Excellent communication and computer skills; ability to work independently or as part of a team to meet project deadlines; multicultural awareness with a high level of adaptability.
Overview
12
12
years of professional experience
Work History
Referral Coordinator
Surgical Arts/SSM Health
St Louis, MO
02.2024 - Current
Verify insurance coverage
Schedule appointments with specialists on behalf of clients.
Maintained accurate records on in-progress and completed referrals
Call insurance companies to get precertification and other benefits
Check in patients
Accept copays/balance drawer
Patient Access Representative
Optum/Cardinal Glennon Hospital
St Louis, MO
01.2023 - 02.2024
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Applied HIPAA privacy and security regulations while handling patient information.
Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Obtained necessary signatures for privacy laws and consent for treatment.
Coordination of Benefits Specialist
Centene Corporation
St Louis, MO
10.2018 - 12.2022
Call insurance companies, medical groups, and or members requesting other insurance information as it pertains to dual coverage, eligibility and termination dates of coverage.
Researches COB information from lead sources including but not limited to member enrollment forms, returned member request letters, prior claims, authorizations and call center contacts
Update the COB master file with current information
Operations Assistant
Mercy Hospital St. Louis
St Louis, MO
09.2016 - 10.2018
Perform daily Kronos edits for payroll
Notifies leaders of missing punches and unscheduled absences
Input daily, respiratory charges via Epic
Schedule appointments for Managers in Outlook
Admitting Representative
Mercy Hospital St. Louis
St Louis, MO
10.2013 - 09.2016
Register patients for workmen's compensation in Systoc
Benefit verification/receive payment for procedures