Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
10
10
years of professional experience
Work History
Patient Financial Coordinator
Reproductive Science Center
07.2022 - Current
Followed document protocols to safeguard confidentiality of patient records.
Worked closely with clinical departments on case-by-case basis when coordinating charity care applications, ensuring timely submission and approval.
Developed strong relationships with both patients and providers by consistently demonstrating professionalism and empathy.
Educated patients on available resources and programs to aid in management of medical expenses.
Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
Assisted patients in understanding their insurance coverage, explaining plan details and coordinating necessary authorizations.
Implemented new procedures for tracking patient cases, improving overall office organization and workflow.
Client Support Specialist
Lyra Health
11.2021 - 07.2022
Supported clients seeking high-quality outpatient mental healthcare primarily via phone and chat, support with inquires related to appointment scheduling, insurance coverage.
Provided exceptional customer service while handling sensitive information, fostering a positive clinic experience for all patients.
Support clients that reach out with competency and compassion in a high-volume call center
Collaborated and escalated clients with complex needs to clinicians
Financial Coordinator
Spring Fertility
10.2018 - 03.2020
Assist with accounting/ finance/ billing functions including accounts payable, accounts receivable, preparation of financial reports
Support with aging reconciliation, billing collections with timely follow-up, and payment processing and posting
Documented all gathered information and details from discussions with patients and providers using IDEAS
Collaborated with all relevant parties to resolve billing issues, insurance claims and patient payments
Verified patients' insurance benefits and coverage to determine case-by-case financial obligation prior to date of service
Created letters, invoices, and other documents with diverse computer programs such as ENGAGED MD.
Insurance Counselor
DiVita
10.2013 - 10.2018
Support patients who have existing commercial insurance coverage or who are uninsured.
Provided monthly reporting and analysis on key metrics related to patient education and advocacy as well as actively participated in monthly operations reviews on assigned patient portfolio.
Proactively manage insurance terminations or changes
Act as liaison between patients, facility teammates, billing office and corporate office to resolve patient insurance issues and/or concerns
Managed patient load of 800.
Education
Bachelor of Science - Healthcare Administration
Southern New Hampshire
Manchester
02.2024
Associate of Applied Science: Medical Assisting -
Heald College
Walnut Creek, CA
10.2008
Skills
Proficient in Salesforce, Teams, Zoom, Ring Central, Slack
MS Office
Insurance Verifications
Payment Processing/Payment Calculation
Privacy/HIPAA Regulations
Patient Advocacy and Support
Knowledgeable of Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity, COBRA)
Patient Intake
70 WPM Typing Speed
Health Information Access Management
Financial Counseling
Insurance Authorizations
Medical Terminology
Data entry proficiency
Insurance Verification
Patient interviewing
Timeline
Patient Financial Coordinator
Reproductive Science Center
07.2022 - Current
Client Support Specialist
Lyra Health
11.2021 - 07.2022
Financial Coordinator
Spring Fertility
10.2018 - 03.2020
Insurance Counselor
DiVita
10.2013 - 10.2018
Bachelor of Science - Healthcare Administration
Southern New Hampshire
Associate of Applied Science: Medical Assisting -
Heald College
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