Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and scheduling. Ready to bring over 7 years of relevant work experience to your team.
Overview
7
7
years of professional experience
Work History
Provider Network Coordinator
A-Line Staffing
05.2023 - Current
Supported the role of the Provider Network Specialist II in overflow tasks •
Submitted tickets for Claims team review on behalf of the market
Submitted tickets for Check Reissues on behalf of the market
Completed Provider Portal access approvals
Provider Enrollment Analyst
BroadPath Healthcare
02.2023 - Current
Checked documentation for accuracy and validity on updated systems.
Assisted providers with Part B applications to enroll in Medicare coverage
Determined acceptability of applications and approved or denied applications based on said information.
Performed routine data entry to correctly enter information from applications.
COVID-19 Contact Tracing Investigator
AppleOne
09.2021 - 03.2022
Coordinated with public health and local facilities to support isolation and quarantine of individuals.
Contacted people exposed to individuals with COVID-19, assessed symptoms and referred for testing.
Offered basic guidance regarding testing and medical consultation for those exposed to people with COVID-19.
Reached out to people newly diagnosed with COVID-19 to determine contact histories and potential exposures.
Provided educational and informational resources regarding isolation policies and quarantine measures.
Provider Enrollment Analyst
Palmetto Gba
10.2020 - 09.2021
Prepared and processed provider enrollment part B applications with Medicare in multiple states.
Conversed effectively with various parties, external and internal, on a daily basis using polished interpersonal and active listening skills
Used iFlow and MCS to enter all new details, including provider effective dates into the enrollment database.
Reviewed provider enrollment applications in order to determine acceptability, applications may be submitted for initial enrollment, change of information, re-enrollment, or revalidation.
Patient Services Rep
Palmetto Health USC Medical Group
05.2019 - 09.2020
Took copayments and compiled daily financial records.
Used RevCycle to schedule appointments.
Assisted patients in filling out check-in and payment paperwork.
Balanced deposits and credit card payments each day.
Verified insurance eligibility and coverage for patients.
Filed and maintained patient records in accordance with HIPAA regulations.
Patient Access Rep
Prisma Health Richland
06.2016 - 05.2019
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Received patient deductibles and co-pay amounts and discussed options to satisfy theremainder of patient financial obligations.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Trained new staff on hospital processes and procedures.