Michele Byrd
Penn Medicine at Home
Paoli
13
years of professional experience
Results-oriented professional with 10 years of experience in patient care and administrative support, specializing in benefits explanation and coverage tracking as an Insurance Verification Specialist. Strong leadership and communication skills enhance patient services and foster teamwork. Committed to contributing to an Administrative Patient Services Associate role that drives positive outcomes and supports organizational growth.
Work History
Patient Services Associate
3 Years 10 Months- Verified insurance eligibility and coverage for patients.
- Coordinated communication between patients and medical staff to optimize care delivery.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Entered patient demographic and insurance data into electronic medical record system.
- Balanced deposits and credit card payments each day.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- Obtained payments from patients and scanned identification and insurance cards.
- Prepared and processed patient referrals and transfer requests.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
Clinical Administrative Team Assistant
7 Years 10 Months- Helps health care providers and patients by phone; answering questions and requests; referring inquiries to the team managers regarding prior authorizations, medication refill, letters for caretakers and families, ordering equipment, and pain management assessment.
- Prepare IDG reports for team managers to discuss patients clinical review.
- Prepare letters for patient and family members involving FMLA, airfare, prior authorizations and financial and leasing companies.
- Gathers patient information by collecting demographic information from Epic; interacting with facilities and physicians' offices; retrieving information from automated printer.
- Keeps records by tracking all DNR's, CTI's and consent signing from patient to attending physician.
- Organizes monthly schedules for nursing staff.
- Communicates with Liaisons' to schedule Hospice admissions for the following day.
- Maintains patient confidence by keeping patient records information confidential.
- Maintains orders for DME equipment and supplies for patient care.
- Protects patient's medical records by following HIPPA privacy rule; uploading all documents into the Epic system and filing originals in a locked drawer.
Pharmacy Technician
11 Years 9 Months- Assisted health care providers and patients by greeting them in person and by phone; answered questions and requests; referred inquiries to pharmacist for prior authorizations on uncovered prescriptions or out-of-network pharmacies.
- Organizes medications for pharmacist to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities; assembling intravenous solutions and other pharmaceutical therapies.
- Supports pharmacological services by stocking, assembling, and distributing medications.
- Managed pharmacy inventory by checking stock levels; anticipated needed medications and supplies; placed and expedited orders; verified receipts; removed outdated drugs to ensure availability.
- Maintains a safe and clean pharmacy by complying with procedures, rules, and regulations.
- Protects patients and employees by adhering to infection-control policies and protocols.
- Maintains records by recording and filing physicians' orders and prescriptions.
- Processed charges by calculating, recording, and issuing payments to support pharmacy operations.
Health Insurance Representative
7 Months- Exceeded department-specific productivity standards, collection targets, and quality audit scores for accuracy and registration/insurance verification.
- Verifies patient information with third party payers. Collects insurance referrals and documents in EPIC.
- Analyzes patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol.
- Processes and appeals and conducts necessary follow-up to ensure resolution.
- Generated daily reports to analyze authorization metrics. to track/monitor authorizations; obtain written documentation, track, prioritize and report outcomes of each authorization request.
- Compiled assigned billing reports to assess account requirements. to determine account needs. Update files with current billing information/billing documentation and/or ensure authorizations have been obtained.
- Run assigned billing reports to determine account needs. Update files with current billing information/billing documentation and/or ensure authorizations have been obtained.
- Reduced claim denials by thoroughly reviewing patient eligibility and coverage details.
- Prevented revenue loss by identifying potential coverage issues and informing appropriate parties in a timely manner.
Education
Associates in Business Administration - Business Administration
Skills
Insurance verification
Coverage verification
Co-pay calculations
Patient follow-up
Claim validation
Patient advocacy
Follow-up skills
Deductible calculation
Organizational Skills
Time management
Verbal and written communication
Timeline
Patient Services Associate
Chester County Hospital
09.2022 - CurrentRead More
Health Insurance Representative
Penn Medicine
01.2022 - 08.2022Read More
Clinical Administrative Team Assistant
Penn Medicine at Home
09.2018 - CurrentRead More
Pharmacy Technician
CVS Pharmacy - Frazer, PA
02.2013 - 11.2024Read More
Harcum Junior College
Associates in Business Administration from Business Administration
Read More
Additional Information
- AREAS OF EXPERTISE
- Directing Care of Patients in All Age Groups
- Time & Task Management
- Patient Education
- Prioritize & Delegate Process Improvement
- Medication Administration Skills
- Follow-up Care