Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Rochelle McEwen

Glendale,AZ

Summary

Organized Patient Service Representative with 9 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy hospitals and maintaining professionalism in stressful situations.

Overview

7
7
years of professional experience

Work History

Patient Access Representative

Optum360
07.2023 - Current
  • Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
  • Utilizes computer systems to enter access or verify patient data in real – time ensuring accuracy and completeness of information
  • Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
  • Verifies insurance coverage, benefits, and creates price estimates, verifications as needed
  • Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
  • Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due
  • Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
  • Responds to patient and caregivers’ inquiries related to routine and sensitive topics always in a compassionate and respectful manner
  • Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary
  • Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units

Quality Coordinator Trainer

HonorHealth
10.2023 - Current
  • Provided support in developing and maintaining process-specific work instructions, resulting in consistent product quality.
  • Collaborated with cross-functional teams to improve overall product performance and billing.
  • Analyzed data trends to identify opportunities for process improvements, leading to more efficient workflow and higher quality output.
  • Maintained open communication channels between departments so that any issues could be quickly addressed before affecting overall billing
  • Enhanced employee performance by designing and implementing comprehensive new hire training programs.
  • Boosted employee retention rates by fostering supportive and engaging learning environment during onboarding process.
  • Improved overall team efficiency by identifying knowledge gaps and tailoring training materials accordingly.

Pre-Services Document Support

HonorHealth
02.2022 - 10.2023
  • Transcribing faxed physician orders for outpatient/inpatient hospital procedures into EPIC for procedures to be scheduled.
  • Performs quality assurance on all physician order received to ensure orders are valid and complete.
  • Works within document management system, Onbase, to index incoming electronic faxes into patient's medical records/account and disseminate information received via fax to appropriate Honor Health staff.
  • Contacts physician's office to request amended or new orders for incorrect, invalid or incomplete orders.
  • Appropriately documents in electronic medical records of all activity performed within patient's medical records.


Committees within HonorHealth

Employee Engagement 2023

ACT Team 2023

RTE Training 2023

Pre-Services Admission Representative

HonorHealth
06.2019 - 02.2022
  • Work accounts from assigned work-que, confirm insurance coverage and encode insurance correctly.
  • Complete necessary notifications for all Inpatient and Outpatient admissions.
  • Monitor pending authorizations and follow up appropriately.
  • Communicate with case management/UR nurses for clinical requests .
  • Explained daily processes and procedures to new hires, promoting better understanding of job tasks
  • Averaged 80 accounts per day.

Collections Representative

Pinnacle West Medical
02.2019 - 06.2019
  • Reviewed collection reports to determine status of collections and amounts of outstanding balances
  • Used skip tracing resources to locate debtors.
  • Resolved challenging situations in friendly yet firm manner.
  • Recorded all information regarding financial status of customers.
  • Negotiated to collect balance in full Counseled debtors on payment options and arranged installment agreements .
  • Processed payments and contracts on accounts.
  • Tracked progress of all outstanding insurance claims.
  • Collected average of over $1,000 per day.
  • Processed payments and applied to customer balances
  • Used probing techniques to determine debtors' reasons for delinquency

Patient Financial Services Representative

Banner Health
12.2016 - 02.2019
  • Scheduled patient admissions and discharges.
  • Accurately inputted all patient and insurance information into company's computer system using Cerner.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Performed clerical tasks, including answering incoming phone calls, sorting mail and sending correspondence .
  • Assisted coworkers and staff members with special tasks on daily basis .
  • Maintained high levels of confidentiality while creating files, reports and records.
  • Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
  • Processed payments and contracts on accounts Followed up with customers to collect information and verify details.
  • Collected over $150,000 per year.

Education

Diploma - Medial Billing & Coding

Brookline College
Phoenix, AZ
01.2019

High School Diploma -

Primavera School
Chandler
01.2011

Skills

  • Special Projects
  • Medicare and Medicaid Processes
  • Team Development
  • Patient Scheduling
  • Data Entry
  • EPIC

Additional Information

Legend Spring PTO - Membership Coordinator

2022-Current

Duties: Responsible for membership recruitment, collecting membership dues, and managing the membership roster.


West Valley Booster Club - Cashier

2022 - Current

Assist in fundraising for youth extra curricular activities.

Timeline

Quality Coordinator Trainer

HonorHealth
10.2023 - Current

Patient Access Representative

Optum360
07.2023 - Current

Pre-Services Document Support

HonorHealth
02.2022 - 10.2023

Pre-Services Admission Representative

HonorHealth
06.2019 - 02.2022

Collections Representative

Pinnacle West Medical
02.2019 - 06.2019

Patient Financial Services Representative

Banner Health
12.2016 - 02.2019

Diploma - Medial Billing & Coding

Brookline College

High School Diploma -

Primavera School
Rochelle McEwen