Halimo Hotchkiss
Pelham
Summary
Compassionate Patient Engagement Specialist recognized for ability to complete tasks efficiently and maintain high productivity levels. Skilled in patient communication, healthcare software utilization, and data analysis to improve patient care strategies. Excel in empathy, active listening, and problem-solving to enhance patient satisfaction and engagement.
Overview
15
15
years of professional experience
Work History
Billing Representative
Optum Health Group
New York
01.2025 - Current
- Educated external customers on providing complete billing information to minimize follow-up inquiries.
- Generated and distributed reports and documentation to internal and external clients to obtain necessary information.
- Initiated outbound calls to clients, patients, carriers, and other sources to secure missing or additional information.
- Reported issues, errors, and denial trends to management, including breaches of protected health information (PHI).
Patient Engagement Specialist
Forge Health
White Plains
03.2022 - 12.2024
- Prepared and submitted electronic claims to insurance carriers, ensuring stringent accuracy and compliance.
- Resolved outstanding receivables by leveraging remittance reports and explanations of benefits (EOBs).
- Oversaw month-end billing activities, including generating billing reports and converting patient care activities into billable codes.
- Executed monthly aging reports based on dates of service (DOS) and current accounts receivable (A/R) to identify accounts needing follow-up.
- Facilitated patient communication to enhance engagement and education initiatives.
- Coordinated outreach programs to increase patient participation in health services.
- Collaborated with multidisciplinary teams to address patient needs effectively.
- Provided feedback on current processes related to patient engagement and suggested improvements where necessary.
Lead Patient Coordinator
Burke Rehabilitation Hospital
Yonkers
03.2016 - 09.2021
- Coordinated and managed patient care services to ensure excellence in care quality and heightened patient satisfaction, with a focus on scheduling and follow-up.
- Facilitated effective communication between patients and healthcare providers, promptly addressing inquiries and concerns to enrich patient experience.
- Formulated and instituted patient onboarding procedures, boosting satisfaction and decreasing wait times by streamlining the intake process.
- Centralized insurance verifications leveraging payer technology portals, allowing real-time evaluation of eligibility, benefits, and authorizations.
- Coordinated patient appointments and schedules for effective care delivery.
- Managed patient intake processes and ensured accurate information collection.
- Provided guidance to patients regarding insurance and payment options.
- Trained new staff on procedures and best practices for patient coordination.
- Addressed patient inquiries and resolved issues with empathy and professionalism.
Insurance Specialist
Symmetry Physical Therapy
Pelham
01.2011 - 09.2016
- Enhanced on-site patient payment rates by performing in-depth billing analysis and collaborating on patient education initiatives.
- Conducted financial reporting analyses to identify and rectify outstanding, on-hold, or erroneous claims, thus improving collection rates from patients and insurance partners.
- Managed corrective action planning to bolster data quality and streamline financial operations.
- Engaged in Peer-to-Peer calls to analyze utilization trends, quality issues, and patterns in authorizations and claims submissions.
Education
Bachelor of Science - Health Services Administration
CUNY School of Professional Studies
New York06.2022
Skills
- Operations Management
- Process Improvement
- Documentation Management
- Customer relationship management
- Patient scheduling
- Effective communication
- Technical Competence: EPIC
- Avality
- NaviNet
- Patient Education
- Patient Experience
- Insurance Experience
- Insurance verification
Personal Information
Title: Billing Representative
Timeline
Billing Representative
Optum Health Group
01.2025 - Current
Patient Engagement Specialist
Forge Health
03.2022 - 12.2024
Lead Patient Coordinator
Burke Rehabilitation Hospital
03.2016 - 09.2021
Insurance Specialist
Symmetry Physical Therapy
01.2011 - 09.2016
Bachelor of Science - Health Services Administration
CUNY School of Professional Studies
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