Deborah David
Charlotte
Summary
Dedicated Patient Access Specialist with a proven track record at Cencora, excelling in HIPAA compliance and patient confidentiality. Demonstrated expertise in medical billing, notably with Holy Name Hospital, enhancing patient care through effective problem-solving and exceptional communication. Skilled in insurance verification and patient registration, ensuring accuracy and professionalism in high-pressure environments.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
Cencora
12.2003 - 11.2024
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Provided exceptional customer service, addressing patient / Provider concerns promptly and professionally.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Handled sensitive situations involving distressed patients with empathy maintaining professionalism throughout interaction.
- Resolved customer complaints using established follow-up procedures.
- Educated patients on available resources, programs, and financial assistance options to optimize their healthcare experience.
- Provided excellent customer service to patients and medical staff.
- Responded to inquiries by directing calls to appropriate personnel.
- Followed document protocols to safeguard confidentiality of patient records.
- Billing and coding support
- claims assistance,tracking submission.
- Prior Authorization assistance and tracking.
- Coordination of benefits
- Benefit Verification result Call
- Welcome calls
- Advanced alternate coverage research
- Appeals/Denials
- Intakes and reports adverse events
- Worked on different teams:
- Risperdal (schizophrenia, bipolar, and irritability caused by autism).
- Risperdal Consta (injectable)
- Advanced BIO Healing (regenerative medicine)
- EYLEA (injection for the eye)
- EYLEA HD
- Enrolled patients in Patient Assistance Programs, Copay Card Program, as well as referrals to foundations for financial assistance.
Medical Biller/ Pt. Accounts
Holy Name Hospital
12.2000 - 07.2003
- Specialized in all aspects of In-Patient and Out-Patient Billing.
- Specializing in Medicare an Medicaid Billing.
- Answer correspondence and phones inquiries from patients, Insurance Companies, and other parties regarding claims, charges or other discrepancies.
- Electronic Billing/ Hardcopy B
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Education
No Degree - Business Administration
American Business Institute
New York, NYHigh School Diploma -
Martin Luther King High School
New York, NY06-1981
Skills
- Medical terminology
- Front desk operations
- Appointment scheduling
- HIPAA compliance
- Data entry proficiency
- Medical terminology expertise
- Patient scheduling
- Documentation accuracy
- Insurance billing
- Professionalism and ethics
- Exceptional communication
- Insurance verification
- Information collection
- Patient registration
- Patient interviewing
- Health information obtainment
- Eligibility determination
- Customer service
- Problem-solving
- Calm and effective under pressure
- Reliability and dedication
- Communicating to patients and families
Certification
Certified Patient Account Technician.
Timeline
Patient Access Specialist
Cencora
12.2003 - 11.2024
Medical Biller/ Pt. Accounts
Holy Name Hospital
12.2000 - 07.2003
No Degree - Business Administration
American Business Institute
High School Diploma -
Martin Luther King High School
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