lakeisha weaver resume baylor

LaKeisha Weaver15511 Tuckerton Rd. Houston, TX 77095 - (832) 602-1245 - [email protected]

Qualification Highlights

I am an accomplished healthcare operations specialist with over 10 years of patient business/customer service experience. I excel in delivering quality leadership and patient centered care. Specialized in administrative operations and billing services expertise in Orthopedics, General Surgery and Performance Medicine. I have a positive attitude, effective time management skills, a strong work ethic with great leadership skills.

Areas of Expertise• Supervisory experience 9+ years• Adept at organizing meetings, managing inventory, training and supervising staff

and implementing office processes and procedures, EMR Training and implementation.

• Possess multi-tasking skills, with ability to simultaneously manage various projects and schedules.

Technolgy Allscripts GE Centricity TouchChart EPIC Athena NextGen IDX

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Professional Experience FEB 2016- Present UT PHYSICIANS CINCO RANCH Katy, Texas Patient Access Representative III

• Checking in and checking out patients while following the core standards and guidelines of UT Physicians.

• Completes full registration by obtaining proper demographics from patient in for accurate insurance verification.

• Creates files (EMR) and maintain medical records.• Communicates the need for referrals, authorizations and pre certifications to the

patient.• Provides proper information to the patient in regards to their financial

responsibility and offers financial counseling if needed.• Adheres to financial control policies & procedures, thoroughly explains and secures

clinic and patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming outpatient services.

• Schedules diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).

• Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs clinic cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.

• Assist with some administrative duties (i.e. clinical analysis on patient volume, quality and schedule adherence.

June 2015- Feb 2016 CHI ST LUKES Sugar Land, Texas Medical Staff Coordinator -9 months (office closed)

• Works with Patient Care Managers to assess staffing according to unit guidelines utilizing available resources such as Supplemental Staff RN's, CVS and Kronos to fill designated direct care personnel vacancies that occur.

• Maintains employee files and other records to ensure compliance with all regulatory guidelines.

• Processed Kronos time edits for accurate payroll• Coordinated staff adjustments due to call outs/FMLA/worker’s comp• Assists with administrative staffing functions.• Provides administrative support for electronic staffing & scheduling system.• Provides administrative support with time and attendance functions.

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• Provides administrative support to the Human Resource function associated with float pool.

• Places all calls to support supplemental staffing needs.• Serves as liaison to nurse managers/CNO to develop new sources for float pool.• Develops electronic reports r/t float pool commitments.• Reassigns float pool as needed

April 2014- June 2015 CHI ST LUKES The Woodlands, Texas Supervisor Patient Account Services- 1-year/2months (Promoted)

• Provided account services for Performance Medicine, Cardiac Rehabilitation and Sleep Medicine

• Responsible for assuring patients come to Performance Medicine are provided service in a timely manner through the tracking and monitoring of wait times.

• Supervised Patient Access representatives in obtaining accurate patient demographics and financial information for registration and accurate claim reimbursement. In addition, monitored collection procedures to ensure the estimated patient financial portion at the time of registration are collected and submitted accurately.

• Responsible for the daily operations of all functions of Cardiac Rehabilitation, Sleep Medicine and Performance Medicine. Also served as the liaison between the Performance Medicine and the Cardio Vascular/Neurology unit.

• Integrated the department's services with the hospital's primary functions; developed and implemented policies and procedures that guide or support service, assessed and improved department performance, and ensured orientation and continuing education of departmental staff.

July 2011- April 2014 Houston Methodist Orthopedics Houston, Texas Orthopedic Surgery Clinic Supervisor -2-years/9 months

• Demonstrated the ability to interact with all levels of staff, management, physicians, patients, and families to obtain information to properly schedule and register services.

• Coordinated/screened all initial interviews for administrative and clerical support positions and made hiring recommendations to the Clinic Manager.

• Responsible for assisting Clinic Manager in coordinating the annual evaluations for all clerical employees.

• Coordinated administrative support staff workflow by monitoring workloads and redistributing assignments to meet office workflow and provide efficient utilization of administrative support staff.

• Coordinated any anticipated changes in priority and arranged coverage during personnel shortages and increased demands for support.

• Responsible for coordinating the front-end billing operations of the Front end staff.

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• Interfaced with the Centralized Billing Office (CBO) to ensure that appropriate procedures are adhered to and that accurate information is being collected and submitted.

• Supervised Schedulers, Billers, Receptionist and other clinic support staff.• Establishes and maintained super bill and appropriate coding oversight.• Monitored the authorizations and referrals to confirm services are approved prior

to patients’ arrival for all services rendered (i.e. Texan Plus Authorizations for E&M codes and X-rays).

• Charge entry for accurate billing and collections.• Responsible for training and on-boarding new employees• Created Call Center Manual and Front Desk Operations Guidelines• Filed claims CMS 1500/ Processed rejections

May 2005- May 2011 Kelsey Seybold Clinic Houston, Texas Patient Access Center Supervisor- 6 years

• Managed a team of 32 agents, with a strong focus on the delivery of quality customer service utilizing Epic Cadence scheduling system.

• Collaborated with the administrative team and developed the Patient Access Center Continuing Education Program, resulting in a 96% increase in quality assurance.

• Analyzed monthly reports in quality assurance and schedule adherence.• Monitored and managed service results for my team (Orthopedics and OB/GYN

specialty queue), notifying the Patient Access Center Director as problems arise, and performing real time adjustments to staffing and call flow as necessary.

• Managed team activities from the Real Time Adherence monitor.• Monitored workforce activities and team performance and identified actions to take

in order to assure service level goals are met.• Monitored staff adherence to work schedules and ensure agents are in the proper

status at all times (“Not ready” status time heavily monitored).• Provided feedback to Call Center Director regarding agent schedule adherence and

call queuing statistics. Ensure agents are following proper schedule assignments. • Adjusted forecast to follow trends.• Created schedules of 32 agents to handle workload while meeting performance

targets, addressing shift needs, schedule availability and off phone time (breaks, lunch, training, vacation, etc.).

• Assisted marketing- worked “back to school” physical campaigns and at community campaigns.

Education

• Lone Star Cy-fair- Associate Degree Nursing 12 hours completed

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• University of Phoenix- Business Administration- focus Healthcare Administration 60 hours completed

• BLS Issue 09/10/2015-09/2017• CPI/PIAB 11/18/15-11/18/16• Medical Billing and Coding Certificate- DHS- 2013.• Expected CRCS-P certification 11/2016

References

Professional:

Dr. Sharita Warfield- Emergency MedicineCHI St. Luke's Sugar LandPhone: 248-894-6798Email: [email protected]

Doug Reincke, P.A.Phone: 586-350-4705Email: [email protected]

Revised 02/2016

mailto:[email protected]

mailto:[email protected]

lakeisha weaver resume baylor

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