Diana Yaley
Patient Account/Precertification Specialist
Plattsburg,MO
Summary
Accomplished in enhancing patient care and streamlining precertification processes at Northland Women's Health Care, I excel in HIPAA compliance and possess strong communication skills. Known for fostering collaborative relationships and improving operational procedures, my expertise significantly boosts efficiency and patient satisfaction. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care.
Overview
42
42
years of professional experience
Work History
Patient Account/Precertification Specialist
Northland Women's Health Care
01.2011 - Current
- Effective communicator, able to multitask and problem solve with little outside help. Patient focused. Considered as a go to person and has developed and facilitated training for new staff members. Has also worked to update standard operating procedures to ensure that the workplace is prepared for high quality, safe patient care activities.
- Nurtured strong professional relationships with insurance representatives, fostering a collaborative atmosphere during negotiations on behalf of patients.
- Enhanced interdepartmental collaboration through effective communication with case managers, physicians, and billing departments.
- Analyzed trends in denials or authorization delays to identify opportunities for improvement within the precertification department.
- Complete patient FMLA, fax and mail medical records when needed.
- Billing and accounts receivable and posting payments. all medical precerts and benefits, coverage verification and scheduling.
- Interpreting operative reports, consultations, patient history, physicals, discharge summaries and notes required for billing and scheduling purposes.
- Answering phones, scheduling patients, assist in rescheduling patients and triaging calls.
- Answere phones, sche
Medical Assistant/Patient Care Technician
Midwest Women's Healthcare
03.1998 - 12.2010
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Prepared lab specimens for diagnostic evaluation.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Preschool Teacher
Joyland Daycare
Kansas City, MO
06.1988 - 06.1998
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Cashier
Kmart
Kansas City, MO
01.1983 - 01.1988
- Helped customers complete purchases, locate items, and join reward programs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Performed cash, card, and check transactions to complete customer purchases.
Education
Penn Valley Community College
Kansas City, MOLongview Community College
Lee's Summit, MOHigh School Diploma -
Hickman Mills High School
Kansas City, MO06-1988
Skills
- Prior Authorization Knowledge
- Strong Communication Skills
- HIPAA compliance awareness
- Patient Confidentiality Adherence
- Insurance Verification Expertise
- Professionalism and Ethics
- Medical coding familiarity
- Healthcare Regulations Understanding
- Medical Billing Familiarity
Timeline
Patient Account/Precertification Specialist
Northland Women's Health Care
01.2011 - Current
Medical Assistant/Patient Care Technician
Midwest Women's Healthcare
03.1998 - 12.2010
Preschool Teacher
Joyland Daycare
06.1988 - 06.1998
Cashier
Kmart
01.1983 - 01.1988
Penn Valley Community College
Longview Community College
High School Diploma -
Hickman Mills High School
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