David Solomon
Revere,MA
Summary
Dedicated health care professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand and self development
Overview
17
17
years of professional experience
Work History
Patient Account Coordinator III
Boston Children's Hospital
Westwood, MA
06.2016 - Current
- Review registration-related third party denials and process accordingly using EPIC,Claim Logic, Envision and Pay Span systems.
- Efficiently perform insurance verification and pre-certification and pre-authorization functions.
- Follows up on insurance denials and takes appropriate steps to resolve discrepancies.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Maintain confidentiality and privacy using HIPPA guidelines
Registration Control Specialist II
Steward Health Care
Brockton, MA
09.2010 - 05.2016
- Utilized LMR,NEHEN,Blue Links and to review patient registration at various Steward facilities.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Submitted insurance eligibility inquiries and update patient accounts appropriately.
- Worked closely with customer service and self pay teams to identify accounts that require financial review.
- Collected payments and applied to patient accounts.
- Trained new employees on multiple medical billing programs and data entry software.
Patient Access Specialist
Codman Square Healthcenter
Boston, MA
09.2005 - 04.2011
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Education
BBA - Operations Management
Southern New Hampshire University
05.2019
Skills
- Verbal and Written Communication
- Efficient and Detail-Oriented
- Upbeat and Positive Personality
- Data Entry and Maintenance
- Multitasking and Prioritization
- Issue and Complaint Resolution
- Customer Data Confidentiality
- Strong Analytical and Problem Solving Skills
- Administrative and Office Support
- Proactive Self-Starter
- Customer Service Management
Timeline
Patient Account Coordinator III
Boston Children's Hospital
06.2016 - Current
Registration Control Specialist II
Steward Health Care
09.2010 - 05.2016
Patient Access Specialist
Codman Square Healthcenter
09.2005 - 04.2011
BBA - Operations Management
Southern New Hampshire University
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