 - 09.2003
Generate A/R invoicing.
Input credit card and cash payments.
Approve interest invoices.
Generate and print cash logs.
File Clerk
Advertising Specialty Institute
07.1998 - 04.2002
Manage file system for company documents.
Process credit card payments for accounts receivable.
Perform administrative duties: including typing, faxing, and copying.
Sort and distribute incoming mail.
Tele-Surveyor
CTIS
10.1997 - 07.1998
Conducted surveys by contacting consumers of service companies.
Input survey results into computer database for further analysis.
Ticket Writer
Toys R Us
04.1994 - 10.1997
Assist customers with purchase of various items.
Answer phone inquiries for products or services.
Maintain assigned areas for inventory control and quality assurance.