Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills.
Overview
7
7
years of professional experience
Work History
Patient Financial Counselor
Temple University Health System
Philadelphia, PA
07.2022 - Current
Assist patients in understanding the details of their bills, including deductibles, and co-pays.
Utilize alternative means for obtaining coverage for uninsured or underinsured patients.
Perform complex insurance verification and eligibility determinations with internal and external sources.
Initiated financial approval or denial of elective procedures based on adequate health coverage, and the patient's ability to pay.
Unit Secretary
Jefferson Health System
Philadelphia, PA
06.2021 - 08.2023
Provided clerical and administrative support to the nurse manager for the labor and delivery unit.
Greeted patients and families, answered phone calls, and managed medical records.
Processed check-in, check-out, and admissions for expecting mothers and newborns.
Ensured all paperwork was completed accurately prior to discharge or transfer of a patient from labor and delivery unit.
Coordinated with nurses, physicians, and other healthcare staff to ensure smooth operations.
Maintained supply inventory levels in the unit and requested additional supplies as needed.
Account Resolution Specialist
University of Pennsylvania Health System
Philadelphia, PA
04.2021 - 05.2022
Served as the first point of contact for addressing complex account issues, patient concerns, and day-to-day billing and insurance inquiries.
Managed EPIC APM work queues related to the following functions: charge review, claim edits, and rejections.
Investigated and followed up on claim edits, denials, and underpayments by insurance carriers regarding the open balance to obtain payment.
Provided insight on denial trends, or the root cause of denials, to reduce future denials and expedite the reprocessing of claims.
Identified untimely accounts and performed accurate and timely write-offs, adhering to policy guidelines.
Preregistration Specialist
University of Pennsylvania Health System
Philadelphia, PA
06.2018 - 04.2021
Ensured financial security of elective exams, procedures, and elective/emergent admissions, same-day service requests, or add-on services.
Obtained and documented specific details related to the authorization.
Followed up with referring sources for all 'pended' or 'denied' authorization requests.
Verified patient demographic information, insurance benefits, and financial data.
Ensured medical necessity coverage, order compliance, corrected registration data, and rescheduled patients as needed.
Financial counselors advised patients and families on financial responsibilities, possible coverage problems, and provided alternatives; discussed benefit denials, drafted financial arrangements, provided cost estimates, assessed, and completed ABNs with patients.