Dedicated healthcare representative with a focus on enhancing patient experiences and operational efficiency. Successfully managed high volumes of patient inquiries, ensuring timely follow-ups and insurance verifications that contribute to organizational goals. Recognized for leadership in training new staff and sharing expertise to improve team performance.
Work History
Access Center Representative
1 Year 5 Months
CHOP Allergy Department | Philadelphia, Pennsylvania | 04.2025 - Current
Provided exceptional customer service to enhance patient experience and satisfaction.
Facilitated communication between patients and healthcare providers within the department.
Managed patient inquiries and appointment scheduling for allergy consultations.
Coordinated follow-up appointments and reminders for ongoing treatments.
Demonstrated excellent problem-solving skills when dealing with difficult customer requests or complaints.
INSURANCE VERIFICATION REPRESENTATIVE
4 Years 1 Month
Penn Presbyterian Medical Center | Philadelphia, PA | 01.2022 - 02.2026
Spearheaded patient relations and information management, overseeing insurance verification for pre-certifications in orthopedics and cardiology.
Utilized online services and telephone communication to verify patient eligibility and authorization requirements.
Gathered benefit information from various sources for patients' claims. for workers’ compensation and veterans’ administration patients.
Enhanced patient experience by explaining coverage benefits and guiding patients through the system.
Provided support to colleagues by sharing insurance expertise to improve team knowledge during meetings.
Served up to 40 patients daily in a dynamic healthcare environment.
Oriented and trained new staff, equipping them with necessary skills and resources for success.
Executed procedures with precision, contributing to operational quality while proficiently using technology tools.
Insurance Verification Representative
10 Years 4 Months
RTI Reimbursement Technologies | Conshohocken, PA | 01.2012 - 05.2022
Verified patient insurance coverage and updated records for accurate claims submission for emergency room services.
Communicated with insurance companies to obtain benefits information, claims status, and remittance history, ensuring timely resolution.
Resolved denials and appeals through effective communication with healthcare providers, facilitating smoother claims processing.
Process claims, providing CPT Coding, Posting of EOB payments are processed correctly and efficiently.
Assist patients with insurance related inquiries, explanation of benefits, coverage details and history.
Resolve any insurance-related inquiries or discrepancies.
Ensured patient confidentiality by adhering to privacy regulations and protocols.
Education
Associate of Science - Healthcare Administration
Gwynedd Mercy University | Philadelphia, PA | 01-2013
Skills
Insurance verification
Customer Service & Patient Relations
Patient scheduling
Appointment Coordination
Effective communication
Problem solving
Insurance Coding & Requirements
Navinet platform
Epic
Health Care Operations
Data Management
Microsoft Office
Relationship Building
Staff Orientation
Appointment Coordination
RELEVANT COURSEWORK
Medical Terminology
Legal Issues in Health Information Management
Healthcare Reimbursement
Statistical Applications in Healthcare
Managing Quality and Performance Improvement
Timeline
Access Center Representative
CHOP Allergy Department
04.2025 - CurrentRead More
INSURANCE VERIFICATION REPRESENTATIVE
Penn Presbyterian Medical Center
01.2022 - 02.2026Read More
Insurance Verification Representative
RTI Reimbursement Technologies
01.2012 - 05.2022Read More
Gwynedd Mercy University
Associate of Science from Healthcare Administration