Knowledgeable Patient services Representative with solid background in patient services coordination, ensuring efficient and seamless patient experiences. Successfully managed patient scheduling, insurance verification, and handled sensitive patient information with utmost confidentiality. Demonstrated excellent communication and problem-solving skills to enhance patient satisfaction and streamline office operations.
-Resolve incoming calls concerning member's eligibility,
benefits, provider information, monthly premium billing,
clinical and pharmacy needs.
-Compose routine and non-routine correspondence to
answer benefits/provider inquiries in writing.
experience during patient visit-Coordinate membership changes such as member's
primary care physician.
-Perform routine to mid-level inventory reduction.
-Review and analyze member claims for accuracy as well
as member education on how benefits are applied.
-Participate in quality and efficiency workgroups to
continuously improve quality member/customer
satisfaction as requested.
- Comprehensive resolution of pharmacy calls
-Resolve Authorization inquires
- Handel's high volume patient care with dignified customer service
- Utilized EMR scheduling and planning for productivity and patient care goals
- Manages referrals and follows up on ensuring system for success
- Insurance verification and authorization tracking, awareness of insurance policies and deadlines
- Collects daily preparation of patient charts, documentation and audits
- collect co-insurance/co-pays from patient
- Multi tasking with extreme attention to detail
- investigates and resolves patient issues to encourage positive experience during patient visit
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Telephoned and interviewed patients and family members to obtain pre-registration information and confirm appointments.
- Drove proactive patient outreach activities to schedule appointments and follow-up on care and health maintenance.
- Collaborated with colleagues to maintain and upkeep office and waiting area to provide clean and organized environment for patients.