Michele Byrd-Attanayake
Paoli,PA
Summary
Dynamic and innovative professional with extensive experience in patient care and administrative support, demonstrating a proven track record of leadership and effective communication. Results-driven with a strong emphasis on enhancing patient services, supported by a decade of expertise as an Insurance Verification Specialist skilled in benefits explanation and coverage tracking. Adept at navigating diverse personalities and fostering teamwork while showcasing exceptional organizational skills and meticulous attention to detail. Eager to contribute to an Administrative Patient Services Associate role that offers opportunities for growth and advancement, leveraging a comprehensive background to drive positive outcomes.
Overview
13
13
years of professional experience
Work History
Patient Service Representative
Chester County Hospital
09.2022 - Current
- Verified insurance eligibility and coverage for patients.
- Facilitated patient check-in and appointment scheduling to enhance workflow efficiency.
- Coordinated communication between patients and medical staff to optimize care delivery.
- Ensured compliance with healthcare regulations while maintaining patient confidentiality.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Managed patient registration process, confirming data accuracy and completeness.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Entered patient demographic and insurance data into electronic medical record system.
- Took copayments and compiled daily financial records.
- 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.
Health Insurance Representative
Penn Medicine
01.2022 - 08.2022
- Maintains and exceeds the department specific individual productivity standards, collection targets, quality audit scores for accuracy, productivity, collection and standards for 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 conduct necessary follow-up to ensure resolution.
- Run reports daily to track/monitor authorizations; obtain written documentation, track, prioritize and report outcomes of each authorization request.
- Run assigned billing reports to determine account needs. Update files with current billing information/billing documentation and/or ensure authorizations have been obtained.
- Verified insurance eligibility and benefits for patients, ensuring accurate information prior to service delivery.
- 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.
Clinical Administrative Team Assistant
Penn Medicine at Home
09.2018 - Current
- 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
CVS Pharmacy - Frazer, PA
02.2013 - Current
- Supports pharmacological services by stocking, assembling, and distributing medications.
- Helps health care providers and patients by greeting them in person and by phone; answering questions and requests; referring inquiries to the pharmacist regarding prior authorizations for prescriptions that are not covered or pharmacies that are not in network.
- Maintains pharmacy inventory by checking pharmaceutical stock to determine inventory level; anticipating needed medications and supplies; placing and expediting orders; verifying receipt; removing outdated drugs.
- 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.
- Organizes medications for pharmacist to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities; assembling intravenous solutions and other pharmaceutical therapies.
- Maintains records by recording and filing physicians' orders and prescriptions.
- Generates revenues by calculating, recording, and issuing charges.
Education
Associate in Business Administration -
Skills
- Microsoft Office
- Organizational Skills
- HIPAA compliance
- Follow-up skills
- Insurance verification
- Insurance coverage verification
- Deductible & co-pay calculation
- Teamwork and collaboration
- Organization and time management
- Verbal and written communication
Timeline
Patient Service Representative
Chester County Hospital
09.2022 - Current
Health Insurance Representative
Penn Medicine
01.2022 - 08.2022
Clinical Administrative Team Assistant
Penn Medicine at Home
09.2018 - Current
Pharmacy Technician
CVS Pharmacy - Frazer, PA
02.2013 - Current
Associate in Business Administration -
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