Summary
Overview
Work History
Education
Skills
Timeline
Generic

Heather Alston

Pittsburgh,PA

Summary

Accomplished Healthcare Representative with a proven track record at Change Healthcare/United Healthcare-Optum, adept in healthcare compliance and patient education. Leveraged communication skills to enhance patient support and successfully mentored new team members, significantly improving team performance. Expert in navigating HIPAA regulations, ensuring patient confidentiality and care excellence.

Overview

14
14
years of professional experience

Work History

Healthcare Representative

Change Healthcare/ United Healthcare-Optum
02.2018 - Current

*Complete Medical Assistance applications with uninsured/underinsured patients and Social Security Disability applications with disabled patients;

*Certified Application Counselor for the Affordable Care Act;

*Submit all applications electronically;

*Travel to multiple facilities when coverage is needed;

*Daily telephone calls to follow-up with post discharged patients;

*Home visitations;

*Identifying commercial insurance and reporting to insurance verifiers

Patient Liason

NCO Epals
11.2014 - 02.2018

*Complete Medical Assistance applications with uninsured/underinsured patients and Social Security Disability applications with disabled patients;

*Certified Application Counselor for the Affordable Care Act;

*Submit all applications electronically;

*Daily telephone calls following-up with patients to obtain evidence needed to process the application;

*Daily telephone calls to follow-up with county caseworkers to ensure applications are processed timely;

*Frequent home visitations;

*Identifying commercial insurance and reporting to insurance verifiers


Customer Service Lead

Guardian Protection Services
08.2010 - 10.2014

* Resolved customer service issues using company processes and policies and provided updates to customers;

* Enhanced customer satisfaction by resolving complex issues and providing timely solutions;

*Trained, oversaw, and mentored new team members to strengthen performance and job expertise;

*Handled escalated customer complaints professionally, ensuring prompt resolution and follow-up actions were taken as necessary

Education

CCAC
Pittsburgh, PA

Skills

  • Goal-Oriented
  • Healthcare compliance
  • Vital signs monitoring
  • HIPAA Regulations
  • Patient Education
  • Communication Skills
  • Customer Service

Timeline

Healthcare Representative

Change Healthcare/ United Healthcare-Optum
02.2018 - Current

Patient Liason

NCO Epals
11.2014 - 02.2018

Customer Service Lead

Guardian Protection Services
08.2010 - 10.2014

CCAC
Heather Alston