Summary
Overview
Work History
Education
Skills
Timeline
Generic

Garnette Graedel

Mazomanie,WI

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

34
34
years of professional experience

Work History

Patient Reimbursement Coordinator

UW Health Care Direct
08.2009 - Current

2020 to Current

  • Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
  • Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
  • Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
  • Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
  • Maintained accurate records of customer interactions, ensuring proper documentation within the company''s database.
  • Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
  • Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care.
  • Assisted in training new hires, sharing best practices in customer service protocols specific to the healthcare industry.
  • Promoted a positive work environment through active participation in team meetings and contributing ideas for organizational success.
  • Contributed to the company''s ongoing success by actively seeking opportunities for personal growth and skill development within the healthcare field.
  • Collaborated with team members to identify areas for improvement in customer service processes, implementing changes as needed.
  • Aided in the implementation of new software systems, providing input on user experience and assisting with training for other team members.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Resolved patient billing issues in line with established guidelines.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Addressed bad debts in line with set protocols.
  • Delivered prompt service to prioritize customer needs.
  • Responded proactively and positively to rapid change.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Maintained up-to-date knowledge of product and service changes.
  • Cross-trained and provided backup support for organizational leadership.
  • Trained new personnel regarding company operations, policies and services.

Patient Operations Coordinator Associate: 2013 to 2020

  • Processes standard DME referrals and identifies patient needs
  • Coordinate referral process for basic home care services under the direction of the clinical department staff.
  • Performs insurance verification.
  • Performs complex case management negotiations for patient set-ups.
  • Obtains and maintains appropriate documentation required for pre-authorization and payment of DME services.
  • Refers patients to community agencies according to policy and patient need; negotiates pricing and responsibility of co-managing agencies.
  • Performs price negotiations in the best interest of the patient with respect to business and acts as a resource for price negotiations.
  • Maintains advanced knowledge of reimbursement principles and pricing parameters.
  • Communicates and receives approval of price negotiations from management.
  • Provides on-going communications with payor case managers, patients and community agencies for updates/changes/authorizations and reauthorizations.
  • Enters and updates patient demographics and insurance data into computer.
  • Assists patients with supply requests and delivery issues.
  • Provides problem solving assistance by phone to patient/caregivers.
  • Provides problem solving assistance by phone to case managers, customer service personnel and community agency staff.
  • Follows up on all DME rentals for continued need or to discontinue service if rental is complete.
  • Computer data entry is complete and timely and satisfied department guidelines.
  • Documents patient activity on the daily referral log.
  • Assists management with product evaluation, retrieval of new product information, and program development.
  • Maintains technical job knowledge through appropriate resources.
  • Serves as preceptor by orienting and training new staff.
  • Processes complex DME/RT/Rehab referrals.
  • Participates in on-call rotation.
  • Performs routine record audits under the direction of the Department Manager or Operations Supervisor.
  • Carries out all responsibilities in accordance with Companies Mission Statement.
  • Assist with contract updates and maintenance.

Receptionist and Patient Service Coordinator: 2009 to 2013

  • Used HCN to maintain electronic patient files, successfully maintaining over 300 patient files.
  • Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
  • Maintained accurate patient records by diligently updating information in the electronic health record system.
  • Promoted a culture of continuous improvement through active participation in staff meetings, trainings, and professional development opportunities.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Resolved customer problems and complaints.
  • Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
  • Responded to inquiries from callers seeking information.
  • Answered central telephone system and directed calls accordingly.
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
  • Corresponded with clients through email, telephone, or postal mail.
  • Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
  • Handled sensitive information with discretion while maintaining strict confidentiality standards.
  • Managed multiple tasks and met time-sensitive deadlines.
  • Provided administrative support to staff members by handling correspondence and filing documents,
  • Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
  • Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.

Customer Account Specialist

Commercial Packaging
04.1997 - 04.2009
  • Increased client retention, consistently maintaining strong relationships with key accounts.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Support sales representative in opening new accounts and upgrading existing servies with new products
  • Collaborated with sales teams to upsell products and services, resulting in increased revenue.
  • Assisted team members with account-related tasks, fostering a collaborative work environment.
  • Stayed current on industry trends and product offerings, providing informed guidance to customers seeking advice or recommendations.
  • Contacted customers to assess satisfaction and current needs.
  • Supported customer satisfaction through regular follow-up and communication.
  • Managed timely and effective replacement of damaged or missing products.
  • Coordinated 2 yearly events for customers.
  • Managed Inventories for customers.
  • Managed onsite warehouse, load and unloading semi trailers and trucks.

Accounting Assistant

Gordie Boucher Lincoln- Mercury
01.1992 - 03.1997
  • Completed payroll functions to facilitate accurate and prompt staff payments.
  • Maintained accurate and complete documentation to facilitate accounting and filing functions.
  • Used accounting software to prepare weekly and monthly financial reports.
  • Handled day-to-day accounting processes to drive financial accuracy.
  • Recorded deposits, reconciled monthly bank accounts and tracked expenses.
  • Entered figures using 10-key calculator to compute data quickly.
  • Created detailed expense reports to facilitate reimbursement for business expenses incurred.
  • Streamlined daily reporting information entry for efficient record keeping purposes.
  • Maintained excellent financial standings by working closely with bookkeeper to process business transactions.

Accounting Assistant

Cleary Building Corp.
07.1990 - 07.1991
  • Maintained clean and organized files by keeping accounts payable records up-to-date.
  • Maintained accurate and complete documentation to facilitate accounting and filing functions.
  • Completed payroll functions to facilitate accurate and prompt staff payments.
  • Expedited invoice processing with effective communication between internal departments and external vendors.
  • Reduced errors in account reconciliation through meticulous attention to detail and thorough review of transactions.
  • Matched purchase orders with invoices and recorded necessary information.
  • Entered figures using 10-key calculator to compute data quickly.
  • Managed Inventory
  • Process and maintain personnel records

Education

No Degree - Paralegal Studies

Madison Area Technical College
Madison, WI
12.1992

Skills

  • Prior Authorization
  • Insurance Verification
  • Medicaid knowledge
  • Medicare knowledge
  • Utilization review
  • Explanation of Benefits
  • Coordination of Benefits
  • Microsoft Office
  • Private Insurance Knowledge
  • Attention to Detail
  • Interpersonal Communication

Timeline

Patient Reimbursement Coordinator

UW Health Care Direct
08.2009 - Current

Customer Account Specialist

Commercial Packaging
04.1997 - 04.2009

Accounting Assistant

Gordie Boucher Lincoln- Mercury
01.1992 - 03.1997

Accounting Assistant

Cleary Building Corp.
07.1990 - 07.1991

No Degree - Paralegal Studies

Madison Area Technical College
Garnette Graedel