Brenda Bass
Crosby,Texas
Summary
A rewarding position with a company that will allow me to fully utilize my communication, organizational, and problem skills.
Overview
23
23
years of professional experience
Work History
Case Manager I
Texas Health and Human Services
01.2022 - Current
- Obtains, verifies, and calculates income and resources to determine financial eligibility for Title XX programs
- Maintains case record documents and enters information in an automated system, establishing a record for each individual receiving service
- Monitors through contacting individuals receiving services to determine if services are meeting the individual’s needs
- Develops/coordinates/reviews service plans with individuals receiving services and their families, provider agencies and other state agency staff and authorizes services appropriately and accurately to meet the individual’s needs
- Prepares basic level ongoing or special narrative or statistical reports.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Collaborated with an interdisciplinary team to determine timely delivery of services.
- Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
Patient Registration Specialist
UC San Diego Health (Landsoft Staffing)
10.2021 - 01.2022
- Working directly with insurance companies to verify Medicare, Medicaid and all major insurance companies’ benefits Estimation of patient financial responsibility and calculation of deposit amounts
- Conveying financial responsibility and benefit information to patients
- Collect or arrange for collection of patient services rendered
- Performed duties under minimal supervision
- Meet and Greet patients, check weekly schedule for patient information updates
- Collect information from incoming patients regarding services that need insurance available, or financial status
- Registered patients, verified benefits and eligibility, obtain procedure authorization for insurance companies
- Maintained efficient patient flow and attention to detail throughout the registration process
- Provide Quality Review/Error identification and correction for Patient Demographic ensuring all information is correct.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Gathered demographic and insurance information to register patients for medical appointments.
Customer Service Representative
Cigna (Mindlance Staffing Agency)
01.2021 - 10.2021
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Assist with appeals and Denial notification
- Assist clients with benefit questions
Patient Access Specialist-Insurance Verifier
MD Anderson Cancer Center/Objectwin Agency
04.2019 - 07.2021
- Passport/Availity/TMHP/Navient
- Obtain patient demographic information
- Insurance verification
- Epic experience
- MSPQs/Spot agreement
- Payor Tool
- Ensure and assist patients in obtaining proper insurance referrals and prior authorizations
- Input patient demographic and insurance information into computer system
- Adheres to the HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement
- Coordinate registration of new patients via phone calls or in office
- Experience with all major and government payers
- Track referral and prior authorization process
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Create Estimates for all self-pay/International patients
- Government Insurance Military -Medicare-Medicaid.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Performed patient pre-admission, admission, transfer and discharge activities.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Eligibility Counselor
HarrisHealth System (Retired)
05.2000 - 08.2019
- Performed eligibility assistance, case management, referrals or related function.
- Uploaded and submitted verification documents and completed applications.
- Assisted individuals and families by collecting required and accurate personal and demographic information to determine eligibility.
- Complied with department, organization and government policies and procedures.
- Review approve or deny clients application for financial assistance.
Education
High School Diploma -
Alto High School
Alto, TX05.1984
Skills
- Fifteen years Customer service in hospital and office administrative experience working with important business documents, strong communication skills, & excellent people skills Proven ability to interact professionally, efficiently, and pleasantly with patients, customers, and team members Great reputation for accuracy, and the ability to work under pressure Excellent time management, organizational, and multi-tasking skills Proficient with medical terminology and office applications (Ie Microsoft Office) Competent in web research Written and oral communication, records management, proofreading, & editing documents Experience with Epic, Meditech, Star Navigator, TMHP, PayNav, and FISS computer software Biometric Identification Systems & Electronic Signature Pad Private Patient Provider
References
Reference available upon request
Timeline
Case Manager I
Texas Health and Human Services
01.2022 - Current
Patient Registration Specialist
UC San Diego Health (Landsoft Staffing)
10.2021 - 01.2022
Customer Service Representative
Cigna (Mindlance Staffing Agency)
01.2021 - 10.2021
Patient Access Specialist-Insurance Verifier
MD Anderson Cancer Center/Objectwin Agency
04.2019 - 07.2021
Eligibility Counselor
HarrisHealth System (Retired)
05.2000 - 08.2019
High School Diploma -
Alto High School
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