Hard-working individual with a passion for healthcare who is self-motivated, organized with excellent customer service skills. Offering healthcare, billing and office administration experience.
Overview
12
12
years of professional experience
Work History
Sr Patient Finance Rep
Boston Children's Hospital
01.2021 - Current
Completed financial clearance for Heart center patients Verifying insurance coverage and ensures all insurance requirements are met
Obtained authorization for Heart Center Inpatient Admissions by contacting insurance companies and utilizing appropriate website portals to request necessary authorizations
Provided Third Party Payors with appropriate demographic information to complete authorizations/referrals
Coordinated with PCP office for necessary requirements for Out of network cases
Fixed any errors within patient’s accounts to ensure accuracy.
Completed follow up on all cases to ensure authorizations have been approved.
Initiated Denial escalation process as needed
Office Administrator
Vivant Solar
12.2019 - 01.2021
Coordinate and conduct training sessions based on staff and organizational learning needs
Provide reports on account status regarding permits, installation, approvals and hold
Compile and submit expense reports for office expenditures
Act as a liaison between managers, sales representatives, and utility companies
Patient Service Representative
Home Care Specialists Inc.
09.2017 - 12.2019
Verify and obtain patient specific insurance benefits
Initiate and complete authorization requirements for Durable Medical equipment and specialized services
Coordinate the delivery of all medical equipment and specialized services
Daily interactions with providers and other medical professionals to coordinate medical needs for mutual patients
Billing Clerk
Maddison Resource Funding
11.2013 - 09.2017
Organized records of financial transactions, charges, and payments made by clients
Update and maintain client based database
Reconciled bank statements for inconsistencies
Monitor and update account statuses
Education
Certified Nursing Assistant Certificate -
American Red Cross
Haverhill, MA
Business Management Certificate - undefined
Seacoast School of Technology
Exeter, NH
High School Diploma - undefined
Exeter High School
Exeter, NH
Skills
Team Oriented
Data Entry
Microsoft Office
Excel
Inventory management
Complaint Resolution
Experienced with Health New England, Tricare, BMC, Healthy Families, Always Health Partners, Tufts Health Plans,Blue Cross Blue Shield, UHC,Harvard Pilgrim,Cigna, Aetna