Business-minded Financial Counselor known for successfully managing high level of patient accounts. Determined employee with over 5 years of experience processing financial forms and obtaining referrals and other health documentation. Remains calm and poised in all types of situations.
Overview
11
11
years of professional experience
Work History
Surgery Scheduler
Novant Health, Inc
06.2020 - Current
Foster a strong commitment to teamwork and cooperation; share best practices with senior leadership to help drive D&I strategies; Provide tools to ensure flawless execution of D&I initiatives; Maintain momentum of aligned Employee Networks by providing strategic support; Expertise in CPT ICD9 and HCPCS coding.
Extensive surgery scheduling experience for plastic surgery medical office environment
Excellent familiarity with nursing practices and medical terminology
Knowledge of policies and procedures
Superior proficiency in handling electronic medical records
Outstanding expertise in CPT ICD9 and HCPCS coding.
Arranged pre-operative and post-operative appointments for surgical patients.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Checked patients in and out and collected payments.
Performed various administrative tasks by filing, copying and faxing documents and clinical reports.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Conducted patient intake interviews, recording and documenting relevant information.
Resolved scheduling conflicts to maintain high-quality patient services.
Coordinated with facilities to set up surgeries for breast reconstruction.
Verified insurance coverage and obtained pre-authorizations.
Financial Counselor
Novant Health, Inc, Cancer Institute
06.2020 - 10.2022
Obtain, review and input insurance authorization and referrals prior to patient services, while working together with service providers
Obtained proper authorizations from insurance companies' timely and kept them up to date.
Verification of insurance eligibility and benefits
Obtaining proper documentation to continue billing insurances.
Verified daily billing submission report for insurances, including HCPCS codes, ICD-9 codes, and modifiers.
Appealed denied claims from insurance to obtain lost revenue.
Reviewed lost revenue report in order to fix invoices to be released.
Verified aging report to check for valid authorization and to check which claims needed to be appealed.
Conducted interviews with patients and family members and answered questions regarding insurance benefits.
Identified healthcare resources and programs for patients unable to meet financial obligations.
Liaised between patient, doctor and insurance provider to smooth claims processes.
Team Lead Medical
Atrium Healthcare, Center Plaza
02.2013 - 06.2020
Mentored and coached staff for design and execution of clerical practices
Created and presented training curricula for medical department.
Developed protocols and clinical trial materials.
Identified issues and developed problem-solving strategies.
Solid understanding of various contributions of clinical affairs goals to company business strategies
Strong organizational skills, strong written and verbal communication
Ability to collaborate, multi-task and work effectively in a fast-paced matrix environment.
Ability to oversee care as it pertains to case management objectives.
Ability to supervise, mentor, lead, develop and evaluate clerical team members.
Helped to align call center's objectives with measurable goals.
Trained call center agents on KPI’s for patient satisfaction, agent utilization rate, average speed to answer.
Increased patient satisfaction, reduce handle time, and improved first-call resolution rates.
Directed and supervised team of 12 engaged in medical call center and front desk check in/out.
Education
Bachelor of Science - Criminal Justice
Middle Tennessee State University
Murfreesboro, TN
Diversity & Inclusion Certification: Atrium Health Diversity And Inclusion: A Step-by-Step Guide For Employees-2020- Certification (Kantola Productions) -
Atrium Health
Charlotte
04.2017
Skills
Privacy and Confidentiality
EMR/EHR Systems
Direct Patient Care
Administrative Duties
Office management techniques
Conflict Resolution, Problem Solving
Diversity & Inclusion
Analyze, Evaluate Data
COMPETENCIES
Establishes highly credible relationships and has personal impact through engaging respectfully and professionally
Strong ability to partner and collaborate appropriately with Commercial functions
Management skills with demonstrated ability to set goals and objectives and establish and recalibrate priorities
Able to effectively lead and participate in multidisciplinary and virtual teams
Ability to partner and collaborate appropriately with leadership
Able to expertly exchange scientific ideas and information openly and effectively with key opinion leaders and with colleagues
Able to identify and develop target competencies (integrity, openness, competence, consistency, loyalty)
Affiliations
Co-Chair, Black/African American Business Resource Group
Emotional Health Advocate Team (eHat) Team Member Support
Timeline
Surgery Scheduler
Novant Health, Inc
06.2020 - Current
Financial Counselor
Novant Health, Inc, Cancer Institute
06.2020 - 10.2022
Team Lead Medical
Atrium Healthcare, Center Plaza
02.2013 - 06.2020
Bachelor of Science - Criminal Justice
Middle Tennessee State University
Diversity & Inclusion Certification: Atrium Health Diversity And Inclusion: A Step-by-Step Guide For Employees-2020- Certification (Kantola Productions) -