Annette Rios
Medicaid Investigator/ POS Representive
Ridgewood,NY
Summary
Empathic, effective and motivated professional who combines clinical experience to meet the challenges facing today's healthcare organizations. Clear awareness of diverse backgrounds, alert to widely varied patient needs and circumstances.. Collaborative team player, acting as key resource to colleagues and allied health professionals
Overview
35
35
years of professional experience
Work History
Financial Counseling /Medicaid Investigator
LIJ Medical Center
New Hyde Park, NY
01.2012 - Current
- * Provides information regarding Medical Center regulations and policies pertaining to medical coverage
- * Contacts patient/family and conducts interviews for purpose of assessing Medicaid eligibility.
- * Meets with and assists patient/family in completing Medicaid applications in order to ensure coverage for Hospital, Nursing Facility, Home Care services and community Medicaid.
- * Checks patient account for pervious balances and advises patient of all financial obligations.
- * Informs patient of Medical Center's collection policy.
- * Contacts physicians, nurses, social workers, employers, banks, etc. to obtain appropriate medical, legal and financial information to complete Medicaid application. Notifies appropriate hospital staff regarding Medicaid eligibility status and determination.
- * Coordinates with various city and county agencies to resolve individual cases.
- * Answers telephone and maintains files. Informs Supervisor of activities, issues and problem cases. Accumulates data for performance reports.
- * Maintains departmental files and statistical logs. Enters data into Medical Center's patient registration system, financial management system, as well as, Medical Eligibility Program database.
- * Assists in scheduling patients for clinical visits, pre-admission testing, special tests and consultations via Medicaid screening process.
- Collecting patient responsibility at bedside and provide bedside education
- Performs related duties as required.
Women Center and Out Patient Radiology Supervisor
Wyckoff Hospital Medical Center
Brooklyn, NY
06.2005 - 10.2011
- Supervised and coordinated activities of workers of engaged in patient's service activities.
- Planned , prepared and devised work schedules according to budgets and workloads.
- Observed and evaluated worker's performance. Issued instructions and assigned duties to workers.
- Trained and instructed employees, hired and discharged workers
- Communicated with other departments and management to resolve problems and expedite work.
- Helped workers in resolving problems and completing work.
- Resolved and check work of subordinates such as reports, recorded and applications for accuracy and content and corrected errors.
- Prepared maintained and submitted reports and records, such as budgets and operational and personnel reports.
- Made recommendations to management concerning staff and improvement of procedures.
- Planned and developed improved procedures.
Admitting Representative
Wyckoff Heights Hospital
Brooklyn, NY
01.1988 - 10.2005
- Verified patient details and insurance coverage and collected co-pays.
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Arranged forms and charts for each patient.
- Reviewed hospital schedule and confirmed arrival times.
- Calculated collectible amount due for procedures
- Registered patients for labs, surgeries and radiology
- Worked with patients to ascertain issues and make referrals to appropriate specialists
- Facilitated communication between patients and various departments and staff
Education
High School Diploma -
Bushwick Leaders High School For Academic Excellence
Brooklyn, NY06.
Skills
- Attentive, highly organized and detail oriented with knee observation and listening skills
- Work well in demanding environments despite sudden urgencies and change of priorities
- Industrious and reliable with strong work ethic, assume additional responsibility voluntarily
- Excellent communication and interpersonal skills, as well as multi-cultural awareness and sensitivity to wide range of personalities and stressors
- Accustomed to working in environment where patience and understanding are equally as important functional expertise
- Expertise in medical terminology, CPT-10, ICD 10 CM diagnostic and procedural coding, medical billing insurances claims
- Proficient in Invision, Eagle, Soarian,AllscriptMS office
- CAC for NYSOH
Timeline
Financial Counseling /Medicaid Investigator
LIJ Medical Center
01.2012 - Current
Women Center and Out Patient Radiology Supervisor
Wyckoff Hospital Medical Center
06.2005 - 10.2011
Admitting Representative
Wyckoff Heights Hospital
01.1988 - 10.2005
High School Diploma -
Bushwick Leaders High School For Academic Excellence
Similar Profiles
Mirline FredericMirline Frederic
LPN TELEMETRY NURSE at LIJ Medical CenterLPN TELEMETRY NURSE at LIJ Medical Center
Patricia GomezPatricia Gomez
Registered Nurse Case Manager at Northwell LIJ Medical CenterRegistered Nurse Case Manager at Northwell LIJ Medical Center
SYDNEY GARVINSYDNEY GARVIN
Food Service Worker at Northwell Health LIJ Medical CenterFood Service Worker at Northwell Health LIJ Medical Center
Emer MoloneyEmer Moloney
Lead Speech-Language Pathologist at International Academy for the BrainLead Speech-Language Pathologist at International Academy for the Brain
Brian UtateBrian Utate
Stock Associate at Gameday Toys & GamesStock Associate at Gameday Toys & Games