Customer Service Patient Care
Resume:
IYESHA JUSTICE
Seattle, WA ***** 206-***-**** *********@*****.***
Professional Summary
Experienced Office Management and Administration Professional experienced optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support providers and leaders that blends great organizational and multitasking abilities. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Works effectively with cross-functional teams in ensuring operational and service excellence. Knowledgeable about medical billing and recordkeeping requirements. Pursuing a new professional challenge with room for advancement.
Skills
Strong communication skills
Multitasking abilities
Clinical/Staff development experience
Patient care confidentiality trained.
Ensures that referrals are addressed in a timely manner.
prioritize patient satisfaction.
Detail oriented
Skilled in EMR Systems
High level of customer service in fast-paced environments
Excellent communication and organizational skills
Effective data processing
Knowledge of medical terminology and procedures- HIPAA Guidelines
Work History
Nuwest Group
Infectious Disease Department (Swedish) – SEA, WA 08/23 to present.
Supports daily clinic operations in Infectious Disease
Ensures referrals are addressed in a timely manner reminds patients of scheduled appointment.
Communicates with referral sources to ensure patient information/ registration is complete.
Schedules provider and ancillary service appointments - Obtains patient demographic, insurance, and clinical information.
Partners with team to prioritize patient satisfaction and exceptional care.
Ensures services comply with state and federal regulatory requirements.
Manage patient inquiries to ensure smooth patient flow and efficient operations.
Verifies patient information and update medical records as needed.
Manages insurance verification including third party referral sources/data.
Clinical Receptionist & Lead Scheduler 08/2021 to 08/2023
Gastro Health – Kirkland, WA
Managed multi-line phone system and pleasantly greeted patients.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Supported office staff and operational requirements with administrative tasks.
Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
Completed patient referrals to other medical specialists.
Responded to correspondence from insurance companies to verify patient's coverage.
Adhered to strict HIPAA guidelines to protect patient privacy.
Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
Experience Clinical Concierge Receptionist, Patient Experience Lead 01/2015 to 06/2021
MultiCare Health – Kirkland, WA
Facilitate hiring of front office personnel by interview applicants and making recommendations for employment.
Monitored, analyzed and corrected staff performance and worked with nurse manager to raise standards of practice.
Performs daily administrative duties including calling patients, handling patient requests, pulling, and preparing charts, filing, faxing, and copying.
Follows procedures for new and established patients, verifies information, L&I and referrals, collects payments, explains insurance billing requirements and provides receipts.
Trained new employees on policy and procedures Employee scheduling.
Lead and directed team 10 clinical personnel and support staff.
Greets patients/visitors at front desk, verifies insurance benefits, registers patients, schedules patient appointments, answers phones and directs calls.
Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
Proved successful working within tight deadlines and fast-paced atmosphere.
Developed and maintained courteous and effective working relationships.
Claims Account Specialist 01/2014 to 01/2015
National
Route claims to Claims department and Membership and Billing department as appropriate.
Work with highly sensitive information while maintaining Personal Protected Information (PPI) requirements.
Provides inbound and/or outbound customer service support ensuring delivery of accurate, complete and timely information pertaining to member policies and coverage.
Conducts research to provide claims status, as well as investigates routine requests and escalates all call issues as required.
Review Medical and Dental Claims.
Education
Certified Nursing Assistant, Renton 2019
Renton Technical College - Renton, WA
HIPPA, OSHA, HIV/AIDS Certification issued 2019
Adult& Child BLS/CPR - American Heart Association
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