Eva Miledy Batista
Tampa General Hospital
Florida
1
Language
1
Certification
26
years of professional experience
Bilingual Financial Assistance Specialist 2 experienced in managing client financial needs and delivering effective support solutions. Achieved client satisfaction through comprehensive knowledge of financial regulations and best practices. Focused on contributing to team success and achieving company goals.
Work History
Financial Assistance Specialist
4 Years 1 Month- Duties of a Financial Assistant Specialist include, but are not limited to: Interviewing Private Pay and under-insured patients to determine eligibility for government financial assistance programs; assessing patient financial capabilities; preparation of charity care application, including the Utilization Letter (EMA Letter) for non-citizens as required by the Department of Children & Families (DCF); acquisition of all necessary documentation as required by the respective Government Agencies, including Social Security Disability (SSI/SSD), which may require additional contact with the patient or the patient's family, even after discharged; submission of the assistance application to appropriate agency within specified timely filing requirements; tracking assistance applications, documenting location, status, approval or denial.
- Prepared charity care applications, including the Utilization Letter for non-citizens mandated by the Department of Children & Families.
- Explained financial accountability to patients and guarantors; established payment arrangements for patients unable to pay co-pays or deductibles at time of service.
- Performed all job duties in accordance with the mission, vision, and values of General Hospital.
Referral Coordinator
6 Months- Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
- Assemble information concerning patient's clinical background and referral needs.
- Assembled information on patient's clinical background and referral needs to facilitate appropriate care.
- Present necessary medical information such as history, diagnosis and prognosis.
- Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
- Review details and expectations about the referral with patients.
- Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
- Identified and utilized cultural and community resources to support patient access to services.
- Ensure that referrals are addressed in a timely manner.
- Ensured timely addressing of referrals to enhance patient care continuity.
- Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organizations related to their health.
- Completed additional duties based on department needs.
Referral Coordinator
11 Months- Processed referrals requests, phone customer service, eligibility, insurance authorizations, scheduling.
- Coordinated referrals for Medicare patients, serving as liaison between patients and providers to ensure timely processing and communication.
- Maintain list of all preferred specialists and ancillary providers for the assigned area.
- Call referred to Specialists and schedule appointment for patients.
- Called specialists to schedule appointments for referred patients. and schedule appointment for patients.
- Communicate respectfully and effectively with patients regarding appointments.
- Follow guidelines/workflows to complete and log all referrals processed through the system.
- Review monthly - quarterly goals regarding utilization and process of ordered referrals.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Coordinated activities related to insurance pre-certification and authorization.
Referral Coordinator
8 Years- Generated referrals requests from primary care physicians at partner clinics. generated by primary care physician from partner clinics.
- Verified patient eligibility and obtained insurance authorization through inbound and outbound calls with carriers.
- Scheduled referral appointments promptly, accurately recording efforts and outcomes.
forensic Social Worker
12 Years- Participated in Custody Evaluation Unit within Family Court Services to support family legal matters.
- Conducted interviews with parents, teachers, and family members to gather comprehensive information, reviewed pertinent records, and performed home visits to support custody evaluations.
- Compiled detailed reports reflecting observations and evaluations to inform court decisions and support the best interests of children.
- Generated reports based on observations and evaluations.
- Testified in court and participated in depositions.
- Provided assessments to family judges on child custody, visitation, divorce, and cases of child abuse or endangerment, contributing to informed judicial outcomes.
- Helped to develop policies pertaining to the rights of mental health patients
Education
Professor of Social Work - Master of Social Work
Bachelor of Arts - Social Work
Master's degree - Clinical Social Services
Skills
Copilot
Microsoft Office
Excel
Outlook
Financial analysis
Results oriented
Patient financial assessments
Portal management
HIPAA compliance
Process optimization
English / Spanish
Financial assistance
Certification
- Certificate of Good Standing
- School of Social Work, Puerto Rico
- Permanent Licensure in Clinical Social Work, Colegio de Trabajadores Sociales, Puerto Rico
LANGUAGES
English/ Spanish
Timeline
Financial Assistance Specialist
Tampa General Hospital
08.2022 - CurrentRead More
Referral Coordinator
Palm MedicaI Centers
02.2022 - 08.2022Read More
Referral Coordinator
My Care Medical
02.2021 - 01.2022Read More
Referral Coordinator
Tampa Family Health Centers
01.2008 - 01.2016Read More
forensic Social Worker
Court of First Instance
01.2001 - 01.2013Read More
Universidad de Puerto Rico
Bachelor of Arts from Social Work
Read More
Universidad Ana G Mendez
Professor of Social Work from Master of Social Work
Read More
Universidad InterAmericana
Master's degree from Clinical Social Services
Read More