Dinetric Foli
Colorado Springs,CO
Summary
I am an employee with a strong drive to take on new tasks. Strong work ethic, adaptability, and exceptional interpersonal skills. Capable of working well autonomously and swiftly learning new skills. Flexible, dedicated worker eager to learn and contribute to team success. A compassionate patient access representative is well-versed in executing various administrative responsibilities for patient care and possesses a high level of diplomacy and problem-solving skills. Positive and energetic team player with strong communication and time management skills. demonstrated considerable attention to detail in the accuracy of medical records. A qualified patient advocate has demonstrated competence in case management and service coordination. Expertly resolves complaints, inquiries, and service issues in order to meet patients' access needs and correct care-related problems. Well-versed in rules, processes, and standards.
Overview
24
24
years of professional experience
Work History
Administrative Assistant
Colorado Springs Housing Authority
Colorado Springs, CO
08.2023 - Current
- Provided administrative support to the executive team, including scheduling meetings and managing calendars.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Enter data into spreadsheets using Microsoft Excel or other similar programs.
- Maintained accurate department and customer records.
- Managed physical and digital files, monitored spreadsheets, and updated reports to coordinate project materials.
- Coordinated with local government to ensure compliance with relevant laws and regulations.
- Developed and implemented policies for tenant selection, rent collection, and other housing operations.
- Provided training sessions to staff on topics such as tenant rights, rental agreements, conflict resolution, and customer service.
- Resolved tenant complaints in a timely manner by responding promptly to inquiries or complaints from residents or members of the public.
- Recorded multiple takes of bass tracks until they met professional standards.
- Performed data entry tasks accurately within specified timeframes.
- Prepare invoices, expense reports, memos, letters, and other documents using Microsoft Office Suite applications.
- Reviewed all outgoing correspondence for accuracy prior to distribution.
- Updated contact lists regularly with current information.
- Provided general clerical support as required by departmental needs.
- Prepare correspondence, reports, and other documents in final formats with correct punctuation, capitalization, grammar, and spelling.
- Answered phone calls and emails to provide information, resulting in effective business correspondence.
- Responded effectively to sensitive inquiries or complaints.
- Prepared and prioritized calendars and correspondence.
Medicaid Billing Specialist
El Paso County DHS
Colorado Springs, CO
01.2021 - 05.2023
- Conducted initial eligibility screenings for Medicaid applicants.
- Reviewed applications and supporting documents to determine the applicant's eligibility for Medicaid benefits.
- Compiled and documented information regarding the applicant's income, assets, insurance coverage, and other relevant data.
- Verified accuracy of applicant's financial information against third-party sources such as employers, banks, or government agencies.
- Prepared reports summarizing the findings of the eligibility reviews.
- Processed requests for changes in existing Medicaid cases.
- Assisted individuals with the completion of complex paperwork related to their application process.
- Researched discrepancies between submitted forms and available records to ensure compliance with regulations.
- Maintained up-to-date knowledge of state and federal regulations pertaining to Medicaid eligibility.
- Investigated complaints regarding eligibility determinations or denials.
- Updated case management systems with current information regarding client status.
- Identified areas where improvements could be made in order to improve efficiency or customer service levels.
- Assisted customers by phone and scheduled appointments and treatments.
- Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
COVID-19 Compliance Officer
Medix Staffing
Colorado Springs, CO
04.2020 - 11.2021
- Assisted patients with completing COVID-19 screening forms and questionnaires.
- Provided guidance to patients on the importance of following CDC guidelines for preventing the spread of COVID-19.
- Educated patients about symptoms associated with COVID-19 and when to seek medical attention.
- Administered temperature checks using non-contact thermometers for individuals entering the facility.
- Maintained accurate records of daily screenings and results in accordance with HIPAA regulations.
- Ensured compliance with local, state, and federal health regulations related to COVID-19 safety protocols.
- Monitored patient flow within the facility while enforcing social distancing rules.
- Provided support to healthcare staff by answering questions and addressing concerns regarding COVID-19 screening procedures.
- Conducted contact tracing for individuals who tested positive for COVID-19 or had close contact with a confirmed case.
- Provided emotional support to anxious or distressed patients during the screening process.
Logistics Coordinator
Medix Staffing
Colorado Springs, CO
04.2020 - 11.2021
- Developed and maintained relationships with vendors, carriers and customers to ensure efficient shipping of goods.
- Organized and monitored the shipment of products in accordance with customer requirements.
- Coordinated daily transportation activities, including scheduling, routing, tracking, and documentation.
- Analyzed data to identify cost-saving opportunities in the logistics process.
- Managed inventory levels to ensure timely delivery of goods while minimizing storage costs.
- Created reports on freight costs, delivery timelines, invoices, and other related information.
- Assisted in developing processes for receiving, storing, and distributing materials according to established procedures.
- Collaborated with internal teams to coordinate shipments between multiple locations.
- Monitored compliance with safety regulations and quality standards during transport operations.
- Resolved any issues or discrepancies related to product delivery or receipt in a timely manner.
- Ensured accurate completion of customs documents for international shipments as required by law.
- Conducted regular reviews of supplier performance metrics such as on-time delivery rate and fill rate.
Patient Access Representative
Scripps Memorial Hospital
San Diego, CA
07.2004 - 12.2009
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Collected co-payments and other payments from patients at time of service.
- Scanned documents into an electronic medical records system.
- Created new patient accounts in the EMR system as needed.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- I applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in the computer system.
- I assembled the registration paperwork and placed identification bands on the patient.
Patient Access Specialist
Sharp Grossmont Hospital
San Diego, CA
02.2005 - 09.2009
- Maintained patient records in accordance with HIPAA regulations including data entry of patient information into the electronic medical record system.
- Conducted detailed intake assessments for new patients, verifying insurance eligibility, and collecting relevant documentation.
- Collected patient demographic information, verified insurance coverage, and updated records as necessary.
- Processed payments for services rendered in a timely manner.
- Assisted with scheduling appointments, verifying benefits, and authorizations for procedures.
- Responded to inquiries from patients, families, physicians, and other healthcare personnel.
- Performed quality assurance checks on all registrations to ensure the accuracy of data entry.
- Provided support to the clinical staff with registration issues or concerns.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified insurance eligibility through online portals or by phone calls.
- Resolved discrepancies between billing systems and patient accounts quickly and accurately.
- Handled incoming faxes related to admissions, discharges, transfers, pre-certifications, and authorizations.
- Completed prior authorization requests within the required timeframes and ensured appropriate documentation was obtained.
- Answered general questions about hospital policies and services provided.
Medical Insurance Specialist
Healthcare Management Partners LLC
San Diego, CA
02.2000 - 12.2004
- Reviewed and processed medical insurance claims to ensure accuracy of information and compliance with established regulations.
- Analyzed patient records to determine eligibility for coverage, benefit levels, and other related matters.
- Resolved complex insurance issues by communicating with providers, patients, and third-party payers.
- Advised clients on how to maximize their health care benefits while minimizing out-of-pocket expenses.
- Processed payments for services rendered in accordance with the terms of the policy or contract.
- Developed strategies to improve customer service practices within the department.
- Conducted audits of billing documents to identify discrepancies between billings and actual services rendered.
- Assisted with scheduling appointments, verifying insurance coverage, and collecting payments.
- Entered all patient information into the registration system accurately and efficiently.
- Provided excellent customer service by answering inquiries and resolving any issues that arose.
- Communicated effectively, both verbally and in writing, with patients, families, and healthcare professionals in a professional manner at all times.
- Scanned documents into the EMR system; updated and maintained files according to established protocol.
Education
Medical Insurance Billing
Remington College
Colorado Springs, CO11.2014
Associate of Applied Science - Medical Office Management
College America
Colorado Springs, CO02.2009
Associate of Science - Medical Office Administration
Maric College
San Diego , CA08.1994
Skills
- Research
- Paperwork Drafting
- OSHA Compliance
- Data Analysis and Research
- Microsoft Office Suite
- Microsoft
- Transporting Files
- Administrative Operations
- Business Correspondence
- Microsoft Outlook
- Insurance Eligibility Verifications
- Customer Service
- Post-Discharge Care Coordination
- Problem-Solving
- HIPAA Compliance
- Pre-Admission Requests
- Registration and Admissions
- Regulatory Compliance
- Medical Terminology
- Patient Registration
- EMR
- EMR Updating
- Insurance Billing
Timeline
Administrative Assistant
Colorado Springs Housing Authority
08.2023 - Current
Medicaid Billing Specialist
El Paso County DHS
01.2021 - 05.2023
COVID-19 Compliance Officer
Medix Staffing
04.2020 - 11.2021
Logistics Coordinator
Medix Staffing
04.2020 - 11.2021
Patient Access Specialist
Sharp Grossmont Hospital
02.2005 - 09.2009
Patient Access Representative
Scripps Memorial Hospital
07.2004 - 12.2009
Medical Insurance Specialist
Healthcare Management Partners LLC
02.2000 - 12.2004
Medical Insurance Billing
Remington College
Associate of Applied Science - Medical Office Management
College America
Associate of Science - Medical Office Administration
Maric College
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