Kristan Wilson
East Pittsburgh
Summary
Dynamic Patient Service Representative with extensive experience at UPMC Magee Women's Hospital, excelling in patient registration and insurance verification. Proven ability to resolve complex issues and enhance customer satisfaction through effective communication and problem resolution. Skilled in appointment scheduling and data entry, consistently delivering exceptional service in high-pressure environments.
Overview
5
5
years of professional experience
Work History
Patient Service Representative
UPMC Magee Women's Hospital
Pittsburgh
08.2024 - Current
- Answered telephones and greeted visitors to assist, answer questions and direct.
- Greeted visitors and checked them in for appointments or meetings.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Answered patient questions and fielded complaints to resolve issues.
- Verified demographics and insurance information to register patients in computer system.
- Performed administrative duties such as filing, faxing, photocopying.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
- Provided customer service by answering patient questions and addressing concerns.
- Assisted with scheduling follow-up appointments according to provider availability.
Financial Advisor
University of Pittsburgh
Pittsburgh
10.2022 - 04.2024
- Received inbound and outbound calls to patients and insurance companies.
- Determine the current patient's copayments prior to their scheduled appointments.
- Submit completed dental treatment claims to the patient's insurance company.
- Submit prior authorizations and benefits limits exception form to the respected insurance company to request coverage for planned treatments.
- Present treatment plans to patients, and discuss financial options.
Customer Service Representative
Highmark Health
Pittsburgh
05.2020 - 09.2022
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Maintained strong call control and quickly worked through scripts to address problems.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Performed follow-up calls as necessary to ensure satisfactory resolution of customer inquiries.
- Provided top quality control and eliminated downtime to maximize revenue.
- Offered resolutions to de-escalate calls and solve customer issues.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
- Engaged actively with callers, confirming or clarifying information and diffusing anger.
Education
High School Diploma -
Plum Senior High School
Pittsburgh, PA05-2019
Skills
- Patient registration
- Customer service
- Insurance verification
- Appointment scheduling
- Data entry
- Problem resolution
- Office administration
Timeline
Patient Service Representative
UPMC Magee Women's Hospital
08.2024 - Current
Financial Advisor
University of Pittsburgh
10.2022 - 04.2024
Customer Service Representative
Highmark Health
05.2020 - 09.2022
High School Diploma -
Plum Senior High School
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