Bernice Figueroa
Ridgewood,NY
Summary
Detail-oriented Medical and Health Services Manager with extensive experience who is passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration. Patient-focused professional equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts.
Overview
26
26
years of professional experience
Work History
Practice Specialist
Weill Cornell Medicine , Pediatric Subspecialties
New York, NY
03.2003 - Current
- Collaborated with multi-disciplinary staff in developing and implementing policies, procedures, systems and best practices to improve operations and patient care activities
- Provide training to staff in systems and procedures that are related to patient care and customer service and monitor quality of service to continue to develop strategies for improvement
- Participate in the daily activities of the practice including reception, registration, collecting time of service payments and assist in coordination of follow up care
- Provides support during patient and staff issues in order to provide service recovery and develop strategies for improvement
- Participate in screening and interviewing prospective candidates and make recommendations for employment
- Assist providers and clinical staff in navigating electronic medical records, trouble shooting issues and serving as a medical chaperone
- Review patients demographics and insurance information to verify benefits and collect any referrals required prior to appointment date.
- Reconcile revenue cycle matters which include past due accounts and invoices and respond to billing inquires and disputes
- Responsible for cash handling, timely deposits and cash and charge reconciliation
- Manage supply and equipment for practice, prepare purchase orders, receive orders and confirm accuracy of delivery and assist with cost control
- Responsible for the condition of the facilities and equipment coordinates preventive maintenance and repairs
- Responsible in coordinating the cleaning and disinfecting of exam rooms and patient areas to provide important infection control practices
- Ensure that practice is aware of quality and patient safety standards and report any adverse or near miss events
Accounts Administrator
Weill Cornell Medicine, Department of Medicine
New York, NY
10.2000 - 03.2003
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Collaborated closely with other departments to resolve claims issues.
- Reviewed and verified benefits and eligibility with speed and precision.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Posted charges, payments and write-ups for Pediatric Specialist Services
- Submitted refund requests for claims paid in error.
Senior Patient Coordinator
Strang Cancer Prevention Center
New York, NY
07.1998 - 10.2000
- Scheduled and coordinated patient appointments with physicians, specialists, and other healthcare providers.
- Monitored medical records for accuracy and completeness of information related to patient care.
- Provided patients with assistance in navigating the healthcare system and connecting them to appropriate resources.
- Assessed patient needs and communicated those needs to other staff members as needed.
- Coordinated referrals between primary care physicians and specialists when necessary.
- Collaborated with insurance companies to verify coverage details prior to scheduling appointments.
- Assisted in resolving billing issues that arise from insurance companies or other third parties.
- Answered incoming phone calls promptly and professionally, directing callers appropriately as needed.
- Processed patient intake information and updated medical records prior to treatment.
- Completed insurance verifications and claim forms for patient intake and processing.
- Provided administrative support for patient care staff.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Education
Bachelor of Science - Healthcare Administration
Capella University
Minneapolis, MN01.2017
Skills
- Epic Systems
- Interdepartmental Functions Coordination
- Service Utilization Improvements
- Problem Resolution
- HIPAA Guidelines
- Verbal and Written Communication
Languages
Spanish
Professional
Timeline
Practice Specialist
Weill Cornell Medicine , Pediatric Subspecialties
03.2003 - Current
Accounts Administrator
Weill Cornell Medicine, Department of Medicine
10.2000 - 03.2003
Senior Patient Coordinator
Strang Cancer Prevention Center
07.1998 - 10.2000
Bachelor of Science - Healthcare Administration
Capella University
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