Jacqueline Begin
Harrison Township,USA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Results-driven Representative known for productivity and efficiently completing tasks. Skilled in client communication, problem resolution, and process optimization. Excel in negotiation, strategy development, and customer relationship management. Leverage active listening, empathy, and persuasive speaking to achieve objectives and exceed goals.
Overview
24
24
years of professional experience
Work History
Financial Clearance Representative
McLaren Health Care
Shelby Charter Township, US
04.2023 - Current
- Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools
- Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines
- Starts the overall patient's experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information
- Estimates and collects copays, deductibles, and other patient financial obligations
- Coordinated with healthcare providers to gather necessary patient information for prior authorization requests.
- Performs duties otherwise assigned by management
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Clarified patient inquiries and questions to update patient account information in computer system.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
PRE Authorization Coding
Michigan Institute Of Neurology Disorders
Farmington Hills, US
04.2022 - 04.2023
- Evaluated patient histories, complaints and current symptoms
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
- Coordinated with healthcare providers to gather necessary patient information for prior authorization requests.
- Resolved issues related to pre-authorization process with payers and other external entities.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.
- Input claim, prior authorization, and other important medical data into system.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
Front Desk Medical Receptionist
Surgical Consultants
Mount Clemens, US
08.2021 - 03.2022
- Used computer programs and registration systems to schedule patients for routine and complex procedures
- Completed clerical duties and tasks for clinic administration
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care
- Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company
- Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases
- Coordinated patient scheduling, check-in, check-out and payments for billing
- Checked patient insurance, demographic and health history to keep information current
- Managed multi-line phone system and pleasantly greeted patients
- Adhered to strict HIPAA guidelines to protect patient privacy
- Organized paperwork such as charts and reports for office and patient needs
- Helped patients complete necessary medical forms and documentation
- Completed and filed financial documentation for accounting purposes
Consumer Service Specialist
Mmi Door
Sterling Heights, US
03.2020 - 08.2021
- Administered accurate account setup, maintenance and closing of customer account information
- Used fact-finding sales methods to customize company programs and services and strove to obtain new business
- Analyzed order integrity in product assortment, pricing, allocations and scheduled ship dates
- Worked with customers continuously and sustained and improved business relationships
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences
- Investigated and resolved customer inquiries and complaints quickly
- Met customer call guidelines for service levels, handle time and productivity
- Answered calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information
Returns Clerk
Lowes Home Improvement
Chesterfield, US
08.2001 - 02.2020
- Collaborated with team members to facilitate returns quickly and provide outstanding customer service
- Distributed returned merchandise to appropriate store departments or palletized for liquidation
- Documented returned product details in inventory tracking system
- Adhered to company safety guidelines to minimize warehouse accidents
- Conducted inventory counts by adding each item in stock and documenting in system
Education
High School Diploma -
New Haven High School
New Haven, MISkills
- Electronic Health Records
- Relationship building
- Team Collaboration
- Project Deadlines
- HIPAA Compliance
- Data Analysis
- EMR Systems
- Organization and time management
- ICD-10
- Task prioritization
- Documentation review
- Decision-making
- Communication skills
- HIPAA
- Medical terminology
- Analysis skills
- Medical coding
- CPT coding
- Microsoft Outlook
- Epic
Personal Information
Authorized To Work: US
Timeline
Financial Clearance Representative
McLaren Health Care
04.2023 - Current
PRE Authorization Coding
Michigan Institute Of Neurology Disorders
04.2022 - 04.2023
Front Desk Medical Receptionist
Surgical Consultants
08.2021 - 03.2022
Consumer Service Specialist
Mmi Door
03.2020 - 08.2021
Returns Clerk
Lowes Home Improvement
08.2001 - 02.2020
High School Diploma -
New Haven High School