Deschon Hardin
Albuquerque,NM
Summary
Client-centered Eligibility Specialist with a career spent accurately managing records, handling appointment scheduling and overseeing other administrative tasks in fast-paced settings. Bilingual individual committed to engaging others and delivering exceptional service. Ready to tackle new challenges in an office-based environment's am looking for a role in which I can utilize my tri-lingual abilities and 10 years of insurance knowledge.
Overview
3
3
years of professional experience
Work History
Outreach Executive
Oak Street Health
Albuquerque, NM
11.2023 - Current
- Monitored industry trends and gathered competitive intelligence about competitors' offerings.
- Attended trade shows, conferences, workshops and other events representing the organization.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Collaborated with other departments to develop promotional campaigns aimed at increasing retention rates.
Patient Service Coordinator
UNM Truman Clinic
Albuquerque, NM
05.2023 - 11.2023
- Exercised versatility in fast-paced, agile work environments.
- Participated in ongoing training and compliance activities.
- Defined team directions and provided guidance to members.
- Maintained important files, running reports and delivering updates on occupancy and revenue.
- Engaged directly with clients to fulfill requests, resolve conflicts and direct non-customer service related inquiries to appropriate department and personnel.oak
- Monitored industry trends and gathered competitive intelligence about competitors' offerings.
Reimbursement HME Specialist
Blue cross blue shield
05.2022 - 05.2023
- Completed and submitted appeals for denied claims.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Submitted claims to insurance companies.
- Assisted customers with inquiries regarding account information, billing and service-related issues.
Treatment Coordinator
Smiles for Kids Orthodontics
Albuquerque, New Mexico
09.2021 - 05.2022
- Provide a welcoming, interactive, and an outstanding patient experience, in person and over the phone
- Coordinate productive patient schedules for providers
- Presenting and creating comprehensive treatment plans for patients by discussing insurance and financing options, maximum insurance benefits and patient portion responsibilities and successfully closing treatment plans
- Management of front office by answering incoming calls, scheduling appointments, checking out patients, and collecting payments
- Maintaining an exceptionally clean, organized, and presentable workspace
- Managing and maintaining multiple financial ledgers for patients and processing of payments
- Verification of insurances via multiple insurance portals
Education
Certificate - Real Estate Agent
National Real Estate
Albuquerque, NM03.2022
Skills
- Proficient in the use of Microsoft office and Dentrix
- Proficient use of office equipment
- Excellent communicator, interpersonal and customer service skills
- Medical and dental chart interpretation
- Ability to follow policies and procedures
- Handling of confidential patient information
- Creating costumer and community relationships
- Multi-Line Phone Systems
- Business Development
- Community Relationship Building
- Data Collection
- Event Planning
- Culturally sensitive
- Community health
- Community Relations
- Salesforce
- Community Events
Languages
- Tri-lingual (English, Spanish, and Navajo)
Timeline
Outreach Executive
Oak Street Health
11.2023 - Current
Patient Service Coordinator
UNM Truman Clinic
05.2023 - 11.2023
Reimbursement HME Specialist
Blue cross blue shield
05.2022 - 05.2023
Treatment Coordinator
Smiles for Kids Orthodontics
09.2021 - 05.2022
Certificate - Real Estate Agent
National Real Estate