Jasmine Marsh
La Marque,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Wide experience with all public and private health insurance practices and policies. Adept at coordinating with insurance staff at all levels as well as working independently or as a team.
Overview
14
14
years of professional experience
Work History
Patient Coordinator-Remote
Optum
Houston, TX
10.2022 - Current
- Provided support to patients regarding insurance coverage, payment plans, and other financial matters.
- Maintained and conducted research in payer database.
- Developed and implemented patient intake forms to ensure accurate information was collected.
- Conducted research on health plan benefits to determine eligibility criteria for services.
- Answered incoming calls from patients, providers, and insurance companies in a courteous manner.
- Ensured compliance with HIPAA regulations related to the protection of confidential patient information.
- Coordinated patient appointments and maintained appointment schedule.
Patient Affairs Coordinator
Methodist Healthcare
League City, TX
01.2020 - 09.2022
- Managed day-to-day operations of the department including scheduling tasks and assigning duties.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Provided timely follow up with payers regarding payment status of claims.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
Mental Health Coordinator
UTMB
League City, TX
11.2010 - 01.2020
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Provided clear instructions to patients regarding their upcoming visits.
- Inputted patient data into the electronic health record system.
- Coordinated with other departments within the practice to ensure timely patient care.
- Verified insurance information prior to appointment booking.
- Obtained Prior Authorizations for pharmacy claims
- Managed a high volume of emails related to appointment scheduling requests.
- Served as a liaison between patients and healthcare providers for communication purposes.
- Ensured compliance with HIPAA regulations when handling confidential information.
Education
High School Diploma -
Ball High School
Galveston, TX05-2005
Skills
- Extensive Medicare and commercial insurance experience
- Electronic authorization processing
- Coverage and Authorizations
- Claims Processing
- Insurance terminology
- Superior abilities with MS Office applications including Excel, Word
- Outstanding abilities in working as part of a professional team
- Sound communication and interpersonal skills
- EPIC EMR
Timeline
Patient Coordinator-Remote
Optum
10.2022 - Current
Patient Affairs Coordinator
Methodist Healthcare
01.2020 - 09.2022
Mental Health Coordinator
UTMB
11.2010 - 01.2020
High School Diploma -
Ball High School