Emily Lofgren
Rowlett,TX
Overview
9
9
years of professional experience
Work History
Patient Access Specialist
SmithRx
09.2024 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Applied administrative knowledge and courtesy to explain procedures to members.
- Followed document protocols to safeguard confidentiality of patient records.
- Engaged with patients to provide critical information.
- Recommended service improvements to minimize recurring patient issues and complaints.
Patient Representative
Methodist Health System
06.2024 - 08.2024
- Collected patient demographic information, insurance benefits, and payments.
- Educated patients on financial responsibilities, insurance coverage details, and available payment options to promote clarity and transparency in billing operations
- Acted as first point of contact for patient requests such as scheduling, prescription refills, referrals, and pre authorizations.
Patient Access Representative
Adventist Health
05.2022 - 05.2024
- Verify patients' insurance coverage and eligibility by accurately documenting and updating information in the system
- Process patient co-payments, deductibles, and balances owed. Collected an average of $10,000 in patient payments per month.
- Educated patients on financial responsibilities, insurance coverage details, and available payment options to promote clarity and transparency in billing operations
Accounts Receivable/Director of First Impressions
Snow Dental Specialties
04.2023 - 01.2024
- Contact payers via website, phone and/or correspondence regarding reimbursement of unpaid accounts, also research and follow up on denials and requests for additional information
- Managed invoicing and billing procedures, maintaining accurate records and timely payments from clients. Averaged $80,000 in collections per month.
- Interpreted Managed Care Contracts and/or Medicare and Medicaid rules and regulations to ensure proper reimbursement/collection.
- Make necessary adjustments as required by plan reimbursement
- Review, research and appeal partially denied claims for reconsideration
- Developed and implemented streamlined accounts receivable processes, resulting in a 20% reduction in outstanding balances and overall claim life.
Customer Service Representative
Aetna CVS Health
02.2022 - 05.2022
- Demonstrated strong problem-solving skills by handling escalations and complaints in a professional and timely manner, leading to a 30% decrease in unresolved issues
- Resolved an average of 50 customer inquiries per day via phone resulting in a 95% overall customer satisfaction rating
- Collaborated with cross-functional teams to implement customer feedback and improve product offerings.
Special Education Paraprofessional
Lancaster School District
11.2018 - 06.2020
- Assisted teachers in developing and implementing individualized education plans (IEPs) for students with disabilities
- Provided academic support to students with diverse learning needs, including one-on-one tutoring and small group instruction
- Engaged in professional development opportunities to enhance skills and stay current on best practices in education and special education trends
Lead
Vinces Pasta And Pizza
09.2015 - 09.2018
- Successfully delegate tasks and responsibilities to team members in order to optimize productivity and efficiency
- Implement and enforce company policies and procedures to ensure compliance and adherence to quality standards
Education
BSN - Nursing
Chamberlin University
Downers Grove ILAssociates - Liberal Arts
Ridgewater College
Willmar, MN12-2016
Diploma -
Quartz Hill High School
Lancaster, CA05-2012
Skills
- iOS/Windows Systems
- Microsoft 365
- Analytical
- Leadership
- Solution implementation
- HIPAA compliance
Timeline
Patient Access Specialist
SmithRx
09.2024 - Current
Patient Representative
Methodist Health System
06.2024 - 08.2024
Accounts Receivable/Director of First Impressions
Snow Dental Specialties
04.2023 - 01.2024
Patient Access Representative
Adventist Health
05.2022 - 05.2024
Customer Service Representative
Aetna CVS Health
02.2022 - 05.2022
Special Education Paraprofessional
Lancaster School District
11.2018 - 06.2020
Lead
Vinces Pasta And Pizza
09.2015 - 09.2018
BSN - Nursing
Chamberlin University
Associates - Liberal Arts
Ridgewater College
Diploma -
Quartz Hill High School
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