Gena Fortunato
Harmony Township,NJ
Summary
Seasoned healthcare worker with a Bachelor’s of Science in Healthcare Administration with more than 8 years of experience in high-paced medical facilities and am an expert in areas such as patient support, scheduling, coding, and insurance verifications and pre-certifications. Excellent customer service and problem-solving skills. Record of accomplishment of achieving exceptional results working with others, learning new skills, and adapting to the always changing healthcare world. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Stay at Home Mom
SAHM
10.2022 - Current
Patient Access Representative
St. Luke’s University Health Network
03.2020 - 04.2023
- Processed intake information for new patients in urgent care and laboratory setting
- Worked claims with incorrect coding for prompt filing.
- Verify insurance coverage and obtain pre-certification for some insurances, such as workman’s compensation, Medicaid, Veteran’s affairs, and commercial insurance.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- 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
- Contributed to positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Customer Service Representative
Allied OP Orthotics and Prosthetics
01.2014 - 02.2020
- Obtain insurance verifications and pre-certification for orthotic, prosthetic, and DME
- Updated account information to maintain customer records.
- Processed claims and check for correct coding and use of modifiers
- Scan paperwork into electronic charts.
- Assisted customers in navigating company website, improving overall user experience.
- Tracked customer service cases and updated service software with customer information.
- Handled customer inquiries and suggestions courteously and professionally.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Answered constant flow of customer calls with minimal wait times.
Server
Giulio’s Pizzeria and Family Restaurant
01.2009 - 01.2015
- Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
- Served food and beverages promptly with focused attention to customer needs.
- Worked with POS system to place orders, manage bills, and handle complimentary items.
- Cultivated warm relationships with regular customers.
- Maintained a clean and orderly dining area for an enjoyable guest experience.
Claims Processing Clerk
First Choice Care, LLC.
08.2013 - 07.2014
- Expedited claim resolution times with thorough investigation and timely communication with involved parties.
- Processed orders for Medicare patients to receive orthotics and DME
- Demonstrated excellent problem-solving skills by identifying potential issues early on during the claims process and addressing them proactively.
- Handled high volume of daily claims while consistently meeting deadlines and maintaining attention to detail.
- Communicated with doctor’s office to receive paperwork needed to process claims
- Managed sensitive customer data securely, adhering to strict privacy guidelines and protecting client information from potential breaches.
- Prepare claims to be sent to Medicare.
Education
Bachelor of Science - Healthcare Administration
Purdue University Global
Indianapolis, IN06.2021
Career Diploma - Medical Assisting And Terminology
Ashworth College
Atlanta, GA10.2012
Skills
Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Flexible and Adaptable
- Dependable and Responsible
- Multitasking
- Excellent Communication
- Critical Thinking
- Computer Skills
- Organizational Skills
- Calm Under Pressure
- Active Listening
- Organization and Time Management
- Decision-Making
- Problem Resolution
Personal Information
Title: Healthcare Administrator
Timeline
Stay at Home Mom
SAHM
10.2022 - Current
Patient Access Representative
St. Luke’s University Health Network
03.2020 - 04.2023
Customer Service Representative
Allied OP Orthotics and Prosthetics
01.2014 - 02.2020
Claims Processing Clerk
First Choice Care, LLC.
08.2013 - 07.2014
Server
Giulio’s Pizzeria and Family Restaurant
01.2009 - 01.2015
Bachelor of Science - Healthcare Administration
Purdue University Global
Career Diploma - Medical Assisting And Terminology
Ashworth College
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