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Résumé - Patient Access/Revenue Cycle

Elisabeth Rowan

Patient Access/Revenue Cycle

eilir.rowan@gmail.com | linkedin.com/in/eilir

History of innovation and flexibility, taking on new roles to better serve institutions and patrons.  Excellent customer service skills and attention to detail. Over 25 years in a hospital setting.


EXPERIENCE


Department Assistant II

Shriners Children's, Lexington, KY, 6/2022-Present [Lateral Move]
  • Scheduled patient visits in busy outpatient clinic.
  • Checked patients out.
  • Verified insurance coverage through payors’ online tools/phone.
  • Interacted with patients and families, providing excellent customer service.
Revenue Cycle Coordinator
Shriners Hospitals for Children, Lexington, KY, 6/2018-6/2022
  • Obtained outpatient visit and surgical pre-authorisations.
  • Documented authorizations in person management system.
  • Scheduled and authorized off-site imaging tests; scheduled clinical follow-ups.
  • Verified insurance coverage through payors’ online tools/phone.
Revenue Cycle Specialist
Shriners Hospitals for Children, Lexington, KY, 5/2018-6/2018
  • Obtained outpatient visit and rehabilitation pre-authorisations.
  • Documented authorisations in person management system.
  • Scheduled off-site imaging tests; scheduled clinical follow-ups.
  • Verified insurance coverage through payors’ online tools/phone.
Department Assistant II
Shriners Hospitals for Children, Lexington, KY, 10/2017-5/2018
  • Scheduled patient visits in a busy outpatient clinic.
  • Registered patients for outpatient visits.
  • Checked patients out.
  • Verified insurance coverage through payors’ online tools/phone.
  • Interacted with patients and families, providing excellent customer service.
  • Audited insurance information, orders, and consents in electronic medical record.
  • Obtained prior-authorizations for rehabilitation services.
Contracted Patient Access Representative
Shriners Hospitals for Children, Lexington, KY, 5/2017-10/17
  • Scheduled patient visits in busy outpatient clinic.
  • Registered patients for outpatient visits.
  • Checked patients out.
  • Verified insurance coverage through payors’ online tools/phone.
  • Interacted with patients and families, providing excellent customer service.
Revenue Cycle Charge Entry Data Clerk
Shriners Hospitals for Children, Lexington, KY, 6/2010-3/2017
  • Entered and reconciled facility, operating room, and medication charges into electronic medical record for billing using CDM and CPT codes.
  • Obtained referrals from primary care providers and prior-authorisations for service from insurance companies; documented referrals and authorizations in person management system.
  • Audited insurance information, orders, and consents in electronic medical record.
  • Verified insurance coverage through payors’ online tools/phone.
  • Scheduled patient visits.


SKILLS

  • Technology skills including electronic medical records, patient management, Microsoft Office, and use of printers, faxes, and scanners
  • Excellent interaction with insurance companies, healthcare providers, and patients
  • Great customer service and communication skills
  • Detail-oriented, able to make sure documentation is properly completed
  • Knowledge of pediatric orthopaedic diagnoses, familiarity with ICD-10 and CPT codes
  • Understanding of third-party payor requirements and compliance standards
  • Able to work in a fast-paced environment, alone and in teams

HIGHLIGHTS

  • Extensive experience in a hospital setting—with an understanding of policies, culture, and environment of a medical facility.Demonstrated flexibility to take on additional duties as needed.
  • Skill at navigating both Cerner and EPIC electronic medical records.
  • Academic background in Latin and Greek with years of experience with medical research and terminology as a medical librarian.

EDUCATION

  • Bachelor of Arts—University of Kentucky
  • Diploma—Danville Independent High School

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