Tiara Young
New Orleans
Summary
Skilled in insurance verification and front desk support, recognized for strong communication and attention to detail. Experience in managing patient demographics and executing point-of-service operations, dedicated to fostering exceptional patient interactions.
Overview
14
14
years of professional experience
Work History
AUTHORIZATION AND INSURANCE VERIFICATION
OCHSNER MEDICAL CENTER
New Orleans
11.2019 - Current
- Prepares, validates, and completes all steps necessary to clear new cases for pre-scheduled services. This includes, but is not limited to, validating and gathering insurance and demographic information.
- Interacts with insurance companies via website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication.
- Gathers information to verify benefits and benefits eligibility by utilizing the EPIC system.
- Completes and/or obtains all necessary authorizations for the service(s) to be performed. Works with the clinical providers, on-site case management team, as well as LPNs, RNs, or Nurse Auditors in the Pre-Service department.
- Performs pre-service collection estimation functions and communicates patient liability.
- Provides point-of-service information and logistics to ensure an exceptional patient experience.
PATIENT ACCESS REPRESENTATIVE
OCHSNER MEDICAL CENTER
New Orleans
10.2018 - 11.2019
- Greets patients and guests in a courteous manner, whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographic data for the patient's permanent medical record, which assists in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information.
- This position is responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; it is responsible for the verification of insurance via electronic verification, telephone, or web application; and it improves patient satisfaction by consistently representing Ochsner Health System professionally and being cross-trained to support multiple functions across all patient and payer types.
PATIENT ACCESS REPRESENTATIVE
LSU HEALTHCARE MEDICAL CENTER
New Orleans
01.2016 - 09.2018
- Interviews patients in person or by phone to obtain all required information for hospital records and billing systems.
- Registers or pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
- Obtains the patient's and/or responsible party's signatures on registration and issues required information to patients or the responsible party concerning Advanced Directives, Privacy, Medicare, and other required compliance or consent forms.
- Verifies insurance coverage and obtains authorization for all services requiring pre-certification.
- Takes appropriate steps following department guidelines when the required authorization is not available.
- Determines upfront payment or deposit based on the patient's third-party coverage, and requests following department scripting for POS collections.
- Logs payment, produces receipt, and prepares deposit records according to cash handling policy and procedure.
- Performs clerical functions as needed, including answering phones, taking messages, chart processing, filing, faxing, etc.
- Assists patients with questions regarding hospital bills, including taking payments at any registration location.
PATIENT ACCESS REPRESENTATIVE
UNIVERSITY MEDICAL CENTER
New Orleans
10.2015 - 01.2016
- Primarily responsible for registering patients in a face-to-face setting.
- Verifies and inputs insurance appointment/patient information in a timely, courteous, and accurate fashion.
- Assists with the scheduling of appointments.
- Handles a wide variety of patient inquiries regarding appointments and services to ensure that patients can access services with minimal hassle or delay.
- Ensures that department productivity standards are met or exceeded.
- Maintains up-to-date knowledge of computer systems, insurance government regulations, and Patient Access policies and procedures used within the department.
- Performs other duties as assigned.
FRONT DESK AGENT
MARRIOTT HOTEL
New Orleans
12.2011 - 10.2015
- Process all guest check-ins, check-outs, room assignments, and room change/late check-out requests.
- Secure payment; activate or reissue room keys.
- Ensure rates match market codes, and document exceptions.
- Verify and adjust billing for guests.
- Communicate to the appropriate staff when guests are waiting for an available room.
- Advise the guest of the messages.
- Clear departures in the computer system.
- Coordinate with Housekeeping to track room status and guest concerns.
- File guest paperwork or documentation.
- Operate the telephone switchboard station.
- Run and check daily reports, contingency lists, and credit card authorization reports.
- Supply guests with directions and information.
- Answer, record, and process all guest calls, requests, questions, or concerns; follow up to ensure each has been met to guests' satisfaction.
- Arrange transportation for guests and visitors.
- Count and secure the bank at the beginning and end of the shift.
- Cash guests' checks, process all payment types, vouchers, paid-outs, charges, and provide change.
- Notify Security of any reports of theft.
Education
Nursing - Practical Nursing
Healthcare Training Institute
Kenner, LA 01-2026
Certificate of Applied Science - Medical Billing and Coding
Nunez Community College
Chalmette, LA01.2015
High School Diploma -
Warren Easton Senior High School
New Orleans, LA05.2007
Skills
- Front desk support
- Patient demographics management
- Insurance verification
- Point of service operations
- Copay collection
- Patient record management
- Call answering and triaging
- Call directing
Timeline
AUTHORIZATION AND INSURANCE VERIFICATION
OCHSNER MEDICAL CENTER
11.2019 - Current
PATIENT ACCESS REPRESENTATIVE
OCHSNER MEDICAL CENTER
10.2018 - 11.2019
PATIENT ACCESS REPRESENTATIVE
LSU HEALTHCARE MEDICAL CENTER
01.2016 - 09.2018
PATIENT ACCESS REPRESENTATIVE
UNIVERSITY MEDICAL CENTER
10.2015 - 01.2016
FRONT DESK AGENT
MARRIOTT HOTEL
12.2011 - 10.2015
Nursing - Practical Nursing
Healthcare Training Institute
Certificate of Applied Science - Medical Billing and Coding
Nunez Community College
High School Diploma -
Warren Easton Senior High School
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