Talented medical professional proven successful in leading administrative team members in high-volume medical settings. Knowledgeable about training regulations, managing files, and producing professional correspondence for diverse needs. Articulate communicator with strong attention to detail and superior work ethic.
Overview
8
8
years of professional experience
Work History
Care Advocate
AdventHealth
Altamonte Springs, FL
04.2024 - Current
Applied HIPAA privacy and security regulations while handling patient information.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Provided emotional support to individuals, families, and caregivers dealing with challenging health issues.
Promoted high patient satisfaction by resolving problems with knowledgeable, friendly service.
Processed orders for medication refills within established timelines.
Responded to patient questions regarding medical needs, scheduling, medication issues, and refills.
Worked effectively in team environments to make the workplace more productive.
Navigate patients in their health journey.
Identified resources available in the community that could benefit the patient's well-being.
Pre-Access Infusion B&A Specialist Oncology
AdventHealth
Orlando, FL
01.2023 - 04.2024
Applied HIPAA privacy and security regulations while handling patient information.
Obtained necessary signatures for privacy laws and consent for treatment.
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Collaborated with clinical and administrative staff to meet patient needs.
Counselled patients on potential financial liabilities and payment requirements.
Followed-up with insurance companies and individuals to resolve discrepancies.
Made outbound calls to insurance companies, patients and physicians to perform eligibility checks for patients.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Contacted insurance companies to obtain necessary preauthorizations needed for upcoming oncology medications
Verify medications for chemotherapy and iron infusions, carefully following physician specifications for insurance authorizations.
Glint Committee
CONSUMER ADVOCATE
ADVENTHEALTH MAITLAND
Orlando, FL
11.2021 - 12.2022
Responsible for billing insurance, insurance collections, and denial management
Review assigned electronic claims and submission reports
Resolve and resubmit rejected claims appropriately as necessary
Process daily and special reports, unlisted invoices and letters, error logs, stalled reports