Jennifer Pauta
Ossining
Summary
Proactive and self-motivated professional with extensive experience at NY Presbyterian Hudson Valley Medical Group, adept in HIPAA compliance and insurance authorizations. Excelled in enhancing patient satisfaction and streamlining referral processes, demonstrating exceptional multitasking abilities and analytical problem-solving. Achieved significant reductions in errors and delays, fostering efficient healthcare coordination. Assisted the Revenue Cycle and Denials, Charge Champions team by ensuring charges are efficiently reconciled.
Overview
2
2
years of professional experience
Work History
Surgical Scheduler
NY Presbyterian Hudson Valley Medical Group
02.2024 - Current
- Followed physician's orders and availability calendar to schedule tests and procedures.
- Assisted in the ongoing development of surgical scheduling policies and procedures, enhancing overall efficiency.
- Served as a key liaison between patients, physicians, and hospital staff, fostering strong relationships that supported effective care coordination.
- Coordinated with insurance companies to obtain pre-authorizations for scheduled surgeries, minimizing financial barriers for patients.
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
- Enhanced patient satisfaction rates through timely and accurate insurance verifications.
- Maintained comprehensive knowledge of various insurance plans, ensuring accurate information was provided during the authorization process.
- Coordinated insurance claims processing to ensure timely reimbursement for both patients and the practice.
- Participated in claims discussion meetings with claims examiners and supervisors to review complex claims.
- Assisted patients with insurance claims, facilitating smooth transactions and proper coverage.
- Worked closely with claims team to facilitate smooth processing of claims, maintaining clear communication between all parties involved.
- Communicated effectively and extensively with other departments to resolve claims issues.
Patient Registrar
NY Presbyterian Hudson Valley Medical Group
07.2022 - 02.2024
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Increased efficiency by multitasking during high-volume periods while maintaining excellent service quality.
- Assisted in training new team members on the referral process, contributing to a cohesive work environment focused on quality patient care.
- Streamlined the referral process for increased accuracy, resulting in a significant reduction of errors and delays.
Education
Bachelor of Science - Business Administration And Management
Mercy College
Dobbs Ferry, NY05-2023
Skills
- Front office operations
- Procedure Knowledge
- HIPAA Compliance
- Insurance Authorizations
- Medical billing knowledge
- Claim submission and Claims review
- Commercial Insurance Understanding
- Analytical Problem Solving
- Time Management
- Multitasking Abilities
- Proactive and Self-Motivated
- Fluent Bilingualism
Accomplishments
- Securing and deploying resources effectively and efficiently to achieve our overall goals.
- Building partnerships and working collaboratively with others to meet shared objectives to minimize claim errors and denials.
- Creating solutions and proactive approaches to maintain workqueues at a minimal amount.
- Ensured patients were satisfied with their care and all questions were answered by doing follow-up calls.
Languages
Spanish
Native or Bilingual
Timeline
Surgical Scheduler
NY Presbyterian Hudson Valley Medical Group
02.2024 - Current
Patient Registrar
NY Presbyterian Hudson Valley Medical Group
07.2022 - 02.2024
Bachelor of Science - Business Administration And Management
Mercy College
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