CHANTELLE MAGOSHA
Bellerose,NY
Summary
Experienced Patient Care Coordinator adept at scheduling, managing medical records, and ensuring excellent patient experiences. Skilled in administrative tasks, issue resolution, and compliance. Dedicated to delivering exceptional customer service, fostering positive relationships, and maintaining confidentiality. Passionate about improving patient outcomes and providing high-quality care Well-qualified financial systems leader offering demonstrated skill and success in managing internal accounting processes, improving controls and strengthening systems for optimal performance. Proficient in all aspects of accounting, including accounts payable and receivable, budget administration and payroll. Gifted in building and leading solid teams to handle high-volume operations with consistency, accuracy and full compliance with regulatory requirements.
Overview
1819
1819
years of professional experience
Work History
Patient Financial Specialist
Memorial Sloan Kettering Cancer Center
09.2020 - Current
- Acted as a liaison between patients and health care providers, facilitating communication and ensuring patient satisfaction
- Implemented and maintained electronic health records, ensuring accuracy and confidentiality
- Conducted patient assessments and screenings to determine individualized care needs
- Collaborated with interdisciplinary teams to develop comprehensive care plans.
- Streamlined patient registration processes by creating easy-to-understand forms and instructions for completing necessary documentation.
- Provided compassionate support to patients experiencing financial hardship by developing customized payment solutions tailored to their individual circumstances.
- Increased efficiency in handling insurance claims by implementing an organized system for submitting and tracking paperwork.
- Advised patients on available financial assistance programs, helping them navigate the application process to secure support with medical expenses.
- Maintained strict confidentiality of patient data by adhering to HIPAA regulations and company policies regarding information security.
- Supported team members by offering assistance with complex cases, leading to improved resolution times and increased customer satisfaction.
- Developed strong relationships with insurance companies, facilitating smooth communication regarding claim submissions and reimbursements.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all financial transactions and communications with patients.
- Collaborated with medical staff to resolve discrepancies in patient records and ensure accurate billing information for services rendered.
- Served as a liaison between patients and healthcare providers, ensuring accurate communication of financial responsibilities and treatment plans.
- Trained new hires on company policies, software usage, and effective communication strategies to ensure consistent quality service across the team.
- Expedited claim processing timeframes through proactive troubleshooting of claim denials or rejections, resulting in faster reimbursement for services rendered.
- Implemented an effective system for tracking pending authorizations from insurance providers, ensuring timely approvals for treatments or procedures requiring pre-approval status.
Patient Care Coordinator
Memorial Sloan Kettering
08.2017 - 09.2020
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Worked with patients to schedule tests and procedures.
- Delivered excellent patient experiences and direct care.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Evaluated and optimized office workflows for peak efficiency, identifying areas of improvement and implementing necessary changes to better serve patients and staff alike.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Provided support and guidance to patients and families to navigate healthcare systems.
- Coordinated transportation to get patients to and from medical appointments.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Improved overall organization within the office by implementing electronic filing systems for patient records, reducing time-consuming paperwork processes.
- Ensured regulatory compliance by staying up-to-date on industry standards and best practices related to patient care coordination.
- Monitored inventory levels of medical supplies and equipment, placing orders when necessary to prevent shortages or delays in patient care provision.
Patient Account Representative
Northwell Health
10.206 - 07.2017
- Managed patient referrals and coordinated care transitions between health care facilities
- Provided emotional support and counseling to patients and families during difficult times
- Monitored patient progress and outcomes, adjusting care plans as necessary
- Participated in quality improvement initiatives to enhance patient care processes
- Facilitated discharge planning and ensured continuity of care post-hospitalization
- Conducted follow-up calls and appointments to track patient recovery and address any concerns
- Assisted with insurance verification and authorization processes.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Maintained accurate records of customer accounts, payments and payment plans.
- Worked with customer to create debt repayment plan based on current financial condition.
- Analyzed customer financial records to determine appropriate payment plan.
Workers Compensation Admin
Utopia Claims Concept, Inc.
01.2016 - 10.2016
- Maintained up-to-date knowledge of health care regulations and compliance standards
- Facilitated communication between patients and health care providers to address concerns and questions
- Documented patient interactions and interventions accurately and comprehensively
- Conducted health education sessions for patients and their families on disease management and prevention
- Provided support to patients navigating the healthcare system and accessing community resources
- Participated in continuous education and training to stay updated on best practices in patient care coordination.
- Worked fast to complete tasks and meet daily deadlines.
- Examined claims forms and other records to determine insurance coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
Education
MBA - Dual Degree in Masters in Healthcare & Business
Pfeiffer University
Misenheimer, NC2026
Bachelor of Science (B.S) - Psychology
Penn State University
01.2013
Skills
- Communication
- Empathy
- Organization
- Problem-solving
- Multitasking
- Attention to detail
- Medical knowledge
- Customer service
- Teamwork
- Cultural competence
- Time management
- Confidentiality
- Technology Proficiency
- Conflict resolution
- Stress Management
- Continuous Learning
- HIPAA Compliance
- Claims Processing
- Medical Terminology Familiarity
- Patient Registration
- Insurance Verification
- Medical coding knowledge
- Adaptability in Healthcare
- Customer Service
- Verbal and written communication
- Medical Terminology
- Data entry proficiency
- Filing and data archiving
- Time Management
- Attention to Detail
- Critical Thinking
- Customer Relations
- Microsoft Office
- Financial records and reporting
- Data Entry
- Handling Confidential Materials
- Data Entry and 10-Key
Timeline
Patient Financial Specialist
Memorial Sloan Kettering Cancer Center
09.2020 - Current
Patient Care Coordinator
Memorial Sloan Kettering
08.2017 - 09.2020
Workers Compensation Admin
Utopia Claims Concept, Inc.
01.2016 - 10.2016
MBA - Dual Degree in Masters in Healthcare & Business
Pfeiffer University
Bachelor of Science (B.S) - Psychology
Penn State University
Patient Account Representative
Northwell Health
10.206 - 07.2017
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