Admissions Representative

Published on June 2016 | Categories: Documents | Downloads: 67 | Comments: 0 | Views: 418
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Admissions Representative with 10 years experience looking for a Administrative Support position.

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Keyla D. Dawson 1108 Suber St Columbia, SC 29205 803-467-9395 [email protected] Professional Summary I am seeking a challenging position with an area for growth and advancement. I am very confident in my abilities to perform to the utmost of standards, which a ble me to rapidly adapt and succeed in any new environment. Whatever position I apply for I am sure that my eagerness for excellence will aide me to perform at a high standard that my future employers will not only recognize, but benefit by . Experience Patient Access Insurance Specialist 9/2007- 4/2009 Lexington Medical Center, West Columbia SC Accurately collect information from multiple sources to analyze records to obtai n the required recertification and authorization from insurance companies. Effectively completed all required activities for Managed Care, third party paye rs and benefits verification to ensure maximum payer compliance. Verified all commercial and Medicaid/ Medicaid HMO's eligibility while maintaini ng quality control/satisfaction records, constantly seeking new ways to improve customer service. Registered patients by obtaining all personal and payment information, which ena bled us to bill for services rendered and file insurance. Followed up on all Workman's Compensation claims for accuracy and authorization to process claims for patients. Admissions Representative 06/2003- 9/2007 Lexington Medical Center, West Columbia SC Customer service, obtaining all necessary demographic and financial information to complete registration process and ensure legal and accurate billing. Collect insurance co pays for services rendered, if not covered by insurance, an d served as a liaison between family and LMC personnel. Bed control acted as liaison between hospital and other outside agencies to admi t patients to facility. Under Clinical Nursing Supervisor assisted them with admitting, discharging, tra nsferring patients from facility. Admissions/ Financial Counselor (part time nights) 7/2005-12/2006 Three Rivers Behavioral Health, West Columbia, SC Admitted patients to facility for mental and substance abuse, while verifying in surance and benefits for facility. Verified patients admission by reading all paperwork and talking with social wor ker who did visual and oral assessment. Talked with patients representatives for correct demographics and insurance info rmation, and also if patient was deemed unstable verified court documents for ad missions ordered by a judge and stamped Involuntary. Accepted patients valuables and locked in a safe while attaching recipient of re ceived goods to paperwork. Setup patient accounts along with outpatient treatment upon discharge, if patien t is required to attend outpatient counseling, which also allowed patients the o pportunity to make payments for outpatient treatment not covered by insurance.

Data Entry Operator II 6/2001- 6/2003 SC Dept Motor Vehicles, Columbia SC Accompanied supervisor to new computer system meeting and trainings for new Phoe nix System. Responsible for training temporary employees and assisting supervisor with resea rching incomplete TR 310 accident reports. Opened ,logged and distributed all incoming mail to appropriate departments, and often responded to other agencies about court dates and correctly filling out T R 310 accident reports.

Computer Skills Microsoft Word, Microsoft Outlook, Microsoft Office 2007, Microsoft PowerPoint, Microsoft Works Word Processor, Microsoft Spreadsheet, Excel, Windows Mail, Microsoft Access Meditech, Mysis, Companion Hub, ADT, Compa nion Direct, Team IA, Medicaid, Humana- military, Windows Photo Editor, MySCBlues.com, WordPerfect X3, Quattro Pro X3, Lotus 1-2-3, Phoenix (SCD MV system), Compu systems, EMR, OR Manager, WordPerfect, Adobe Reader, Microsoft Works Task Launcher Database, Calendar, Portfolio, Healthport EDI Workshop 2009 - 2010 Type of Program: NaviNet Facility/Institution: BCBS of SC Columbia, South Carolina Completed: Yes Training Notes: Worked with various agencies to ensure complete knowledge of insurance authoriza tions. Attended various leadership workshops and seminars.* Helped set up Medica id and Medicaid HMO workshop@ hospital to educate staff and physicians offices g roup. Trained and certified in 6 month Stellar Customer Service Certified In/Outbound Call Center through UPS References are available on request.

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