Dawn Lee
Seattle,WA
Summary
Resourceful professional in finance management, known for high productivity and efficient task completion. Specialized skills include negotiation tactics, account reconciliation, and regulatory compliance. Excel in communication, problem-solving, and time management which ensure outstanding performance in client interactions and financial resolutions. Seasoned Patient Account Representative versed in administration, medical billing, and coding. Results-driven and proactive team player with many years in the field.
Overview
3
3
years of professional experience
Work History
Patient Account Representative
Pacific Medical Centers
Seattle, WA
08.2024 - Current
- Reviewed flagged items daily and resolved issues.
- Worked closely with insurance companies to obtain authorization for services rendered.
- Generated detailed reports outlining billing, flagged items, and other important data.
- Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
Referral Coordinator
Amedisys Home Health
Baton Rouge, LA
05.2023 - 11.2024
- Performed data entry related to referrals into electronic health record systems.
- Collaborated with interdisciplinary teams to discuss patient care plans and adjust referral strategies as necessary.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Prepared and distributed referral reports to healthcare management, highlighting performance metrics and patient outcomes.
- Participated in training and professional development opportunities to stay current with best practices in referral coordination.
- Maintained accurate records of all referrals, including contact information and follow-up activities.
- Advised staff on appropriate protocols when making a referral.
- Ensured compliance with HIPAA regulations when handling patient information.
Insurance Service Representative
Acclara/R1
Seattl, WA
05.2023 - 08.2024
- Met deadlines consistently while maintaining high standards of quality assurance.
- Navigated computer system to look up customer information and update policies.
- Participated in team meetings and contributed to team goals and objectives.
- Assisted customers with filing and tracking of insurance claims, ensuring timely resolution.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Attended training and educational seminars to enhance knowledge and credentials.
- Handled billing related activities focused on medical specialties.
Revenue Cycle Team Lead
Unified Women’s Healthcare
Boca Raton, FL
04.2022 - 05.2023
- Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions.
- Delegated daily tasks to team members to optimize group productivity.
- Worked closely with human resources to support employee management and organizational planning.
- Evaluated needs of departments and delegated tasks to optimize overall production.
- Maintained open lines of communication with senior management, reporting team progress and challenges.
- Led a team of 18 individuals in achieving quarterly productivity targets, exceeding goals.
Education
Certificate - Certified Nursing Assistant
North Seattle Community College
Seattle, WA06-1981
Skills
- Claims processing
- Insurance verification
- Data analysis
- Billing reconciliation
- Patient payment collection
- Problem resolution
- Time management
References
References available upon request.
Timeline
Patient Account Representative
Pacific Medical Centers
08.2024 - Current
Referral Coordinator
Amedisys Home Health
05.2023 - 11.2024
Insurance Service Representative
Acclara/R1
05.2023 - 08.2024
Revenue Cycle Team Lead
Unified Women’s Healthcare
04.2022 - 05.2023
Certificate - Certified Nursing Assistant
North Seattle Community College
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