Capable Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Excels at identifying client needs and concerns to improve engagement strategies and overall service. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Offering five years of experience and desire to take on any job.
Overview
6
6
years of professional experience
Work History
Patient Care Coordinator & Financial Advisor
Centers For Neurosurgery, Spine & Orthopedics
03.2024 - Current
Handle Patient Financial Agreements by the insurance fee schedule pricing on behalf of either surgical centers or office procedures for their upcoming visit.
Calculating/collecting Patient deductible, co-insurance and out of pocket rates per the patients insurance policy.
Ensure smooth operations by managing medical records,retrieve records as needed for patient care, medical staff, legal requests, and insurance purposes, ensuring timely and accurate delivery via mail or e-mail.
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Retrieve imaging reports and uploading imaging discs
Assisted patients with completing necessary paperwork and forms to provide the healthcare facility with essential information to bill for services.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Patient Relations Specialist
Optum
03.2022 - 03.2024
Communicate with patients, their families, and caregivers to provide information about services, policies, and procedures.
Ensure effective and empathetic communication to address patient inquiries and concerns.
Managed over 30 calls per day
Verified patient insurance eligibility and entered patient information into system.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Mediate and resolve conflicts or concerns raised by patients, addressing issues related to care, billing, or communication.
Document and report significant issues to appropriate personnel for follow-up and resolution.
Provide patients with information about their rights and responsibilities.
Offer guidance on navigating healthcare systems, including insurance coverage and financial assistance programs.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Helped address client complaints through timely corrective actions.
Offered simple, clear explanations to help patients understand company policies and procedures.
Patient Care Coordinator Specialty Supervisor
Riverside Medical Group
01.2021 - 03.2022
Provided leadership and direction to group of employees.
Conducted regular team meetings, training sessions, and performance reviews.
Oversee daily workflow of office and patient needs.
Conducted Interviews and trained new employees on job responsibilities, policies, and procedures.
Provide ongoing training to enhance team's skills and knowledge.
Set performance targets and provide feedback to team members.
Act as point of contact for escalated patient issues or complex cases.
Allocate resources effectively to meet patient care coordination needs.
Identify areas for process improvement and implement changes to enhance efficiency and patient satisfaction
Managed over 50 calls per day and increased positive reviews by twenty percent.
Patient Care Coordinator
Riverside Medical Group
01.2018 - 03.2022
Greet and assist patients during registration process.
Collect and verify patient demographic information, insurance details, and other relevant data.
Maintained confidentiality of patient data and condition to safeguard health information.
Verify patient insurance coverage and obtain pre-authorizations as needed.
Assist patients in understanding their insurance benefits and coverage.
Acted as main point of contact for patients and doctors by closely reviewing medical charts and maintaining high levels of communication.
Answered incoming calls, scheduled appointments and filed medical records.
Worked closely with patients to deliver excellent and direct individualized patient care.
Provide patients with information about their medical conditions, treatment options, and medications.
Offer educational materials and resources to support patient understanding.
Followed document protocols to safeguard confidentiality of patient records.
Education
High School Diploma -
North Bergen High School
North Bergen, NJ
06.2019
Skills
HIPAA Compliance
Patient Flow Management
Customer Service
Quality Assurance
Organizational Skills
Multitasking Ability
Verbal and Written Communication
Medical Terminology
Strategic Planning
Bilingual
Leadership Experience
Adaptability
New Hire Training
Medical Data Collection
Proficient in EPIC & ECW software
Patient Records Management
Multitasking ability
Registration and Scheduling
Languages
Spanish
Full Professional
Timeline
Patient Care Coordinator & Financial Advisor
Centers For Neurosurgery, Spine & Orthopedics
03.2024 - Current
Patient Relations Specialist
Optum
03.2022 - 03.2024
Patient Care Coordinator Specialty Supervisor
Riverside Medical Group
01.2021 - 03.2022
Patient Care Coordinator
Riverside Medical Group
01.2018 - 03.2022
High School Diploma -
North Bergen High School
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