Summary
Overview
Work History
Education
Skills
Awards
Timeline
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Chastity Bgaeen

Poughkeepsie,NY

Summary

As a versatile and professional candidate, and often the first point of contact for patients, ensuring their needs are met by verifying insurance, handling paperwork, and preparing records. Well versed in MS and EHR systems, as well as possessing a thorough knowledge of medical terminology. Committed to providing personalized service and delivering quality patient care. Known for organizational skills and dependability, Always willing to take on additional responsibilities to meet team goals, Detail-oriented and a strong team player. Expert in handling multiple projects simultaneously with a high degree of accuracy. With a background in healthcare practices, compliance standards, and operations, Excellent problem-solver and clear communicator with a positive and upbeat personality. Well versed in

Overview

27
27
years of professional experience

Work History

Shop Owner

JW Auto Custom Inc
01.2023 - 03.2024
  • Prepared annual budgets and monitored financial objectives.
  • Hired, coached, counseled and disciplined employees.
  • Complied with legal requirements and set up surveillance measures to secure merchandise.
  • Enhanced operational efficiency and productivity by managing budgets, accounts, and costs.
  • Managed day-to-day business operations.
  • Generated revenues yearly and effectively capitalized on industry growth.
  • Created an invoicing system and advertising platforms to grow the business.
  • Solely responsible for all employee record keeping and payroll.
  • Managed over 100 accounts payable accounts.
  • Grew a small business in 6 months to a profit of $200,000+

ED Registrar

Nuvance Health
08.2019 - 10.2021
  • Performed various clerical duties supporting emergency department operations.
  • Reviewed, assessed and evaluated over 100 patients registrations and confirmed accuracy of demographic and financial data.
  • Analyzed accounts, responded to various registration inquiries and resolved issues.
  • Supplied patients with pertinent information and obtained signatures on medical, legal and financial forms.
  • Exceeded department-specific productivity standards, collection targets, quality audit scores for accuracy productivity and collection standards for registrations and insurance verifications.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.

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Prior Authorization Coordinator

Orthopedic Associates of Dutchess County
10.2018 - 08.2019
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Researched denied claims and contacted insurance companies to resolve these issues.
  • Reached out to insurance carriers for entire Radiology Department, over 300 patients weekly to obtain prior authorization for testing and procedures.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Authorized surgical requests in accordance with applicable plan guidelines.
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.

Stock Broker

American Stock Transfer
04.2010 - 09.2010
  • Maintained and advanced position during a layoff to a communication/conflict resolution representative.
  • Completed trades on rising stocks , increasing profits.
  • Responsible for informing clients of stock changes and options available
  • Completed anywhere from 150 to 200 stock transfers a day.

Empire Plan Customer Service Representative

United Health Group/ Empire Plan
01.2007 - 03.2010
  • Informed customers of the various programs available to them through their insurance.
  • Customer service representative in claims and benefits
  • Duties include, written and verbal communication with co-workers and members while maintaining professionalism and patient confidentiality during difficult and complex situations
  • Responsible for reviewing and correcting at a minimum of 100 or more health insurance claims, explaining benefits and eligibility to members and health care providers
  • Reviewing claims for accuracy and reprocessing when necessary
  • Well educated in Health Care Laws pertaining to New York and the Federal Government
  • Instructed co-workers in coaching sessions and training.

Accounts Receivable/Dispatcher

Valley Courier
06.1997 - 10.2007
  • Maintained daily receivables as well as collections on accounts over 30 days
  • Calculated payroll for independent contractors and handled accounts payable
  • Assumed sole responsibility for the company in 13 hour shifts from home
  • Responsible for locating independent contractors, dispatching them and following their completion of deliveries
  • Mastered various computer software programs.
  • Generated daily billing for more than 50 customers per day
  • Planned, organized, and managed work of subordinate staff to accomplish consistent work within organizational standards.
  • Directed dispatching, routing, and tracking of 35 or more fleet vehicles.
  • Maintained professional relationship with shippers, receivers and drivers to increase trust, reliability and rapport.

Education

Nursing

UCC College
Stone Ridge
05.2010

Elementary Education

HVC College
Troy
05.2008

Skills

  • Proficient in accounts receivable, billing, medical claims, contracts, planning, management, Insurance and authorizations and HR practices
  • Extensive knowledge of medical terminology including, but not limited to claims, CPT and ICD 10 coding, medical insurance billing practices and patient benefits
  • Sharp problem solver accustomed to working in fast paced and often stressful environment with successful outcomes
  • Healthcare administration
  • HIPAA Compliance
  • Insurance Verification
  • Adaptability and Flexibility
  • Staff Leadership
  • Attention to Detail
  • Reliability
  • Claims Processing
  • Policy Interpretation
  • Provider Relations
  • Medicare and Medicaid knowledge

Awards

Obtained quarterly bonuses every quarter for United Health Group. Received acknowledgement and an engraved plaque from the CEO of United Health Group for outstanding customer service and excellent performance metrics.

Timeline

Shop Owner

JW Auto Custom Inc
01.2023 - 03.2024

ED Registrar

Nuvance Health
08.2019 - 10.2021

Prior Authorization Coordinator

Orthopedic Associates of Dutchess County
10.2018 - 08.2019

Stock Broker

American Stock Transfer
04.2010 - 09.2010

Empire Plan Customer Service Representative

United Health Group/ Empire Plan
01.2007 - 03.2010

Accounts Receivable/Dispatcher

Valley Courier
06.1997 - 10.2007

Nursing

UCC College

Elementary Education

HVC College
Chastity Bgaeen