Angela Haynes
Lake City
Summary
I have ten years of experience that will contribute in my success with this organization. I am looking to utilize my experience in a professional environment that nurtures my abilities.
Overview
15
15
years of professional experience
Work History
Financial Counselor
Florida Cancer Specialist
Gainesville
01.2011 - 01.2018
- Monitor daily/weekly schedules to identify and review all HMO, Medicaid, Self Pay accounts according to the policies and procedures.
- Maintain daily accounts receivable reports for the front office staff detailing the amount of money to collect from each patient.
- Request authorizations as required for internal services as well as outside tests, hospital admittance and referrals to doctors.
- Document all information in Onco/EMR and Centricity.
- Review all treatment regimens for diagnosis appropriateness based on the clinic policy or accepted compendia of the patient’s insurance.
- Determine if prior authorization is required and request the authorization if needed.
- Request approval on special order drugs from Clinic Financial Manager.
- Meet with physician if drug is determined to be a non-covered medication.
- Explain and have patient sign waivers when new drugs are given without the proper billing codes, as well as off label for diagnosis or lab values.
- Register patients that will be receiving newly approved FDA drugs with appropriate drug reimbursement if insurance carrier refuses treatment or payment.
- Work closely with nurses, doctors, patient service specialists and office managers to collect co-pays, coinsurance, and resolve any insurance and self pay issues.
- Assist patients in completing patient assistance applications and any other forms needed to assist patients for assistance with chemotherapy.
- Meet with new patients upon first office visit.
- Confirm demographic information; explain insurance benefits to patient, detailing their financial responsibility, obtain necessary consent form signatures, including HIPAA policy.
- Input changes and other pertinent information obtained into the computer.
Financial Specialist
Shands UF
Gainesville
01.2009 - 01.2011
- Provides financial counseling to outpatients and/or their guarantors.
- Establishes and/or confirms patient’s account number and/or medical record number as well as securing appropriate socio-economic data relative to each account.
- Conducts detailed financial screening and analysis, including money collections, arranging monthly payment plans, completing federal or state documents, such as the Medicare Secondary Payer, and/or obtaining sponsorship for the patient.
- Verifies insurance information, obtains applicable pre-certifications, notifications and/or authorizations for post renal transplant patients. Using HIS, IDX Centricity, EPIC EMR.
- Coordinates with internal and external departments as needed regarding any patient financial issues.
- Make appropriate determination for contractual adjustments, verifies system balances, calculates and post adjustments.
Admissions Specialist
Shands AGH ER
Gainesville
01.2006 - 01.2009
- Responsible to perform all registration functions, including the creation or confirmation of a medical record and/or account number.
- Provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, financial, and statistical information from a variety of sources, i.e. patients, patients' families, physicians, physician office staff, county and/or government agencies.
- Consults and communicates with other hospital departments as required to maintain efficient patient care.
- Ensures reimbursement for services being rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identification and collection of patient financial obligation and point of service collections.
- Responsible for obtaining the necessary signatures for consent for treatment, financial responsibility agreements and HIPAA requirements.
Unit Clerk
Shands AGH Radiology
Gainesville
01.2003 - 01.2006
- Facilitates the patient’s access into the Radiology system by providing registration and check-in services, including but not limited to the following: securing JCAHO approved patient identification, securing completed and signed radiology orders, entering orders in to HIS, verifying demographic and financial data, obtaining required documents and signatures.
- Ensures that basic ICD-9 coding is on the account in HIS and is relevant to the exam being ordered.
- Works closely with Radiology technicians and other technical and clerical staff from within the hospital system and from the community.
- Contacts the ordering service when information discrepancies/deficiencies are identified.
- Protects the fiscal interest of the enterprise by checking for medical necessity, according to the carrier’s guidelines, and securing a waiver, i.e. ABN, from the patient when necessary.
Education
High School Diploma - General College Prep
Williston High School
Williston, FLSkills
- Patient financial counseling
- Insurance verification
- Pre-certification requests
- Medical record management
Timeline
Financial Counselor
Florida Cancer Specialist
01.2011 - 01.2018
Financial Specialist
Shands UF
01.2009 - 01.2011
Admissions Specialist
Shands AGH ER
01.2006 - 01.2009
Unit Clerk
Shands AGH Radiology
01.2003 - 01.2006
High School Diploma - General College Prep
Williston High School