Ceresa Sulsona
Riverside,CA
Summary
Dedicated Patient Financial Counselor with expertise in financial counseling, insurance verification, and patient advocacy. Proven ability to enhance patient satisfaction and streamline billing processes.
Compassionate Patient Financial Counselor with over 20 years of experience in financial counseling and insurance verification. Known for strong problem-solving abilities and excellent communication skills, effectively educating patients on financial resources and enhancing overall satisfaction.
Experienced Patient Financial Counselor adept at simplifying complex financial processes and advocating for patients. Strong background in insurance verification and regulatory compliance, committed to improving patient access to healthcare services through effective communication and problem-solving.
Overview
21
21
years of professional experience
Work History
Patient Financial Counselor
Kaiser Hospital
Riverside, CA
03.2005 - Current
- Facilitated financial counseling sessions to assess patient needs and resolve billing inquiries.
- Developed comprehensive payment plans tailored to individual patient circumstances.
- Collaborated with clinical teams to streamline financial assistance processes for patients.
- Educated patients on insurance benefits, eligibility requirements, and available financial resources.
- Analyzed financial data to identify trends and recommend process improvements for billing efficiency.
- Led training sessions for new staff on best practices in patient financial counseling techniques.
- Implemented strategies that enhanced patient satisfaction related to financial services provided.
- Monitored regulatory changes affecting patient billing and ensured compliance across departments.
- Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
- Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
- Improved cash flow by proactively monitoring aging accounts receivables and implementing effective collection strategies.
- Leveraged advanced problem-solving skills to address complex cases involving multiple payers or coordination of benefits.
- Maintained up-to-date knowledge on evolving healthcare regulations, sharing insights with colleagues for continuous improvement.
- Enhanced team performance through regular trainings on best practices in patient financial counseling and related topics.
- Streamlined insurance verification processes for increased efficiency and reduced errors.
- Actively participated in community outreach programs to educate public on healthcare costs, insurance, and financial assistance options.
- Contributed to departmental goals by consistently meeting or exceeding established performance metrics.
- Streamlined insurance verification process, minimizing billing errors and speeding up patient admissions.
- Managed sensitive patient information with utmost discretion, adhering to all HIPAA guidelines.
- Educated patients on available financial assistance programs, increasing their access to necessary healthcare services.
- Trained new staff on patient financial services best practices, elevating overall performance of financial counseling team.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
Education
GED -
Modern Technology School Of Xray
Fountain Valley, CASkills
- Medicare expertise
- Claims processing
- Insurance verification
- Financial counseling
- Revenue cycle management
- Medical billing
- Medicaid
- Customer service
- HIPAA compliance
- Patient registration
- Data entry proficiency
- Conflict resolution
- Issue research
- Teamwork and collaboration
- Problem-solving
- Punctual and hardworking
- Problem-solving abilities
- Calm and effective under pressure
- Multitasking Abilities
- Excellent communication
- Caring and empathetic
- Active listening
- Patient education
- Documenting and recording information
- Reliability and dedication
- Insurance verifying
- Communicating to patients and families
- Resolving problems
- Medical insurance
- Insurance authorizations
- Self motivation
- Outbound calling
- Benefits explanation
- Professionalism
- Gathering information from patients
- Professional bedside manner
- Patient advocacy
Accomplishments
I have been Service Champion several years at Kaiser.
Timeline
Patient Financial Counselor
Kaiser Hospital
03.2005 - Current
GED -
Modern Technology School Of Xray