Summary
Overview
Work History
Education
Skills
Timeline
Quote
Work Availability
Software
Hi, I’m

Felicia Henry

Bridgeport,CT

Summary

Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality. Successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.

Overview

4
years of professional experience

Work History

Montefiore Medical Center - Montefiore Medical Group

Senior Clerk-follow-up Denial
08.2023 - Current

Job overview

  • Safeguarded patient confidentiality during the adjudication process by adhering to HIPAA guidelines.
  • Reduced aging accounts receivable balance with timely appeal submissions for denied claims.
  • Enhanced payer relationships by maintaining professional and effective interactions during the denial resolution process.
  • Maintained up-to-date knowledge of industry trends and best practices in denial management, ensuring the organization''s processes remained competitive and effective.
  • Assisted patients in understanding their coverage limitations or non-covered services, promoting transparency and patient satisfaction during the billing process.
  • Developed comprehensive reports on denial patterns, providing actionable insights for management decisionmaking.
  • Analyzed denial trends to proactively address recurring issues and improve clean claim submission rates.
  • Increased overall productivity by implementing efficient denial tracking and follow-up processes.
  • Participated in cross-functional projects focused on improving end-to-end revenue cycle performance, leveraging expertise in denial management as a key contributor.
  • Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
  • Scanned hard copy medical records and correspondence to convert into electronic files.
  • Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Streamlined communication between departments, facilitating faster resolution of denied claims.

Burke Rehabilitation Hospital

Insurance Specialist
06.2022 - 08.2023

Job overview

  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
  • Communicated verification and authorization status updates with scheduling department to facilitate decision-making for patient admissions and insurance coverage.
  • Reviewed outstanding requests and redirected workloads to complete projects on time.
  • Maintained confidentiality of patient finances, records and health statuses.
  • Responded to customer calls swiftly to resolve issues and answer questions.
  • Sorted, scanned and indexed documents, developed workflows and processed workflow reports to keep clinical records maintained in accordance with guidelines.
  • Scanned, received and sent faxes to insurance claims, co-pay assistance information and patient documentation.
  • Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
  • Used Epic to process benefit transactions.

Burke Rehabilitation Hospital

Patient Scheduling Representative
09.2021 - Current

Job overview

  • Verified insurance coverage
  • Managed over 50 Patients and provider calls per day
  • Confirmed patient appointments day before scheduled.
  • Reviewed new patient paperwork before scheduling appointments.
  • Used EPIC to schedule patients.
  • Educated patients about treatment plans
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Greeted visitors and processes for clients to streamline patient flow.

Mount Sinai Hospital

Patient Coordinator
03.2020 - 09.2021

Job overview

  • Managed clinic's call center by single-handily answering and returning nearly 300 calls per day.
  • Scheduled appointments and provided patients with knowledge of upcoming procedures, and studies protocols to follow; Accurately registered patients, including demographic, geographic and financial information.
  • Fully complied with HIPPA rules and regulations.
  • Provided complete patient assessments and communicated with patients to understand medical histories.
  • Managed hospital admissions and patient flows while organizing patient care.

Academy Physical Therapy

Insurance Verification Specialist
01.2020 - 03.2020

Job overview

  • Ensuring that all insurance information needed for billing and collection processes are appropriately obtained and recorded in computer system.
  • Contacting patients and pre-registering outpatients as assigned.
  • Ensures medical necessity is completed prior to testing.
  • Informs patients of their financial responsibility for services to be rendered.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
  • Obtained payments from patients and scanned identification and insurance cards
  • Made contact with insurance carriers to discuss policies and individual patient benefits

Education

Monroe College
The Bronx, NY

Bachelor of Science from Health services Administration
12.2020

University Overview

Monroe College
The Bronx, NY

Associate of Applied Science from Medical Administation
12.2018

University Overview

Skills

  • Database coordination
  • Interdepartmental collaboration
  • Organizational standards
  • Healthcare operations
  • Scheduling
  • Insurance practices
  • Medical Records Management
  • Insurance Knowledge
  • Patient Information Collection
  • Verbal and written communication
  • Multitasking ability
  • EPIC, eClinicalWorks

Timeline

Senior Clerk-follow-up Denial
Montefiore Medical Center - Montefiore Medical Group
08.2023 - Current
Insurance Specialist
Burke Rehabilitation Hospital
06.2022 - 08.2023
Patient Scheduling Representative
Burke Rehabilitation Hospital
09.2021 - Current
Patient Coordinator
Mount Sinai Hospital
03.2020 - 09.2021
Insurance Verification Specialist
Academy Physical Therapy
01.2020 - 03.2020
Monroe College
Bachelor of Science from Health services Administration
Monroe College
Associate of Applied Science from Medical Administation

Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Availability
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Software

Microsoft word

Microsoft Excel

Epic

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Felicia Henry