Knowledgeable professional proficient in process and productivity improvements as well as resolving delinquencies and maximizing team effectiveness. Several-year record in healthcare.
Overview
20
20
years of professional experience
Work History
Patient Account Representative II
Eskenazi Health
Indianapolis, IN
05.2022 - Current
Responsible for working on assigned work queues based on payer and dollar amount, including credit balances.
Responsible for sending overpayments back to insurance companies, and adjusting accounts.
Works in the EPIC System.
Responsible for resolving claim edits for low-dollar hospital accounts while adhering to payer guidelines and regulations.
Financial Counselor
Eskenazi Health
Indianapolis, IN
09.2019 - 05.2022
To acquire knowledge of the patient's insurance coverage and benefit limits and communicate it to the patients to make them aware of their financial responsibilities
Work in EPIC System
To verify and update the records related to insurance and to stay abreast with the information on the current insurance benefits
Assist patients with applying for health coverage such as Medicaid and Eskenazi Health assistance program
Speak to Family Social Services on the patients’ behalf as an Authorized Representative to follow up on health coverage application process
To have strong relationships with clients even in critical financial situations, to try to let go of small payments and balance it out in future for larger return
State Eligibility Consultant/Case Worker
State of Indiana (DFR)
Indianapolis, IN
08.2014 - 09.2019
Reviewed applications, conducted interviews, and verified documents to ensure accuracy and compliance with program regulations.
Contacted client references and employers to determine legitimacy of applicant information.
Conducted comprehensive assessments of applicants' eligibility for state assistance programs.
Managed Healthy Indiana Plan Redetermination Project.
Determine and verify eligibility for continued eligibility and benefit level.
Process changes to client status, overpayments, and adjusts or restores benefits for SNAP (Food Stamp), TANF (Cash Assistance), Medicaid, and HIP (Healthy Indiana Plan), Medicaid enrollment.
Open or refer cases for investigation for any fraudulent activity that may be discovered.
Communicate with internal and external clients to provide, exchange, and verify information, answer inquiries, address issues, and resolve problems.
Perform daily assigned tasks to ensure the success of the department.
Lead Caseworker for HIP Report / Redeterminations.
Eligibility Specialist
Xerox /Lake County Division of Family Resources
Crown Point, Indiana
01.2010 - 08.2014
Appointment scheduling with applicants by phone
Process applications for Food Stamps (SNAP), Medicaid, and Cash Assistance (TANF)
Conduct interviews and redeterminations for potential ongoing eligibility
Update cases with personal information to determine eligibility and provide case authorization
Worked with FACTS, SMART, ICES, and OPS programs
Complete update to case for State Eligibility Consultant authorization
Medical Admin. Asst. /Office Manager
Okolocha Medical Corporation
East Chicago, Indiana
01.2008 - 01.2010
Super User for Epic System
Appointment Scheduling with Specialists and Physicians
Call prescriptions to pharmacies
Prepare patient charts electronically and process insurances
Prior authorization for testing and medications
Handle electronic records/process in Epic Systems
Fill out FMLA and short-term disability forms
Contact hospital admission so that pt
Could be admitted
Front Desk Supervisor/Night Auditor
Aberdeen Woods Conference Center (Business Hotel)
Peachtree City, GA
01.2005 - 01.2008
Manage reservations and room availability
Ensure billing and payment processes are accurate
Monitor and review guest feedback
Maintain a clean and organized front desk area
Evaluate performance and recommend merit increases and disciplinary actions