Summary
Overview
Work History
Education
Skills
Timeline
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Niya Walters

Winston-Salem

Summary

Motivated and innovative leader with strong organizational and prioritization abilities. Excellent management experience and exceptional people skills. A proven team player possessing extensive Customer service experience, seeking to expand knowledge of healthcare operations and administration.

Enthusiastic about helping patients get necessary medical support by obtaining authorizations, scheduling procedures and coordinating paperwork. Detail-oriented and proactive with good relationship-building skills, a hardworking nature and an adaptable approach. Proficient in web development.

Overview

11
11
years of professional experience

Work History

Patient Service Representative

Atrium Health Family Practice
12.2020 - 01.2025
  • Greets patient arriving for their appointments
  • Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner
  • Ensures all patient demographic and insurance information is complete and accurate
  • Completes the registration process on walk-in patients, verifies and/or updates patient demographic and insurance information if changes or additions have occurred
  • Verifies insurance benefits
  • Obtains, calculates, and collects the patients out of pocket financial liability
  • Requests and collects past due and present balances or estimates due
  • Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate
  • Identifies patients in need of financial assistance and refers patients to Financial Counselor
  • Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collecting additional patient responsibility (when not applicable) and providing patient with appropriate documents
  • Maintains knowledge of and reference materials of the following: Medicare, Medicaid, and third-party payer requirements, guidelines, and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans
  • Proactively communicates issues involving customer service and process improvement opportunities to management
  • Meets productivity requirements to ensure excellent service is provided to customers
  • Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements
  • Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information

ADHD Coordinator

Ford, Simpson, Lively, and Rice Peds
04.2024 - 06.2024
  • Explains ADHD screening evaluations and schedule medication refill protocols
  • Provides parents/patients with behavioral questionnaire and make sure they have appropriately completed and returned the questionnaires prior to scheduling an appointment for an evaluation
  • Schedules all parent/patient ADHD or behavioral conferences
  • Prepares daily and weekly charge slips for scheduled conference appointments
  • Requests schedule II medication refills
  • Obtains prior authorizations from insurance for schedule II drugs
  • Maintains ADHD hotline, returning calls within 24 hours
  • Communicates between patients and provider for management of medications
  • Keeps patients medical records up to date with yearly physical exams and quarterly evaluation/medication follow up conference appointments
  • Fills in for other support staff when needed
  • Assists and fills in for front desk duties as needed

Sales Representative

Spectrum
05.2019 - 11.2020
  • Establishing cable, internet, home/mobile phone services for new and existing customers
  • Addressing customer inquiries, complaints, and account discrepancies promptly and professionally
  • Educating and engaging customers on all products, pricing plans, promotions, and service features
  • Managing all equipment returns in accordance with company guidelines
  • Processing payments and updating customer information as necessary

Cashier

Foot Locker Company
04.2014 - 09.2020
  • Processing point of service transactions including merchandise returns and exchanges
  • Providing exceptional customer service to promote positive company brand and customer satisfaction
  • Overseeing checkout areas to ensure cash availability and adequately staffed based on store volume
  • Resolving customer complaints and escalations in an efficient and courteous manner
  • Maintaining knowledge of current trends, company specials, promotions, and loyalty program
  • Monitoring all checkout areas to ensure cleanliness and organization

Cashier

Total Wine & More
04.2017 - 12.2018
  • Greeting customers and providing information regarding store products and prices
  • Utilizing point of service system tools to process payments in form of cash, credit, or checks
  • Enforcing company procedures regarding coupons, gift cards, or the purchase of alcohol and cigarettes
  • Establishing rapport and providing exceptional customer service skills to ensure customer satisfaction

Education

Bachelor of Science - Healthcare Management

Winston-Salem State University
Winston-Salem, NC
05.2020

Skills

  • Customer Service
  • Effective Communication
  • Time Management
  • Dependability
  • Medical terminology
  • Medical insurance
  • Office administration
  • Appointment confirmation
  • Registration and scheduling
  • Insurance verification
  • HIPAA compliance
  • Referral coordination

Timeline

ADHD Coordinator

Ford, Simpson, Lively, and Rice Peds
04.2024 - 06.2024

Patient Service Representative

Atrium Health Family Practice
12.2020 - 01.2025

Sales Representative

Spectrum
05.2019 - 11.2020

Cashier

Total Wine & More
04.2017 - 12.2018

Cashier

Foot Locker Company
04.2014 - 09.2020

Bachelor of Science - Healthcare Management

Winston-Salem State University

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Niya Walters