GINA OSTOJ
Reno,NV
Summary
Healthcare financial services professional with 20+ years of experience supporting insurance verification, benefits eligibility, and authorization requirements. Proficient in evaluating eligibility for government and charity programs and interpreting coverage rules. Strong focus on accurate documentation, regulatory compliance, and patient-centered communication.
Overview
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1
Language
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Certification
21
21
years of professional experience
Work History
Patient Financial Assistant
Renown Regional Medical Center
12.2017 - Current
- - Help patient financial specialist team by gathering and reviewing demographic, insurance, financial, and statistical details from patients, families, physicians, and government agencies.
- - Check insurance eligibility, benefits, and payer order to support timely coverage notices and accurate determination.
- - Estimate patient payment responsibility, including co-payments, co-insurance, and deductibles, to support point-of-service collection.
- - Screen uninsured and underinsured patients while guiding application steps for government aid and Renown Financial Assistance Program (FAP).
- - Complete bedside visits, phone consultations, and walk-in support to help patients finish assistance paperwork.
- - Maintain detailed case notes in Epic for authorizations, FAP committee review, and Medicaid cases through final resolution.
- - Review prior authorization requests for completeness, accuracy, and payer requirements.
- - Escalate complex authorization issues and follow up on pending cases to keep work moving.
- - Train staff on use of multiple reports and related workflow steps.
- - Maintain HIPAA compliance while protecting sensitive patient information during authorization work.
- - Improve accuracy through careful review and verification of eligibility, coverage, and benefits information.
- - Adapt to changing insurance requirements through ongoing education and policy updates.
Customer Service Representative II (CSR II)
Anthem, Inc.
10.2005 - 11.2017
- Resolved complex customer inquiries regarding insurance benefits, provider contracts, eligibility, and claims via phone, written correspondence, and in-person consultations.
- Investigated operational challenges and claim discrepancies using database records to deliver accurate, compliant solutions.
- Utilized PC and image station platforms to extract data and meticulously document account activity for quality assurance and analytical tracking.
- Collaborated with cross-functional business units to streamline resolution pathways for elevated member and provider requests.
- Consistently exceeded departmental performance benchmarks, customer satisfaction targets, and quality assurance standards.
Education
High School Diploma - undefined
Edward C. Reed High School
Sparks, NVSkills
- Insurance processing expertise
- Patient support and financial advice
- POS technology proficiency
- Effective problem resolution
- Detail-oriented work approach
Personal Information
Work Permit: US Work Authorization: Eligible for any employer
Certification
Exchange Enrollment Facilitator, Dec 2018 – Jan 2022, Certified to facilitate enrollment in qualified health plans offered through the health insurance Exchange.
Section name
- Gina Ostoj – Curriculum Vitae
- Page 1 of 1
Languages
Spanish
Professional Working
Timeline
Patient Financial Assistant
Renown Regional Medical Center
12.2017 - Current
Customer Service Representative II (CSR II)
Anthem, Inc.
10.2005 - 11.2017
High School Diploma - undefined
Edward C. Reed High School