Constance Roberts
Duncanville,TX
Summary
Professional Summary/Goal: Dedicated Healthcare Professional with 13 years of experience in Revenue Cycle Industry. Looking to maintain a full-time position that offers me professional challenges utilizing interpersonal skills.
Overview
7
7
years of professional experience
Work History
Patient Care Coordinator
A Line Staffing Agency
Dallas, TX
04.2024 - 06.2024
- 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.
- Work closely with MA,RN and physicians,pharmacist
- Accurately documents/updates patient records in designated systems to ensure all parties have accurate information.
- Knowledgeable in Next Gen, Leading Reach,Salesforce,
- Scheduled appointments for labs,infusions and radiology
Specialty Referral Coordinator
United Healthcare, UHG
Irving, TX
01.2023 - 08.2023
- Scheduled appointments with specialists on behalf of clients.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Process Prior Authorizations
- Review fax Medical Records
- Scan patient demographic information in system
- Review MyChart patient information
- Scheduled appointments for Oncology,Hematology/OB/GYN,Surgery,Neurology,Urology,Radiology,Dermatology,Cardiology Rheumatology
- Knowledge of Epic software and Athena software
Sr. Billing Specialist
Iks Health
Coppell, Texas
06.2019 - 01.2023
- Load insurance information in the system, Re-bill claims to insurance provider
- Inbound/Outbound call to communicate with patients to collect outstanding balances and set up payment arrangements for medical bills
- Discuss Deductibles that need to met for insurance
- Supplies supervisor/manager with current account status upon request
- Knowledge in using Next Gen software/Optimix
- Review Explanation of Benefits and Co-Payment information for doctor’s visit
- Review ICD 10 and CPT Codes
Sr. Patient Care Coordinator
Walgreens Mail Order Pharmacy
Irving, Texas
08.2017 - 06.2019
- Scan prescriptions, using imagine indexing (application), preQA, load insurance information, run test claims, work issues and facilitate prior authorizations
- Record and process orders for specialty medications that are received by fax, mail and telephone, and/or through patient direct contact for Federal Employees
- Assisted with collaboration calls
- Worked closely with nurses, pharmacists, and physicians
- Scheduled prescriptions orders
- Process payments
- Medicare, Medicaid enrollment
- Appeals and Grievances
Education
No Degree -
Cedar Valley College
Dallas, Texas01.2027
High School Diploma -
Justin F. Kimball High School
Dallas, Texas08.2008
Skills
- Computer Literacy
- Attention to Detail
- Effective Communication
- Problem Solving
- Leadership/Supervision
- Insurance Verification/Claims
- Time Management
- Type 55 wpm
Timeline
Patient Care Coordinator
A Line Staffing Agency
04.2024 - 06.2024
Specialty Referral Coordinator
United Healthcare, UHG
01.2023 - 08.2023
Sr. Billing Specialist
Iks Health
06.2019 - 01.2023
Sr. Patient Care Coordinator
Walgreens Mail Order Pharmacy
08.2017 - 06.2019
No Degree -
Cedar Valley College
High School Diploma -
Justin F. Kimball High School