Jamele Mcpherson-Kenton
Queens,NY
Summary
Experienced healthcare financial professional with 3+ years of experience in patient account management, insurance verification, and billing. Skilled in Epic database and CPT code modifiers. Strong multitasking and customer service abilities. Seeking transition into financial operations role.
Overview
7
7
years of professional experience
Work History
Financial Analyst II
Columbia University Medical Center
08.2023 - Current
- Spearheaded an verification of surgical patient insurance eligibility and benefits, ensuring accurate financial data analysis.
- Generated precise estimates for surgical procedures, both in and out of network, optimizing cost-effectiveness for patients.
- Facilitated Self-Pay patient consultations, providing comprehensive estimates for Surgeon, Hospital, and Anesthesia fees.
- Managed complex documentation tasks, ensuring meticulous record-keeping and compliance.
- Oversaw pre-payment processing, streamlining financial transactions for surgical services.
- Provided expert assistance to patients in interpreting Explanation of Benefits (EOB) and addressing billing inquiries.
Patient Service Representative
Northwell Health
08.2022 - 01.2023
- Review patient information and medical records to determine a type of authorization required.
- Communicate with insurance companies to obtain authorization for healthcare services.
- Ensure that all necessary documentation, such as medical reports and treatment plans, is submitted in a timely manner.
- Monitor and analyze claim data to identify trends and patterns that may indicate potential risk for denials
Patient Access Representative
NYU Langone Long Island
10.2018 - 08.2022
- Entered 75+ patients demographics and insurance data into Epic database to establish medical records in the Emergency Department daily.
- Worked with medical staff, nursing, ancillary departments, insurance payors and other external sources to assist families in obtaining healthcare and nancial services
- Performed financial clearance for medical insurance claim processing during registration by interviewing 50+ patients, by collecting and recording all necessary information such as proper insurance, payor plan choice, billing address, and guarantor in the EPIC.
Patient Care Coordinator
ProHealth Care
02.2019 - 08.2020
- Scheduled and confirm patient appointments, including coordinating with other healthcare providers.
- Acted as the primary point of contact for patients, providing information and answering any questions they may have
- Assisted patients with insurance and financial matters, including verifying insurance coverage and processing claims
- Coordinated with other healthcare providers, such as doctors and nurses, to ensure that patients receive the care they need.
Dispatcher/ Administrative Assistant
Command Security Corporation/ Aviation Safeguard
02.2017 - 10.2018
- Managed and assisted human resources while supervising hiring process.
- Aided in conducting yearly performance assessments by working with leadership team to ensure consistency and adherence to established protocol.
- Supervised security services to ensure worker safety with infrastructure at LGA and JFK Airport as efficiently as possible and as quickly as demands changed.
- Prepared thorough documents and reports in accordance with administrative procedures such as payroll.
Education
Associate of Science - Business And Managerial Economics
LaGuardia Community College of The City University of New York
Long Island City, NYSkills
- Financial Clearance
- Account Management
- Epic Database
- Financial Report
- Healthcare Insurance Claims
- SQL
- Risk Analysis
- Python
- Problem-Solving
- Data Analysis
- Tableau
- Excel Functions
- Model Development
Timeline
Financial Analyst II
Columbia University Medical Center
08.2023 - Current
Patient Service Representative
Northwell Health
08.2022 - 01.2023
Patient Care Coordinator
ProHealth Care
02.2019 - 08.2020
Patient Access Representative
NYU Langone Long Island
10.2018 - 08.2022
Dispatcher/ Administrative Assistant
Command Security Corporation/ Aviation Safeguard
02.2017 - 10.2018
Associate of Science - Business And Managerial Economics
LaGuardia Community College of The City University of New York