Knowledgeable medical services professional with natural leadership talent and progressive healthcare career.
Overview
2
2
years of professional experience
Work History
Patient Access Representative
Mass General Brigham Faulkner Hospital
07.2024 - 10.2024
Collected patient information, including demographics and insurance details
Explained consent forms, patients' rights and other registration documents
Processed payments for co-payments, deductibles, or other out-of-pocket expenses as required by insurance plans
Coordinated patient admission needs and beds assignment
Credentialing Specialist
Blue Cross Blue Shield
09.2023 - 01.2024
Conducted primary source verifications of education, training, licensure, and malpractice history
Assisted with ongoing compliance initiatives by conducting periodic audits of practitioner files or processes related to credentialing activities
Monitored expiring documentation such as licenses, DEA certificates, malpractice insurance policies, board certifications, or clinical privileges to ensure timely renewal
Served as liaison between healthcare providers and payer organizations during enrollment or contracting negotiations
Patient Access Representative
Spaulding Rehabilitation Hospital Boston
03.2023 - 07.2023
Coordinated patient referrals to specialists and other healthcare providers
Managed appointment cancellations, rescheduling, and waitlist requests from patients
Assisted with obtaining authorizations from insurance companies for specific procedures or tests
Education
Associate in Arts (A.A.) - Nursing
Bunker Hill Community College
05-2027
Skills
Bilingual
Insurance Verification
Data entry proficiency
Registration and admissions
Appointment scheduling
Medical terminology
Referral coordination
EMR
Timeline
Patient Access Representative
Mass General Brigham Faulkner Hospital
07.2024 - 10.2024
Credentialing Specialist
Blue Cross Blue Shield
09.2023 - 01.2024
Patient Access Representative
Spaulding Rehabilitation Hospital Boston
03.2023 - 07.2023
Associate in Arts (A.A.) - Nursing
Bunker Hill Community College
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