Detail-oriented healthcare professional with expertise in administration and customer service. Facilitates efficient healthcare operations by coordinating communications, referrals, and policy enforcement. Seeking opportunities to leverage skills in a hospital setting while pursuing ongoing education.
Overview
16
16
years of professional experience
Work History
Patient Access Representative
Wilmington Health
Wilmington
06.2024 - Current
Eligibility Specialist
Managed pre-authorizations and referrals for patient care.
Coordinated insurance verification, ensuring accuracy of patient information for seamless processing.
Organized timely and accurate referrals to help patients obtain health care services and access available resources.
Processed medical claims efficiently using advanced healthcare software systems.
Applied HIPAA privacy and security regulations while handling patient information.
Developed innovative solutions that improved team performance and patient access outcomes.
Utilized medical terminology to ensure accurate communication within healthcare settings.
Executed billing and coding processes for healthcare services.
Patient Access Representative ED
Sentara Albemarle Medical Center
Elizabeth City
06.2022 - 06.2024
Checked in and discharged patients efficiently at reception
Verified demographic information to maintain accurate patient records and streamline processing
Conducted insurance verification and collected copays to ensure proper billing and reduce delays
Ensured timely billing by verifying insurance details and collecting copays.
Verified patient demographic information to maintain accurate records.
Provided support with calmness and compassion in patient interactions
Documented essential medical information in patient records.
Assisted the ED team during emergency situations
Operations Manager
Bank of America
Virginia Beach
08.2010 - 05.2022
Oversaw daily operations to ensure compliance with banking regulations.
Streamlined processes to enhance customer service and operational efficiency.
Implemented risk management strategies to safeguard against financial loss.
Managed team performance through regular training and development sessions.
Supervised day-to-day workflow of employees in order to maximize productivity and maintain quality standards.
Monitored workflow and adjusted resources to meet changing demands.
Managed scheduling, training and inventory control.
Assisted in forecasting cash needs based on historical data analysis.
Education
High School Diploma -
Southeastern Community College
Whiteville, NC
09-2001
Some College (No Degree) - Certified Nursing Assistant
Rowan-Cabarrus Community College
Salisbury, NC
Some College (No Degree) - EKG Tech
College of The Albemarle
Elizabeth City, NC
Skills
Insurance verification
Eligibility determination
Claims processing
Appointment scheduling
Referral coordination
Electronic health records
HIPAA compliance
Medical terminology
Registration and admissions
Cash management
Scheduling diagnostic procedures
Attention to detail
Problem resolution
Multitasking and organization
Team collaboration
Effective communication
Bilingual communication
Team leadership
Risk management
Problem-solving
Records maintenance
Scheduling diagnostic procedures
Languages
Spanish
Native/ Bilingual
Timeline
Patient Access Representative
Wilmington Health
06.2024 - Current
Patient Access Representative ED
Sentara Albemarle Medical Center
06.2022 - 06.2024
Operations Manager
Bank of America
08.2010 - 05.2022
High School Diploma -
Southeastern Community College
Some College (No Degree) - Certified Nursing Assistant