FRANCESCA PACHECO
MESA,UNITED STATES
Summary
Results-oriented Benefit Coordinator with expertise in insurance benefits coordination and patient relationship management. Reduced claim denials through effective problem-solving and communication. Proficient in EPIC and Athena EMR, driving operational efficiency and improving patient satisfaction.
Overview
19
19
years of professional experience
Work History
Benefit Coordinator
Arizona Gynecology Consultation
Phoenix, United States
07.2023 - Current
- Resolved billing issues by utilizing payor portals for accurate plan coverage insights, improving claim resolution processes.
- Coordinated benefits with focus on accurate patient insurance coverage analysis and documentation, ensuring compliance and reducing discrepancies.
- Maintained detailed EMR records to facilitate effective patient communication and streamline insurance follow-ups.
Patient Care Technician (Lead/Supervisor)
Tucson Medical Center
Tucson, United States
08.2007 - 07.2023
- Supervised patient care activities to ensure adherence to best practices, enhancing patient well-being.
- Assist RNs with patient care, ensuring efficiency and high-quality service.
- Monitored patient progress and collaborated with healthcare teams to implement tailored care plans, achieving noticeable improvements in recovery rates.
- Coordinated with nurses and physicians to address patient needs, leading to measurable improvements in care delivery.
- Evaluated patient insurance statuses to ensure accurate coverage determinations, decreasing claim denials.
- Streamlined insurance coverage analysis processes, reducing claim denials and improving overall patient care efficiency.
- Cultivated patient relationships by providing clear insurance guidance and empathetic support for inquiries.
- Cultivated strong patient relationships by providing clear insurance guidance, enhancing trust and satisfaction in services offered.
- Implemented a new tracking system for document requests, leading to marked improvements in response times and operational transparency.
- Streamlined patient scheduling processes, enhancing clinic workflow and reducing appointment wait times.
- Maintain strict confidentiality, safeguarding sensitive patient and personnel information.
- Maintained strict confidentiality protocols, safeguarding sensitive patient and personnel information according to legal standards.
- Utilize EPIC software to enhance patient data management and confidentiality.
- Utilized EPIC software to manage patient records, ensuring accuracy and compliance while facilitating timely access to information.
- Handled clerical duties to support clinic operations and improve workflow., including phone handling and scheduling, improving clinic operations.
- Maintained comprehensive records in the EMR system, ensuring precise documentation of patient interactions and facilitating seamless follow-ups.
- Provided compassionate support to patients, fostering a positive healing environment and enhancing overall patient satisfaction.
Education
MASTER OF ARTS - HEALTHCARE ADMINISTRATION/MANAGEMENT
University of Arizona Global Campus
Tucson04.2024
BACHELOR OF SCIENCE - PUBLIC HEALTH IN QUANTITATIVE METHODS AND MEASURE
University of Arizona
Tucson05.2022
Skills
- Healthcare Administration (Beginner)
- Patient Care (Expert)
- EPIC (Skillful)
- Athena EMR (Experienced)
- Insurance Benefits (Experienced)
- Team Leadership (Experienced)
- Clinical Research (Beginner)
- Time Management (Experienced)
- Problem Solving (Experienced)
- Communication (Experienced)
- Healthcare Insurance (Experienced)
- Benefits Coordination (Experienced)
- Insurance verification
- Patient documentation
- EMR management
- Patient relationship management
- Healthcare compliance
- Effective communication
- Team collaboration
- Problem solving
- Customer service orientation
- Time management
- Verbal and written communication
- Healthcare benefits
- Documentation and reporting
Websites
Awards
Employee of the Year at TMC infusion clinic, 2018, Tucson Medical Center
Timeline
Benefit Coordinator
Arizona Gynecology Consultation
07.2023 - Current
Patient Care Technician (Lead/Supervisor)
Tucson Medical Center
08.2007 - 07.2023
MASTER OF ARTS - HEALTHCARE ADMINISTRATION/MANAGEMENT
University of Arizona Global Campus
BACHELOR OF SCIENCE - PUBLIC HEALTH IN QUANTITATIVE METHODS AND MEASURE
University of Arizona