Louise Geter-Giddiens
Bridgeport,CT
Summary
Detail-oriented Patient Access Representative with extensive medical services background and strong work ethic. Excellent communications skills and empathetic nature. Well-versed in scheduling and database management functions for streamlined communication.
Overview
13
13
years of professional experience
Work History
SR. Rep-Patient Access
Hartford Healthcare-St. Vincent's Medical Center
Bridgeport, CT
07.2019 - Current
- Delivers exceptional customer and brand experience. Handling incoming or making outbound communication with the intent of first-call resolution for appointment scheduling, canceling, rescheduling, patient registration and documentation across service line functions.
- Processes provider or patient referrals (fax, phone, EHR) for all scheduling functions, obtains prior authorization when needed. Handles incoming or outbound communication and scheduling functions for our Cardiology offices.
- Helped address client complaints through timely corrective actions and appropriate referrals.
Insurance Verification
Rehabilitation Associates
Shelton, CT
06.2018 - 07.2019
- Obtain insurance authorizations and referrals
- Verify benefits before every appointment
- Obtain Workers Compensation authorizations
- Auto Accident verifications
Senior Finance Coordinator
Reproductive Medicine Associates of Connecticut - Trumbull
Trumbull, CT
01.2011 - 05.2018
- Insurance Verification
- Counsel and educate patients regarding insurance benefits so they are educated on all financial obligations dictated by their insurance.
- Confirm that patients are knowledgeable of financing, payment plans, and self pay options
- Obtain prior authorization for services (OI, IUI, IVF, Medications, MRI, CT Scans, and Surgical procedures}
- Collect all out of pocket expenses as well as balances owed prior to the intitation of a treatment
- Ensure all financial files including disclosure statement, waivers, referrals, insurance cards and correspondence are compliant
- Ensure the proper CPT and ICD-10 codes are billed correctly
- Make sure that proper modifiers and case rates are billed according to insurance contracts
- Review pending report for billing errors and questions
- Review and acted upon insurance denials, underpayments, and claim rejections
- Facilitated training of new employees
Education
High School Diploma -
Central Magnet High School
Bridgeport, CT1993
Skills
- Excellent written and verbal communication
- Regulatory compliance
- ICD-10 (International Classification of Disease Systems)
- Records management professional
- Familiar with commercial and private insurance carriers
- Understands insurance benefits
- Excellent time management skills
- Ability to work effectively in a team environment
- Works well under pressure
- Professional phone etiquette
- Ability to prioritize
Timeline
SR. Rep-Patient Access
Hartford Healthcare-St. Vincent's Medical Center
07.2019 - Current
Insurance Verification
Rehabilitation Associates
06.2018 - 07.2019
Senior Finance Coordinator
Reproductive Medicine Associates of Connecticut - Trumbull
01.2011 - 05.2018
High School Diploma -
Central Magnet High School
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