Angela Mercil
Quincy
Summary
Detail-oriented Patient Access Representative skilled in patient registration and insurance verification. Proven record in enhancing patient flow and data accuracy while managing appointment scheduling. Dynamic Patient Access Representative with over four years of experience in patient registration, insurance verification, and medical billing. Known for strong communication and problem-solving skills, contributing to enhanced patient service standards and efficient claims processing. Flexible hard worker ready to learn and contribute to team success. Experienced Patient Access Representative delivering efficient appointment scheduling, insurance verification, and data accuracy. Committed to improving patient flow and collaboration with medical staff to enhance overall care delivery.
Overview
24
24
years of professional experience
Work History
Patient Access Representative
Quincy Medical Group
Quincy
11.2021 - Current
- Coordinated with medical staff to enhance patient flow and care delivery.
- Managed appointment scheduling and registration processes for optimal efficiency.
- Handled insurance verifications and billing inquiries to ensure seamless transactions.
- Responded to patient inquiries via phone, email, and in-person communication.
- Verified patient records to update computer systems and maintain accurate charts.
- Collaborated with team members to elevate patient service standards and practices.
- Answered incoming calls professionally to foster positive patient interactions.
- Scheduled follow-up appointments based on provider availability.
Claims Representative
Blue Cross and Blue Shield
Quincy
02.2017 - 05.2021
- Processed claims efficiently while adhering to company guidelines and regulatory standards.
- Reviewed documentation to verify claim details and assess eligibility for coverage.
- Collaborated with team members to resolve complex claim issues promptly and accurately.
- Utilized claims management software to track and update the status of pending claims.
- Assisted in training new representatives on company policies and claims procedures effectively.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
- Investigated facts, confirmed coverage and liability, negotiated settlements, and determined payments for claims.
- Attended continuing education seminars related to insurance industry best practices and new legislation.
- Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
Department Manager
Hy-Vee
Cedar Rapids
05.2001 - 05.2015
- Managed daily operations and coordinated team activities to ensure efficiency.
- Oversaw inventory management processes to maintain optimal stock levels.
- Implemented quality control measures to improve service delivery standards.
- Facilitated communication between departments to streamline workflows effectively.
- Scheduled staff shifts and assignments to meet operational needs consistently.
- Resolved customer complaints promptly and professionally in order to maintain good relationships with clients.
- Supported shrinkage and safety awareness, reviewed sales and inventory data, identified trends and prepared reports for management.
- Kept department on-target to meet sales and profit objectives by minimizing waste and pursuing revenue generation opportunities.
- Worked closely with sales associates to complete tasks.
- Performed opening and closing duties as part of management team and handled cash management.
- Executed targeted merchandising and promotional plans to meet department sales goals.
- Monitored daily sales figures to track trends in customer buying behavior.
- Utilized excellent math skills to maintain accurate inventory levels.
- Organized quarterly meetings with senior management to review departmental goals and objectives.
- Managed budgets effectively by making sure costs stayed within allocated limits.
- Supervised, trained, and developed team members, enhancing their performance and professional growth.
- Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
Education
Some College (No Degree) - Pharmacy Technician
John Wood Community College
Quincy, ILSkills
- Patient registration
- Insurance verification
- Medical billing
- Appointment scheduling
- Electronic health records
- Claim processing
- Data accuracy
- Problem solving
- Money handling
- Time management
- Multitasking and organization
- Fee collection
- Insurance billing
- Customer service
- Records maintenance
- Financial procedures adherence
- Data entry
- Phone and email etiquette
- Clinical data entry
- Written communication
References
References available upon request.
Timeline
Patient Access Representative
Quincy Medical Group
11.2021 - Current
Claims Representative
Blue Cross and Blue Shield
02.2017 - 05.2021
Department Manager
Hy-Vee
05.2001 - 05.2015
Some College (No Degree) - Pharmacy Technician
John Wood Community College