Barbara Eisinger-Figueroa
Danbury,CT
Summary
Dedicated and detail-oriented Patient Service Representative with over 20 years of experience in healthcare. Enthusiastic about facilitating patients' access to vital medical resources through adept authorization procurement, procedure scheduling, and meticulous paperwork coordination. Possessing strong relationship-building skills, prioritizing patient advocacy and education while ensuring efficiency in all tasks. Proficient in Microsoft programs, excels in maintaining office organization and professionalism even in high-pressure environments. Proactive and adaptable approach underscores the commitment to providing exceptional patient care and support.
Overview
17
17
years of professional experience
Work History
Patient Service Representative, Senior
National Organization for Rare Disorders
01.2020 - Current
- Accurately complete all assigned referrals and program applications promptly following the Standard Operational Procedure (SOP) for each assistance program
- Resolved patient billing issues and claims in line with established NORD's finance guidelines.
- Stayed calm under pressure while handling large call volumes and emailed communications and successfully dealt with difficult situations by providing excellent customer service.
- Recommended service improvements to minimize recurring patient issues and complaints.
Patient Advocate II
Western Connecticut Medical Group
03.2017 - 01.2020
- Worked with patients to ascertain issues and make referrals among twelve specialists.
- Streamlined appointment oncoming and outgoing for better patient flow, reducing wait times and improving overall experience.
- Facilitated communication between patients, specialists and healthcare insurances fostering trust and rapport..
- Super- User: Trained new hires and office staff on new computer systems, (Cerner Health and Soarian Financial) and was a resource to office staff for questions or additional training in all areas of the front and back desk office procedures.
Patient Financial Service Reimbursement Analyst
Western Connecticut Health Network
03.2015 - 02.2017
- Ensured claims were compliant with Connecticut State and Federal billing regulations and contractual obligations.
- Managed high volume caseloads effectively while maintaining strict deadlines for submission of claims.
- Assured timely verification of insurance payments post to patient procedures or appointments.
- Supported team members by sharing expertise in reimbursement methodologies and payer contracts analysis.
- Maintained reports/contract management files and records; i.e., medical records, referrals, pre-certification letters
- Provided exceptional customer service, assisting patients with inquiries related to their insurance coverage and reimbursement status.
Reimbursement Data Specialist
Montefiore Healthcare System
01.2010 - 01.2015
- Responsible for all insurance billing; coordination and follow up with insurance companies; verification, prior authorizations, referrals, denials, the processing, and retrieval all Explanation of Benefits (EOB) for out of network providers; processing guarantor bills; and handling telephone inquiries
- Create, correct, and process electronic batches for all carriers
- Process and post insurance company payments/denials, credit card transactions, and adjust patient accounts according to the fee code within the Clinic's practice management system
- Responsible for receiving, correcting, and transferring all rejections and partial payments to responsible party, and coordinate efforts directly with the CERC's out of network policies
- Create, monitor, and maintain patient files; Verify and update patient information
- Daily utilization of the following systems: eMedny, Emdeon, NaviCare/Navicure, Availity, Connex, COM post and track, Milli Pro+, Dentrix.
Billing Clerk
Children's Evaluation and Rehabilitation Center, Montefiore Medical Center
01.2007 - 01.2010
- Payroll/timekeeper responsibilities for approximately 125 employees
- Coordination of electronically filing (closing) medical records for 5 sites, ~1000 charts per year
- Early Intervention Billing Coordinator under NYS Article 25.
Education
Medical Billing and Coding Diploma -
Penn Foster University
01.2023
Certified Medical Billing and Coding Specialist -
National Health Career Associates
01.2023
Certified Professional Coder- A -
American Academy Professional Coders
01.2023
Certified Medical Assistance -
National Health Career Associates
01.2001
Skills
- Medical terminology knowledge
- Customer service support
- Microsoft Programs
- Team Collaboration
- HIPAA Compliance
- Medical Billing and Invoicing
- Payment Collection
- Document filing
Timeline
Patient Service Representative, Senior
National Organization for Rare Disorders
01.2020 - Current
Patient Advocate II
Western Connecticut Medical Group
03.2017 - 01.2020
Patient Financial Service Reimbursement Analyst
Western Connecticut Health Network
03.2015 - 02.2017
Reimbursement Data Specialist
Montefiore Healthcare System
01.2010 - 01.2015
Billing Clerk
Children's Evaluation and Rehabilitation Center, Montefiore Medical Center
01.2007 - 01.2010
Medical Billing and Coding Diploma -
Penn Foster University
Certified Medical Billing and Coding Specialist -
National Health Career Associates
Certified Professional Coder- A -
American Academy Professional Coders
Certified Medical Assistance -
National Health Career Associates
Similar Profiles
Melissa MarchewkaMelissa Marchewka
Patient Service Specialist at National Organization for Rare DisordersPatient Service Specialist at National Organization for Rare Disorders
Paisley GavinPaisley Gavin
Volunteer at The National Organization Of Rare DiseasesVolunteer at The National Organization Of Rare Diseases
LIA VANLIA VAN
Nurse Practitioner at Lysosomal & Rare Disorders Research & Treatment CeNurse Practitioner at Lysosomal & Rare Disorders Research & Treatment Ce