Dedicated professional with a proven track record of exceeding service expectations in high-volume environments. Expertise in initial contact resolution, creative problem-solving, and multitasking, complemented by a strong understanding of human behavior. Recognized for delivering exceptional care & service while adhering to operational expectations. Outstanding administrative skills that are useful for multiple business models.
Overview
29
29
years of professional experience
Work History
Outpatient Patient Coordinator
UHS Highlands Behavioral Health System
Centennial, CO
01.2024 - Current
Verified insurance coverage for services provided by the facility. Explained benefits to patients.
Provided assistance to patients and families with navigating the health care system.
Facilitated communication between physicians, specialists, nurses, social workers, insurance companies, employers.
Assisted in scheduling appointments, tests and procedures for patients.
Identified and coordinated resources for patient needs, including referrals to community services.
Provided guidance on insurance coverage options for uninsured or underinsured individuals.
Communicated with patients and families about treatment plans and at-home care.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Collaborated with clinical and administrative staff to meet patient needs.
Full cycle billing and follow up.
Reviewed account receivables for accuracy prior to sending out statements.
Counselled patients on potential financial liabilities and payment requirements.
Screened patients for eligibility for state, local and federal assistance programs.
Medical Office Specialist
HealthONE
Lone Tree, CO
01.2023 - 11.2023
Managed schedules for six medical providers, in 3 office locations and one surgical hospital.
Interacted with providers and other medical professionals regarding documentation policies, procedures and regulations
Communicated with patients to resolve inquiries, schedule appointments and address billing questions
Maintained smooth flow of examinations to keep appointments on schedule
Adhered to HIPAA requirements to safeguard patient confidentiality
Entered patient and provider data into EMR and Excel for monitoring and tracking
Director of Child Development
Wild Ride of Life
Parker, CO
07.2022 - 12.2022
Worked with two children to improve behavioral issues with a proactive approach
Demonstrated leadership by making improvements to processes and helping to train the children
Identified needs of children promptly and efficiently
Provided excellent service and attention to children when face-to-face or through electronic conversations
Medical Administrative Assistant & Billing Auditor
Prizm Pain Specialists
Canton, MI
09.2020 - 06.2022
Managed front office; through customer service, appointment management, billing and administration tasks and streamline workflow
Maintained provider schedule based on individual availability, hours of operation and practice goals
Audited aging claims. Addressed errors and developed solutions in order to resolve outstanding reimbursement issues
Monitored appeals for claim denials and minimized inaccuracies by maintaining accurate records of approvals
Communicated with patients to obtain payments on outstanding accounts or accounts requiring deductible, coinsurance or co-pay collection
Medical Administrative Assistant
The CORE Institute
Novi, MI
09.2019 - 06.2020
Communicated with patients to obtain payments on outstanding accounts or accounts requiring deductibles or co-pays
Scheduled patient appointments, accounting for physician availability and optimal patient loads
Verified insurance coverage, obtained prior authorizations and updated charts in EMR system
Medical Billing and Collections Specialist
Self Employed Services
Westland, MI
10.2018 - 10.2019
Corrected, completed and processed claims for payer codes.
Identified discrepancies and carrier issues regarding submission and reimbursements.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Posted charges, payments and adjustments.
Completed and submitted appeals for denied claims.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Patient Services Representative
Kearney Regional Medical Center
Kearney, NE
09.2017 - 09.2018
Accessed and documented patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
Referred patients to appropriate professionals and services
Provided consultations for patients about rights and services
Facilitated communication between patients, medical staff, administrative staff, and regulatory agencies
Supported hospital operations using customer service skills and detailed system knowledge
Statistical Analyst
Krause & Co, PC
Denver, CO
10.2012 - 09.2017
Collected data in conjunction with multiple State Medical Group Management Associations, in preparation for creating annual salary surveys
Developed and implemented data collection strategies to streamline processes and support accuracy
Interpreted sets of data and identified trends and relationships
Created graphs, charts, and tables to report on results of statistical analyses
Collected, tracked and organized data to evaluate current business and salary trends
Office Manager
Sherman County Medical Clinic
Loup City, NE
01.2007 - 09.2012
Developed and maintained detailed administrative and procedural processes to improve accuracy and efficiency
Composed, proofread and distributed clean and professional business correspondence and internal team communications.
Employed proven conflict-resolution methods to alleviate grievances
Coordinated administrative operations to bolster workflows and improve productivity.
Oversaw workforce management and staff scheduling to keep office operations running smoothly
Efficiently performed insurance verification, pre-certification, prior authorization, and coding
Assisted clinical staff when needed in the roll of medical assistant
Performed, validated and reported laboratory tests for prognosis, diagnosis, treatment and research
Medical Billing and Collections Specialist
Professional Eyecare
Ord, NE
08.2005 - 01.2007
Instructed patients on benefits of plans in easy-to-understand terminology
Submitted claims for payment to insurance companies
Researched all submission errors to resolution
Created End of Month financial reports and business correspondences
Evaluated pending claims to identify and resolve problems blocking auto-adjudication
Researched claim denials for accuracy
Composed and submitted appeals when needed for additional review
Customer Service Specialist
Principal Insurance
Grand Island, NE
06.2003 - 03.2005
Documented conversations with customers to track requests, problems and solutions.