Aleirah Zimmerman
El Paso,TX
Summary
Hardworking Patient Advocate bringing 2 years' experience in hospital settings. Trained in all types of related documentation as well as working with insurance companies to file and appeal claims. Passion for supporting quality patient care. Detailed Client Service Associate known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued. Reliable Customer Service Representative with extensive track record in demanding sales and account management environments. Strong presenter, communicator and problem solver working effectively and productively with diverse customers and individual needs. Dependable Prior Authorization Specialist with a career spent handling various administrative responsibilities in fast-paced settings. Bilingual individual dedicated to finding solutions to issues and obtaining prior authorization information for patients. Ready to tackle new challenges in an office-based environment.
Overview
4
4
years of professional experience
Work History
Patient Care Advocate
Cigna
El Paso, TX
07.2023 - 01.2024
- Participated in quality improvement initiatives aimed at improving overall patient experience.
- Taught volunteers how to relate to guests, uphold patients' rights and respond to specific issues.
- Assessed patient needs and developed individualized care plans to meet those needs.
- Maintained accurate documentation of all interactions with patients in accordance with HIPAA regulations.
- Assisted patients in selecting appropriate courses of actions and obtaining needed support.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Identified community resources available for additional assistance or support for patients facing financial hardship due to illness or injury.
- Provided emotional support and guidance to patients and families facing difficult medical decisions.
- Responded to customer inquiries related to their enrollment status or other issues.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Generated reports related to enrollments, activity levels, demographics. as requested by management.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Conducted interviews with applicants, explaining benefits process and which programs were available.
- Maintained positive working relationship with fellow staff and management.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
Tax Specialist
TaxSlayer Pro
Augusta, GA
03.2021 - 04.2023
- Supplied detailed tax documentation needed to submit accurate corporate and individual returns.
- Reduced errors associated with missed tax benefits by completing comprehensive reviews of internal tax preparation documents.
- Communicated with federal and state tax agencies to obtain best resolution for clients.
- Produced US and state income, gift tax and estate tax returns for individuals.
- Informed clients of potentially beneficial products and services, resulting in additional business opportunities.
- Advised clients to comply with IRS regulations and meet state and federal tax obligations.
- Produced work papers and lead sheets, tax projects and payment estimations.
- Identified potential deductions or credits that could reduce the amount of taxes owed by a client.
- Used appropriate adjustments, deductions and credits to keep clients' taxes to minimum.
- Prepared estimated and deferred tax calculations on monthly basis to forecast cash flows.
- Analyzed unaudited financial statements to determine adjustments for accurate tax treatment.
- Identified areas where tax savings could be realized by researching applicable credits or deductions.
Prior Authorization Representative
Teleperformance USA
Augusta, GA
11.2019 - 02.2021
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Made outbound calls to insurance companies, patients and physicians to perform eligibility checks for patients.
- Updated spreadsheets and other document filing systems.
- Determined which party would be liable for payment on medical services by thoroughly reviewing patient insurance coverage.
- Conducted periodic audits of documentation submitted with prior authorization requests.
- Verified patient's insurance eligibility prior to appointment date for payment purposes.
- Maintained high level of professionalism when speaking to doctors and insurance companies.
- Followed all Medicare, Medicaid, HIPAA and private insurance regulations and requirements.
- Responded promptly to inquiries from providers, members, and other departments within the organization.
- Analyzed claims data from multiple sources to identify areas of potential cost savings.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
Education
Certification - Medical Billing And Coding
The University of Texas At El Paso
El Paso, TX03-2024
High School Diploma -
Academy Of Richmond County High School
Augusta, GA05-2019
Skills
- Relationship Building
- Case Management
- Case Management Experience
- Compassionate Client Care
- Patient Care
- Healthcare Operations
- Claims Processing
- Program Oversight
- Strategic Planning
- Insurance Practices
- Documentation
- Knowledge of State Regulations
- Data Entry
- Paperwork Processing
- Consultative Sales
- Data Collection
- Appointment Scheduling
- Scheduling
- Inbound and Outbound Calling
- Credit Card Payment Processing
- CMS Guidelines
- Promotional Support
- Order Processing
- Call Documentation
- Customer Service
- Regulatory Compliance
Timeline
Patient Care Advocate
Cigna
07.2023 - 01.2024
Tax Specialist
TaxSlayer Pro
03.2021 - 04.2023
Prior Authorization Representative
Teleperformance USA
11.2019 - 02.2021
Certification - Medical Billing And Coding
The University of Texas At El Paso
High School Diploma -
Academy Of Richmond County High School