Caitlin Pecora
Bethlehem,PA
Summary
Versatile professional serving as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Overview
10
10
years of professional experience
Work History
Medicaid Specialist (PA Region)
Eden Senior Care
04.2025 - Current
- Evaluated the effectiveness of current processes, recommending improvements to enhance efficiency and quality of service delivery within the department.
- Assisted in the development of training materials for new staff members, contributing to overall team success and growth.
- Optimized internal databases for tracking and managing applicant files, improving data retrieval speed.
- Managed high caseloads efficiently while maintaining strict attention to detail and prioritizing tasks based on urgency.
- Coordinated with interdepartmental teams to address and resolve complex eligibility cases.
Medicaid Specialist & Billing Coordinator
Holy Family Senior Living
04.2024 - 04.2025
- Provided compassionate support to families facing financial hardships due to medical expenses, helping them identify resources for assistance.
- Assessed patients'' eligibility for financial assistance programs (Medicaid) by conducting thorough reviews of their income and expenses, making appropriate recommendations based on individual circumstances.
- Resolved complex cases requiring special attention or escalated intervention, demonstrating problem-solving abilities under pressure.
- Enhanced Medicaid application processing efficiency by streamlining workflows and implementing best practices.
- Monitored accounts receivable reports, identifying trends and proactively addressing potential collection issues.
- Established clear communication channels between departments to promote seamless coordination in all aspects of the billing process.
Admissions Coordinator
Holy Family Senior Living
04.2023 - 04.2024
- Managed a high volume of hospital referrals and outside inquires of nursing home admissions.
- Determined appropriate level of care for potential admission by reviewing clinical documentation in EMR system with department heads and appropriate staff members.
- Identified potential "red flag" admissions to avoid financial hardship of nursing home.
- Assisted patients in understanding their benefits and coverage, clarifying complex insurance terms, and providing guidance on out-of-pocket expenses.
- Provided tours and answer calls from interested applicants by providing knowledge of room rates and services offered at nursing home.
- Generated patient data and input insurance into CRM to verify eligibility and benefits.
- Completed paperwork with DocuSign and update chart according to data provided by patient or responsible party within 24 hours of admission.
Business Office Coordinator
Genesis Healthcare System
07.2022 - 04.2023
- Maintained accurate records of all collection activities, providing regular updates to management on the status of outstanding accounts by participating in AR reviews.
- Developed customized payment plans for financially distressed clients, assisting them in meeting their obligations while preserving business relationships.
- Improved debt recovery rates by implementing effective collections strategies and maintaining consistent follow-up with delinquent accounts.
- Collaborated closely with other departments to resolve billing discrepancies or disputes that could lead to late payments or non-payment situations.
- Enhanced customer relationships through professional communication and negotiation skills, resolving disputes and ensuring timely payments.
Medical Receptionist
St Luke's University Health Network
12.2021 - 07.2022
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic, and health history to keep information current.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
Patient Service Representive
Coordinated Health
07.2021 - 12.2021
- Streamlined patient check-in process for faster and more accurate information gathering.
- Handled financial transactions with precision while discussing payment options with patients in a respectful manner.
- Managed high call volume effectively, prioritizing urgent matters while maintaining courteousness towards all callers.
- Improved patient satisfaction by efficiently managing front desk operations and providing exceptional customer service.
- Coordinated appointments for multiple providers, ensuring timely and efficient scheduling of patient visits.
Medicaid Specialist
ProMedica Senior Care
12.2018 - 07.2021
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Assisted clients with completion of applications and paperwork.
- Managed high caseloads efficiently while maintaining strict attention to detail and prioritizing tasks based on urgency.
- Reduced errors in Medicaid eligibility determinations through thorough case analysis and accurate data entry.
- Developed strong relationships with County Assistance Offices, facilitating referrals and collaboration for optimal client outcomes.
Account Representative
PATHS, LLC
01.2015 - 12.2018
- Assessed patients eligibility for financial assistance programs by conducting thorough reviews of their income and expenses, making appropriate recommendations based on individual circumstances.
- Assisted patients in understanding their benefits and coverage, clarifying complex insurance terms, and providing guidance on out-of-pocket expenses.
- Collaborated with clinical teams to optimize patient care coordination and financial management.
Education
Associate of Arts - Photography
Antonelli Institute of Art And Photography
Willow Grove, PA05.2012
High School Diploma -
Freedom High School
Bethlehem, PA06.2010
Skills
- Eligibility determination
- Policy analysis
- Healthcare
- Medicaid expertise
- Application processing
- Teamwork and collaboration
- Effective communication skills
- Problem-solving
- Time management
- Multitasking
- Organizational skills
- Attention to detail
Timeline
Medicaid Specialist (PA Region)
Eden Senior Care
04.2025 - Current
Medicaid Specialist & Billing Coordinator
Holy Family Senior Living
04.2024 - 04.2025
Admissions Coordinator
Holy Family Senior Living
04.2023 - 04.2024
Business Office Coordinator
Genesis Healthcare System
07.2022 - 04.2023
Medical Receptionist
St Luke's University Health Network
12.2021 - 07.2022
Patient Service Representive
Coordinated Health
07.2021 - 12.2021
Medicaid Specialist
ProMedica Senior Care
12.2018 - 07.2021
Account Representative
PATHS, LLC
01.2015 - 12.2018
Associate of Arts - Photography
Antonelli Institute of Art And Photography
High School Diploma -
Freedom High School
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