Skilled employee with a positive attitude and extensive experience managing the patient check-in process. A respectful Patient Representative known for answering questions, listening to issues and being attentive to details.
Overview
2
2
years of professional experience
Work History
Sr Patient Representative
Mount Sinai Health System
Miami, FL
09.2023 - Current
Completed relevant insurance and other claim forms.
Managed workflow queues to prioritize tasks based on urgency and importance.
Communicated with patients with compassion while keeping medical information private.
Retained strong medical terminology understanding in effort to better comprehend procedures.
Resolved discrepancies with billing statements and other documents related to insurance coverage.
Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Provided customer service support to answer inquiries from health care providers regarding insurance verification issues.
Ensured that all required documentation was collected according to company protocols.
Case Manger Non RN
University of Miami Health System
Miami, FL
09.2023 - Current
Managed complex cases involving multiple diagnoses or treatments.
Maintained accurate documentation of patient records in accordance with HIPAA regulations.
Collaborated with physicians in developing patient-specific treatment plans.
Acted as patient advocate and implemented total patient care through team nursing process.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Understood and followed oral and written directions.
Worked with cross-functional teams to achieve goals.
Completed day-to-day duties accurately and efficiently.
Prioritized and organized tasks to efficiently accomplish service goals.
Sr Insurance Radiation Oncology
University of Miami Health System
Miami, FL
11.2021 - 09.2023
Monitored changes in government regulations affecting healthcare reimbursement systems.
Updated patient and insurance data and input changes into company computer system.
Checked documentation for appropriate coding, catching errors and making revisions.
Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
Contacted patients to confirm demographic information and communicate financial responsibilities.
Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
Retained strong medical terminology understanding in effort to better comprehend procedures.