Berlinda Alfred
Everett
Summary
Dedicated and detail-oriented Patient Access Specialist with over 2 years of experience in healthcare administration. Proven track record in managing patient admissions, insurance verification, and billing processes with a focus on delivering exceptional patient service. Proficient in handling patient inquiries, scheduling appointments, and coordinating with medical staff to ensure seamless patient flow.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Collections Representative
Robert Half
09.2022 - 02.2025
- Identifies and manages existing and emerging risks that stem from business activities and the job role
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled
- Follows written risk and compliance policies and procedures for business activities
- Uses established procedures and significant job experience to carry out and resolve moderately complex to complex delinquency work assignments and conducts member research as necessary
- Serves as a resource to team members on escalated issues
- Contacts members in all stages of delinquency and across all USAA product lines through automated and manual outbound dialing; receives inbound collections and general servicing calls
- Under minimal supervision, performs individual member needs assessment to quickly determine the member's reason for delinquency and provide customized solutions and advice to improve their financial security
- Negotiates mutually satisfactory payment arrangements within defined guidelines
- Actively uses and educates members on the debt analyzer and money manager tools on usaa.com
- Completes required account verification, account maintenance, and documents all contact and collection attempts
- May participate and partner as a resource to support projects and/or initiatives within Member Debt Solutions
- Follows written risk and compliance policies and procedures for business activities
Collections Representative
Ally Financial
05.2019 - 01.2022
- Contact customers to determine reason for payment delinquency and negotiate payment commitment
- Handle accounts with speed and accuracy while maintaining professionalism
- Complete phone calls to meet required performance standards and metrics
- Confirm and/or negotiate payment arrangements; research any discrepancies
- Maintain established objectives for delinquency, repossessions and net losses; stay informed of changes in policies and procedures
- Uses computerized system for tracking, information gathering, and/or troubleshooting
- Evaluate accounts to find a win/win solution to avoid repossession loss
- Document all accounts accurately, clearly and concisely noting reason for hardship and potential repossession loss
Patient Access Representative
Conifer Health Solutions
01.2017 - 02.2019
- Greeting customers, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.)
- Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services
- May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed)
- Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
- Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors
- May also assist with scheduling and coordinating post discharge care for patients
Medical Collections Representative
Transworld Systems Inc
05.2015 - 07.2016
- Contact patients and insurance companies to collect outstanding balances on medical accounts
- Review and analyze patient accounts to identify discrepancies and ensure accurate billing
- Negotiate payment plans with patients to facilitate timely payments and reduce outstanding debt
- Process and post payments to patient accounts, ensuring accurate record-keeping
- Maintain detailed records of collection activities and communications in compliance with company policies and regulations
Collections Representative
Citi Cards
01.2014 - 12.2014
- Negotiated with over 300 clients on a monthly basis by providing them with options to help resolving their accounts delinquencies
- Effectively resolved over 100 past due accounts on a monthly basis while minimizing company losses
- Built great relationships with clients and provided them with necessary assistance
Cna/clinicals
Hearthland Health Care Center
08.2010 - 02.2011
- Assess vital signs, assist patients with activities for daily living such as bathing, grooming, and meals
- Maintain a clean, orderly and well-stocked environment
- Supervise patients
Education
High School Diploma -
Dr. Michael M Krop Senior High
Miami, FL06.2011
Skills
- Windows
- ADLs
- Cashiering
- CRM software
- Computer operation
- Organizational skills
- Multilingual
- Research
- Hospital experience
- Sales
- Cash handling
- Microsoft Office
- Computer literacy
- POS
- Negotiation
- Vital signs
- Live chat
- Accounts receivable
- Microsoft Excel
- Insurance verification
- Customer service
- Cleaning
- Medicare
- Communication skills
Certification
CNA
Timeline
Collections Representative
Robert Half
09.2022 - 02.2025
Collections Representative
Ally Financial
05.2019 - 01.2022
Patient Access Representative
Conifer Health Solutions
01.2017 - 02.2019
Medical Collections Representative
Transworld Systems Inc
05.2015 - 07.2016
Collections Representative
Citi Cards
01.2014 - 12.2014
Cna/clinicals
Hearthland Health Care Center
08.2010 - 02.2011
High School Diploma -
Dr. Michael M Krop Senior High
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