Joshua Harley

Cave Creek

Summary

Accomplished healthcare professional with a proven track record at Mayo Clinic, adept in managing complex scheduling workflows and enhancing patient eligibility processes. Expert in EPIC and medical terminology, coupled with exceptional customer relations and clear communication skills, ensuring over 80% daily direct engagement with patients and healthcare staff.

Overview

years of professional experience

Work History

Patient Appointment Service Specialist

Mayo Clinic

Phoenix

04.2023 - Current

The Patient Appointment Services Specialist is responsible for independently creating and scheduling appointments within the electronic medical record for a complex, multispecialty medical practice. This is supported by gathering patient-specific demographic and provider information to accurately assess the nature of the request and determine the appropriate appointment area; properly advising patients regarding the need for co-payments, referral authorizations, and/or pre-service deposits to ensure that the patient arrives on time and is prepared for their procedure or visit; and collecting all guarantor and insurance details needed to help assess patient eligibility.
Through this process, the Patient Appointment Services Specialist responds to and interacts with a variety of individuals, including patients, customers, referring physicians, Mayo providers, allied health staff, and family members.
Appropriate interpretation and application of Mayo policies regarding scheduling criteria and medical needs are essential. To provide exceptional service, the Patient Appointment Services Specialist is required to navigate multiple systems simultaneously, and is expected to be available or talking with patients and healthcare professionals 80 percent of the day, with the ability to service inquiries without consultation.
This requires working with several complex scheduling workflows, andmanaging telephone calls, online requests, and/or fax requests.

Patient Insurance Advocate

ER Near Me

Dallas

09.2020 - 05.2021

Verified the eligibility of the patient’s insurance and confirmed the carrier policy for referral and authorization requirements, as needed for claims adjudication.
Post claims and payments for appropriate processing and record-keeping.
Research, correct, and resubmit, or reprocess unpaid claims as necessary.
Assist in filing appeals to insurance carriers for payment discrepancies (EOB, COB).
Work-aged receivables utilizing A/R reports.
Work collaboratively with other coding vendors, billing, Patient Access, and Cash Receipts Specialists, as needed.
Assist in contacting patients and facilities for claims and payment discrepancies.
Makes outbound calls to insurance companies to verify insurance benefits.
Answering phones and maintaining databases

Muscle Tech

Principle Health Systems

Dallas

01.2018 - 05.2021

Monitor, record, and report patient symptoms and/or changes to the patient’s condition.
Maintain accurate patient reports and medical histories.
Under the physician’s instruction, administer peak force measurements to patients.
Observed patient’s side effects and recorded results.
Taking patient medical histories.
Explaining PEAK Force Measurement treatment to patients.
Preparing patients for examination.
Assisting the physician during exams.
Answering phones and maintaining databases.
Keeping track of medical records and charts.

Education

HS Diploma -

Hebron High School

Carrollton, TX

09.2015

Some College (No Degree) - General Studies

Collin College

Dallas Tx

Skills

Strong Customer Relations Skills
Proficient in Medical Terminology
Understanding of CPT Codes
Healthcare Environment Experience

Skilled in Utilizing EPIC for Patient Records
Clear Interpersonal Communication
Clear Written Correspondence
Effective Complaint Resolution

Languages

English

Professional

Timeline