KHALANI SMITH
Philadelphia
Summary
Motivated Patient Service Representative with background supporting patient medical needs by verifying insurance, scheduling appointments, and organizing documents. Forward-thinking and resourceful with good interpersonal skills, strong attention to detail and upbeat mentality. Advanced abilities in healthcare billing and scheduling software.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Service Associate
Penn Medicine
09.2023 - Current
- Contributed to a positive work environment by effectively collaborating with medical staff and other departments.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Handled cash transactions accurately while managing the daily collection of copays, deductibles, or other fees from patients at the time of service.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Followed document protocols to safeguard confidentiality of patient records.
- Greeted and assisted patients with check-in procedures.
- Assisted patients with insurance verification, ensuring accurate billing and prompt payment processing.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Promoted a welcoming atmosphere by greeting patients upon arrival, quickly addressing their needs, and answering questions clearly.
- Provided exceptional customer service while resolving patient complaints or concerns in a professional manner that maintained trust in the facility''s services.
- Maintained confidentiality by properly handling sensitive patient information in accordance with HIPAA guidelines.
Patient Service Inbound Representative
Philips ECG Solutions
10.2022 - Current
- Responsible for providing patient focused support, either by phone or chat, and answering incoming calls from internal departments relating to registrations, admissions, status and physician changes, calls via outside lines for registration of clinical services and answering billing and insurance questions and providing itemized billing
- Answer phones promptly with minimal downtime between calls, accurately verifies and documents contact information and messages, provides appropriate information
- Involving in the promotion of patient access to electronic medical records, also explanation and assistance in patient participation in the healthcare information exchange portal, the sharing of medical information by hospitals and physicians
- Running daily activity reports to capture and process all patient registrations, admissions, and surgeries
- Obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices, and in-house departments to complete outpatient registration and inpatient admission
- Required patience and efficiency, work is performed in a fast-paced environment where time is of the essence and meeting quality and productivity standards consistently
- Worked as a liaison between insurance companies, patients, and Insurance Representatives to ensure timely, accurate payments for confidential medical services.
Patient Access Representative
UNITED HEALTHCARE
08.2018 - 10.2022
- Welcomed patients and visitors by greeting patients and visitors, in person or on the telephone, answering or referring inquiries
- Optimized the patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone
- Kept patient appointments on schedule by notifying the provider of the patient's arrival, reviewing service delivery compared to schedule, reminding the provider of service delays.
Correctional Officer
George W. Hill Correctional Facility
07.2021 - 04.2022
- Observed and supervised inmates throughout visits, mealtime, recreation, phone calls and showers
- Booked new inmates into facility and processed inmates for release and completed intake paperwork, fingerprints, and searches
- Tracked inmates through head counts, visitor logs and scheduled activities
- Identified facility openings and designated inmates to housing units
- Escorted inmates to and from cells, court, hospitals, and medical appointments
- Identified needed updates to correctional plans and assigned inmates to appropriate housing
- Prepared, processed, and maintained forms, reports, logs, records, and activity journals.
Patient Service Representative
Hahnemann Hospital
03.2015 - 06.2019
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule
- Assembled registration paperwork and placed identification bands on patient
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations
- Processed patient responsibility estimate determined by insurance at pre-registration
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies, and list of accepted insurance plans
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance.
Education
BBA - Business Administration
Strayer University
Washington, DC03.2028
Associate - Criminal Justice
Community College of Philadelphia
Philadelphia, PA05.2023
High School Diploma -
LANKENAU HIGH SCHOOL
06.2017
Skills
- Verbal and Communication Written
- Ability to Solve Problems Efficiently
- Strong Verbal and Interpersonal Skills
- EPIC Software
- Proficient in Microsoft Office Suite
- Collection Management
- Patient Intakes
- Insurance Information Collection
- Medical Insurance
- Chart Pulling
- Patient Care and Confidentiality
- Benefits Explanations
- Medical Services Administration
- Delinquent Accounts Monitoring
- Patient Admitting
- Insurance Form Processing
- Financial Needs Determination
- EMR Systems
- System Updates
- Demographics Information
- Patient Registration
- Appointment Scheduling
- Insurance Billing
- CPT Coding
- HIPAA Regulations
- Medical Records Management
- Patient Privacy
- File and records management
- Strong Interpersonal Skills
- Coding understanding
Certification
Certified First Aide Safety, CPR, AED
Timeline
Patient Service Associate
Penn Medicine
09.2023 - Current
Patient Service Inbound Representative
Philips ECG Solutions
10.2022 - Current
Correctional Officer
George W. Hill Correctional Facility
07.2021 - 04.2022
Patient Access Representative
UNITED HEALTHCARE
08.2018 - 10.2022
Patient Service Representative
Hahnemann Hospital
03.2015 - 06.2019
BBA - Business Administration
Strayer University
Associate - Criminal Justice
Community College of Philadelphia
High School Diploma -
LANKENAU HIGH SCHOOL
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