Gabriella Nieves
Deland,FL
Summary
Lead Financial Navigator, with 8+ years of experience in the medical oncology setting. To work in a diverse and challenging environment where there is room for growth within the company, seeking a position as a dedicated and organized professional. Driven to exceed expectations and operate effectively in fast-paced, high-pressure environment with exceptional customer service and communication skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Patient Financial Navigator Lead
Florida Cancer Specialists
03.2024 - Current
- Verify insurance (Benefits, Oncology Guidelines, Referral/Prior Authorizations)
- Trained new staff on filing, phone etiquette and other office duties.
- Serving reliable point of contact for patients throughout their treatment journey, addressing concerns promptly and maintaining open lines of communication.
- Delivered support to medical staff in completion of patient paperwork.
- Provided excellent customer service to patients and medical staff.
- Excellent communication skills, both verbal and written.
- Skilled at working independently and collaboratively in a team environment.
- Learned and adapted quickly to new technology and software applications.
- Managed time efficiently in order to complete all tasks within deadlines.
- Developed comprehensive financial plans for patients, taking into account individual circumstances and long-term healthcare needs.
- Negotiated payment plans with patients experiencing financial hardship, minimizing write-offs while supporting continued access to care.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Verified patient insurance eligibility and entered patient information into system.
- Responded to inquiries by directing calls to appropriate personnel.
- Facilitated communication between patients and various departments and staff.
- Conducted thorough assessments of patient eligibility for charity care programs, securing vital financial support for those in need.
- Assisted in reducing bad debt by closely monitoring delinquent accounts and initiating appropriate collection actions when necessary.
- Answered incoming calls, scheduled appointments and filed medical records.
- Facilitated prompt resolution of patient billing inquiries by coordinating with internal departments and external agencies as needed.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Coordinated with clinical staff to address potential financial barriers to care, ensuring timely provision of necessary services for patients.
- Resolved customer complaints using established follow-up procedures.
- Enhanced patient satisfaction by addressing financial concerns and providing personalized financial guidance.
- Contributed to revenue cycle improvements through diligent follow-up on outstanding accounts receivable balances.
- Educated patients on available resources, payment options, and insurance benefits to promote informed decision making.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Overseeing & assisting 15 Oncology clinics within Central Coast & First Coast areas.
Patient Financial Navigator
Florida Cancer Specialists
05.2022 - 03.2024
- Verify insurance (Benefits, Oncology Guidelines, Referral/Prior Authorizations)
- Obtaining Authorization & Referrals from insurance companies & primary care physician
- Monitoring monthly collections & percentages
- Setting up payment arrangements for patients on past balances/upcoming treatments
- Applying patients for Financial Aid Assistance
- Applying patients for Financial Hardship with Household bills (FCS Foundation)
- Reviewing all guidelines with Medicare/FDA/NCCN for all new treatments
- Creating treatment estimates and meeting/phone calls with patients to discuss financial responsibility.
- Updating patient's benefits every 2-3 months to see if they've met their yearly deductibles/out of pockets.
- Assist physicians, office staff and patients with all financial questions.
Patient Financial Counselor Lead
Florida Cancer Specialists
06.2017 - 03.2022
- Verify insurance (Benefits, Oncology Guidelines, Referral/Prior Authorizations)
- Trained new staff on filing, phone etiquette and other office duties.
- Served as reliable point of contact for patients throughout their treatment journey, addressing concerns promptly and maintaining open lines of communication.
- Delivered support to medical staff in completion of patient paperwork.
- Provided excellent customer service to patients and medical staff.
- Excellent communication skills, both verbal and written.
- Skilled at working independently and collaboratively with the team environment.
- Learned and adapted quickly to new technology and software applications.
- Managed time efficiently in order to complete all tasks within deadlines.
- Developed comprehensive financial plans for patients, taking into account individual circumstances and long-term healthcare needs.
- Negotiated payment plans with patients experiencing financial hardship, minimizing write-offs while supporting continued access to care.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Verified patient insurance eligibility and entered patient information into system.
- Responded to inquiries by directing calls to appropriate personnel.
- Facilitated communication between patients and various departments and staff.
- Conducted thorough assessments of patient eligibility for charity care programs, securing vital financial support for those in need.
- Assisted in reducing bad debt by closely monitoring delinquent accounts and initiating appropriate collection actions when necessary.
- Answered incoming calls, scheduled appointments and filed medical records.
- Facilitated prompt resolution of patient billing inquiries by coordinating with internal departments and external agencies as needed.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Coordinated with clinical staff to address potential financial barriers to care, ensuring timely provision of necessary services for patients.
- Resolved customer complaints using established follow-up procedures.
- Enhanced patient satisfaction by addressing financial concerns and providing personalized financial guidance.
- Contributed to revenue cycle improvements through diligent follow-up on outstanding accounts receivable balances.
- Educated patients on available resources, payment options, and insurance benefits to promote informed decision making.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Overseeing & assisting 15 Oncology clinics within Central Coast & First Coast areas.
Financial Counselor
Mid Florida Hematology & Oncology
04.2015 - 06.2017
- Verifying insurance benefits for copayments and coin-insurance through Availity
- Benefits and insurance verifications/authorizations
- Setting up payment arrangements
- Accounts receivable spreadsheet
- Inquiring patients about their Returned checks
- Applying for Assistance Foundation for patient's
- Answering phones (patients, insurance companies, staff, Physicians, off-site billing department and administrators
- Scanning and uploading files on OncoEMR, faxing documents, filing spreadsheets, and all follow-up
- Assistance front desk receptionist with patient's concerns regarding copayments or co-insurances,
- Verifying patients who have pharmaceutical assistance through the pharmacy department to verify is there is any administration fee through insurance benefits.
- Using spreadsheet on Google Drive & Microsoft One Drive for different financial reports
Medical Receptionist
Mid Florida Hematology & Oncology
04.2015 - 07.2015
- Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
- Facilitated effective communication between patients, medical staff, and insurance companies to ensure seamless coordination of care.
- Streamlined appointment scheduling for improved patient flow and reduced wait times.
- Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
- Helped patients complete necessary medical forms and documentation.
- Performed various administrative tasks by filing, copying and faxing documents.
- Managed multi-line phone system and pleasantly greeted patients.
- Notified manager of incidents and potential incidents relating to patients and staff for swift action.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Supported office staff and operational requirements with administrative tasks.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Organized paperwork such as charts and reports for office and patient needs.
- Obtained payments from patients and scanned identification and insurance cards.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Answered phone calls and messages for 6-physician in an Oncology medical facility, scheduling appointments, and handling patient inquiries
Education
Associate of Science - Health Information Technology
Seminole State College of Florida
Sanford, FL05.2026
High School Diploma -
Bronx Guild High School
Bronx, NY06.2010
Skills
- Bilingual (Spanish & English)
- Strong computer skills and organizational skills
- Excellent customer service and communication
- Knowledgeable of financial counseling services
- Able to obtain positive and enthusiastic attitude, outgoing and Team Player
- Reliable, confidentiality and integrity
- Organization
- Leadership
- Decision-making
- Reliable and trustworthy
- Microsoft Office
- Multitasking
- Medical software applications
- Professionalism
Certification
- CPR certification with the American Red Cross Feb 2023
- Tax preparer License -2020
Accomplishments
- Recognized as CARE Value employee, multiple times for outstanding performance and team contributions.
- Supervised team of 15 staff members.
Timeline
Patient Financial Navigator Lead
Florida Cancer Specialists
03.2024 - Current
Patient Financial Navigator
Florida Cancer Specialists
05.2022 - 03.2024
Patient Financial Counselor Lead
Florida Cancer Specialists
06.2017 - 03.2022
Financial Counselor
Mid Florida Hematology & Oncology
04.2015 - 06.2017
Medical Receptionist
Mid Florida Hematology & Oncology
04.2015 - 07.2015
Associate of Science - Health Information Technology
Seminole State College of Florida
High School Diploma -
Bronx Guild High School
- CPR certification with the American Red Cross Feb 2023
- Tax preparer License -2020
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