Roy Bounds

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PATIENT ACCESS SPECIALIST

RemX (Cover My Meds)

Oct 2024 - Current (1 year 10 months)

Secure prior authorizations with 98% accuracy for tests and procedures. Cut denial rates by 23% through trend analysis and improved protocols. Handle 40+ daily authorizations, ensuring compliance with regulations.

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PATIENT ACCESS SPECIALIST - TEMP

MMC Group (Pfizer)

Aug 2023 - Sep 2024 (1 year 2 months)

Obtain pre-authorizations, securing 95% approvals, enhancing patient access. Verify insurance for new patients with 99% accuracy, improving service quality. Manage data entry, boosting data integrity, ensuring compliance with standards.

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CASE MANAGER

Keller Postman Law Firm

May 2022 - Mar 2023 (11 months)

Resolved 90% of escalations on first contact, ensuring SLA compliance and enhancing client satisfaction. Processed 200+ case files monthly, cutting resolution times by 25% through improved processes. Facilitated cross-departmental collaboration, ensuring seamless information flow and care continuity.

REIMBURSEMENT COORDINATOR - TEMP

CornerStone Staffing

Dec 2021 - Apr 2022 (5 months)

Coordinated insurance adherence for 100+ members, ensuring 98% data accuracy. Processed medical claims efficiently, resolving 95% within timeframes. Reduced claims processing time by applying HIPAA and admin guidelines.

MEMBER SERVICE SPECIALIST

Pason

Oct 2019 - May 2020 (8 months)

Resolved 90+ queries daily, maintaining 10-minute resolution time, boosting satisfaction. Supported 80+ members, exceeding expectations and enhancing service quality. Educated users on technical processes, resolving system issues efficiently. Managed technical support, ensuring prompt and reliable service delivery. Improved member satisfaction through effective problem-solving strategies.

SCHEDULING COORDINATOR

United Healthcare

Oct 2017 - Oct 2019 (2 years 1 month)

Managed 100+ daily tasks with 95% accuracy, enhancing call and referral handling. Boosted scheduling efficiency, coordinating procedures and ancillary services. Increased patient engagement through targeted outbound calls and registry management.

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CUSTOMER SERVICE REPRESENTATIVE

Transcom Apple

Jan 2013 - Oct 2017 (4 years 10 months)

Managed high-volume calls, achieving 98% satisfaction with quick resolutions. Resolved 90% of complaints on first contact, boosting retention. Handled over 100 calls per shift, increasing sales through effective engagement. Additionally, utilized Microsoft 365 to assist customers by organizing information and streamlining communication processes, which enhanced overall service efficiency and customer satisfaction.

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