Patient Access Representative - Spartanburg Regional Healthcare System - Spartanburg, SC
(2024-11)
- Counsel patients on insurance benefits, coverage limitations, and estimated out-of-pocket costs.
- Verify insurance eligibility, obtain prior authorizations, and ensure accurate financial clearance.
- Assist with payment plans, financial assistance, and charity care applications.
- Collaborate with billing and clinical teams to resolve account discrepancies.
- Maintain strict HIPAA compliance when handling sensitive information.
Service Advocate IV, Billing & Enrollment - Florida Blue - Jacksonville, FL
(2024-03 - 2024-11)
- Processed 150+ billing and enrollment transactions weekly with 99% accuracy, ensuring timely premium reconciliation.
- Led root-cause analyses to resolve discrepancies, reducing monthly write-offs by 12%.
- Streamlined data intake with IT collaboration, improving processing efficiency by 25%.
- Mentored and trained 5 new hires on compliance, systems, and procedures.
Member Service Representative - Spero Financial FCU - Greenville, SC
(2021-10 - 2022-10)
- Supported members with account inquiries, transactions, and problem resolution while maintaining a 98% satisfaction rate.
- Identified and escalated fraud indicators, contributing to a 15% drop in chargeback incidents.
- Conducted digital banking product education, increasing usage by 10%.
- Collaborated with the lending team to expedite loan processing by 18%.
Patient Access Specialist - Prisma Health - Greenville, SC
(2017-08 - 2021-07)
- Verified insurance eligibility and obtained authorizations for 200+ patients weekly, reducing claim denials by 8%.
- Managed patient registration and demographic data with 100% HIPAA compliance.
- Coordinated workflows between clinical and billing teams to streamline scheduling.
- Generated analytical reports on registration trends for leadership review.
Banking Specialist II - TD Bank - Greenville, SC
(2015-04 - 2017-07)
- Processed daily financial transactions totaling $500K+ while maintaining zero audit findings.
- Reconciled end-of-day balances and resolved discrepancies within 24 hours.
- Delivered actionable insights that improved transaction accuracy by 7%.
- Consistently exceeded service and compliance benchmarks.
