Jennifer Arciniegas
Union City,NJ
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
11
11
years of professional experience
Work History
Patient Service Representative
FirstSource Solutions USA
01.2018 - 03.2024
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Entered patient demographic and insurance data into electronic medical record system.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Resolved billing inquiries and disputes in timely fashion.
- Investigated insurance claims denials and appeals.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Eligibility Specialist
Nthrive
03.2017 - 01.2018
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
- Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
- Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
- Billing for Medicaid, Medicare and Commercial insurance using EPIC.
- Charity Care Write off
- Voids using E- premis
Hearing Case Manager
GAR Disability Advocates LLC
07.2013 - 08.2015
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Started processing application online on paper for clients.
- Took care of FedEx invoices and WB Mason supply orders as well.
- Collected all medical records for my clients to send them to the social security administration and have all necessary documents ready for client's court date.
- Collected fees from social security.
- Archived, filed and collated all paperwork for clients.
Education
No Degree - Bioengineering
Universidad Santiago De Cali
Cali, ColombiaAssociate of Applied Science - Medical Insurance Billing And Coding
Berkeley College
NJ03.2025
High School Diploma -
IETC Las Americas
Cali, Colombia06.2008
Skills
- Customer Service
- HIPAA Compliance
- Insurance Verification
- Medical terminology knowledge
- Patient confidentiality
- Payment Collection
- Eligibility Determination
- Office Administration
- Document filing
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Patient Service Representative
FirstSource Solutions USA
01.2018 - 03.2024
Eligibility Specialist
Nthrive
03.2017 - 01.2018
Hearing Case Manager
GAR Disability Advocates LLC
07.2013 - 08.2015
No Degree - Bioengineering
Universidad Santiago De Cali
Associate of Applied Science - Medical Insurance Billing And Coding
Berkeley College
High School Diploma -
IETC Las Americas
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