Hayli M. Cotten
Willingboro
Summary
Seasoned Insurance Specialist with a robust background at Cooper University Hospital, showcasing expertise in claims management and exceptional communication. Excelled in HIPAA compliance, ensuring patient confidentiality while enhancing customer service standards. Proven track record in training team members and reducing revenue loss, leveraging Microsoft Office Suites and documentation skills for operational excellence.
Overview
6
6
years of professional experience
Work History
Insurance Specialist
Cooper University Hospital
08.2022 - Current
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Followed up on denials, late payments, extensions and other special circumstances.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained high standards of customer service by building relationships with clients.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Conducted trainings for new team members.
Admitting Officer
Cooper University Hospital
08.2022 - Current
- Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
- Verified patient details and insurance coverage and collected co-pays.
- Reviewed hospital schedule and confirmed arrival times.
- Calculated collectible amount due for procedures.
- Utilizes various types of electronic/manual recording and information systems used by agencies.
- Prepared periodic and special statistical reports.
- Conducted patient intake interviews, recording and documenting relevant information.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
ER Medical Scribe
Dover Hospital
06.2019 - 12.2021
- Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
- Accompanied physicians through day in fast-paced, stressful environments.
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Collected required documents to prepare discharge and release summaries of patients.
- Processed patient referrals and authorizations to enable smooth patient consultations.
Education
Bachelor of Science - Public Health
Delaware State University
Dover, DE05-2022
Skills
- Account management expertise
- Documentation skills
- Claims management
- Account management
- HIPPA Compliance, Certificate
- First Aid, Certificate
- Microsoft Office Suites
- Customer Service
- Exceptional Communication
- Trainer
- Health insurance
- Claims reporting systems
Timeline
Insurance Specialist
Cooper University Hospital
08.2022 - Current
Admitting Officer
Cooper University Hospital
08.2022 - Current
ER Medical Scribe
Dover Hospital
06.2019 - 12.2021
Bachelor of Science - Public Health
Delaware State University
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