Experienced healthcare professional with over a decade of experience creating positive environments for medical personnel, managing teams, and identifying performance gaps. Skilled in developing protocols and implementing improvements through coaching and mentoring to drive consistent results. Eager to contribute skills and knowledge to a new opportunity for professional growth.
Overview
8
8
years of professional experience
Work History
Patient Financial Advisor
UT Southwestern Medical Center
05.2023 - Current
Provided expert financial counseling to guide patients in making informed financial decisions regarding their healthcare expenses.
Researched charity programs and other resources to provide assistance for qualifying patients.
Executed detailed insurance verification processes to ensure accurate coverage and eligibility for patients.
Obtain precertification for toxins and other injectable.
Collaborate with specialty pharmacy to ensure the shipment of prescription requests.
Formulated customized payment plans to accommodate the financial situations of patients and enhance their access to care.
Delivered billing support to resolve patient inquiries and ensure timely processing of claims and payments.
Facilitated patient outreach initiatives to promote healthcare services and improve patient engagement in their care.
Management of insurance denials and appeal submission.
Health Specialist
Headstart of Greater Dallas
10.2022 - 05.2023
Educated families on effective health management strategies and resources for improved well-being.
Performed detailed health assessments to monitor students progress and inform care decisions.
Facilitated community outreach programs to enhance public awareness of health resources and services.
Conduct audits of health information to ensure the organization is adhering to all terms and conditions of the grant agreement.
Ensure delivery of health services timelines are met.
Supported child development initiatives by implementing age-appropriate activities and assessments.
Executed crisis intervention strategies to stabilize and support individuals in emergency situations.
Supervise Health assistants to ensure the provision of health services for all pupils enrolled is met.
Met regularly with staff to provide performance feedback.
Authorization Specialist
Paragon Healthcare
01.2022 - 10.2022
Processed authorizations efficiently to ensure timely access for parenteral and enteral nutrition support.
Facilitated clear client communication to enhance understanding and satisfaction throughout the service experience.
Executed accurate data entry to maintain up-to-date and reliable information utilizing the CPR health system.
Reviewed documents meticulously to ensure completeness and compliance with organizational standards.
Adhered to compliance regulations rigorously to uphold ethical and legal standards within the organization.
Verified insurance information attentively to streamline the billing process and reduce discrepancies.
Medical Administrative Associate Lead
Hartford Hospital Cancer Center
09.2017 - 10.2021
Obtained pre authorization for chemotherapy treatment, restaging radiology scans, genetic testing, echocardiograms, biopsies, hospital admissions etc.
Assist with processing of medical claims.
Led a diverse team to enhance operational efficiency and foster a collaborative work environment.
Identify discrepancies to Implement or improve the standard of operations.
Managed logs and data analysis to integrate for meeting and presentations.
Project management.
Utilized as the liaison to pharmacy department, providers and insurance companies.
Coordination of preferred drugs and biosimilar.
Overturn denials with the submission of appeal letters or arrangements of peer to peers.
Ensured compliance with healthcare regulations to maintain the integrity and safety of patient care.
Education
Bachelor of Arts - Business Management
Berkeley College
New York, NY
05.2012
Skills
Effective Customer relation
Proficient with Microsoft word, Excel, Power point, Power BI, Outlook