Areesa Mckinley
Slidell
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
7
7
years of professional experience
Work History
Patient Access Representative
In And Out Urgent Care Clinic
11.2023 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Resolved patient billing issues in line with established guidelines.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
Data Entry/Charge Posting
ERC
07.2021 - 12.2023
- Verified insurance eligibility and information to update database.
- Worked with revenue cycle team to identify denial trends.
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Verified accuracy of data entered into system to produce error-free reports.
- Verified accuracy of billing data and corrected discrepancies.
- Handled account payments and provided information regarding outstanding balances.
- Processed customer invoices, credit memos and payments within established timelines.
Claims Specialist
Raiyne's Caring Hearts
04.2018 - 02.2023
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
Claims Specialist
Ask Consulting
01.2017 - 05.2018
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Verified patient insurance coverage and benefits for medical claims.
- Identified and resolved discrepancies between patient information and claims data.
- Reviewed provider coding information to report services and verify correctness.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Education
Phlebotomy - Phlebotomy
Impressive Healthcare
New Orleans, LA05.2020
CNA - CNA,MA
Randazzo Technical College
Gretna, LA10.2000
High School Diploma -
John Ehret High School
Marrero, LA05.1995
Skills
- Financial Procedures Adherence
- Registration and Admissions
- Scheduling Diagnostic Procedures
- Post-Discharge Care Coordination
- Documentation Review
- Payment Posting
- Analytical Thinking
- Claims Processing
- Data Entry Accuracy
- Verifying Insurance
- Analyzing Claims
Timeline
Patient Access Representative
In And Out Urgent Care Clinic
11.2023 - Current
Data Entry/Charge Posting
ERC
07.2021 - 12.2023
Claims Specialist
Raiyne's Caring Hearts
04.2018 - 02.2023
Claims Specialist
Ask Consulting
01.2017 - 05.2018
Phlebotomy - Phlebotomy
Impressive Healthcare
CNA - CNA,MA
Randazzo Technical College
High School Diploma -
John Ehret High School
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