DARLENE FEARS

Experienced Health Care Specialist with over 20 years' experience. Dedicated employee with a strong drive to serve my community and pursue the improvement of health services to aid in patient satisfaction and experience. Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.

• Contributed to a positive work environment with strong interpersonal skills and proactive teamwork attitude.
• Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
• Worked closely with management to provide effective assistance for specific aspects of business operations.
• Improved claim processing efficiency by implementing streamlined procedures and workflow adjustments.
• Maintained confidentiality of patient finances, records, and health statuses.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Assisted patients with disability applications and financial assistance applications, including initial form requirements and following through to completion and approval.
• Cross Collaborating with internal Payer teams to assist with patient insurance verification & applying active insurance to impacted claims.
• Assisted patients with submission of disability, Medicaid, & SSI applications.
• Assumed day-to-day responsibilities, including but not limited to cash/charge posting, insurance verification, fund disbursement, Medicaid applications, and patient concerns.
• Worked closely with insurance companies to obtain reimbursement on claims - Maintained 97% success rate for overturning denials.
• Spearheaded the development of training manuals for onboarding as it pertains to secondary and tertiary billing requirements.
• Developed and maintained customer relationships for the facility, by addressing and resolving customer concerns, as well as working diligently to resolve any barriers that may arise for patient care and/or reimbursement.
• Responsible for cataloguing new products to facility system.
• Streamlined billing processes for improved efficiency and reduced errors.