JESSICA TROCHE
Brooklyn,New York
Summary
Committed job seeker and a well organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking opportunities to enhance my abilities while contributing to company growth and apply it with my current skills, hardworking employee with customer service experience and clerical experience, multitasking, and devoted to giving every customer a positive and memorable experience.
Overview
21
21
years of professional experience
Work History
Financial Investigator/ Emergency Room/Discharge office
Wyckoff Hospital Medical Center
Brooklyn, New York
01.2018 - 06.2024
- Pioneered new discharge office in the emergency room for patients lacking medical coverage
- Updated and inputted patients' demographics and insurances in new system (Allscripts Sunrise).
- Enrolled many patients with medicaid coverage thru NYSOH marketplace. Assisted in obtaining revenue with Charity Care program and flat fee services (fee for service). Assisted and explained to patients regarding their itemized bills for inpatient/ Emergency room.,
- Assisted as a Customer Service Representative, and Clerical, both in emergency room and through clinics in hospital, assisted with scheduling/rescheduling appointments with specialists/ doctors, assisted in bilingual (Spanish) interpreting both in Medical and Public translation.
- Assisted in claims department with both approvals and denials for all inpatient and outpatient cases that had high dollar values, in order for hospital to collect as much revenue as possible, goal was to at least work with 20-30 cases a day from worklist, requesting medical records and requesting payments via portal or calling insurance companies for explanations of denials and/or CPT/HCPCS codes in claims.
Hospital Care Investigator/Finance Department/ Inpatient Department
Bellevue Medical Center
New York, New York
08.2015 - 01.2018
- Notified and obtained authorizations on inpatient admissions for Managed Care Unit for Revenue.
- Assisted and enrolled multiple Patients in the Behavioral Health units/ wards for Medicaid applications and Marketplace (NYSOH).
- Interviewed and updated demographic information from Mental Health,self-pay and un/insured Patients in new system (EPIC).
- Verified many insurance eligibilities and authorizations for both inpatient and outpatients to obtain payments for revenue for facility.
- Assisted as Customer service representative, and interpreted and translated in Spanish for many Spanish speaking patients with language barriers.
- Assisted in enrolling newborn patients with Medicaid, via NYSOH if qualified, and updated newborns demographics information.
- Assisted as a clerical/registration representative in Cancer Center/Outpatient Unit, enrolled patients for HHC Options/ NYSOH applications and completed chemo list for next day clients for appointments.
Hospital Care Investigator/Inpatient Accounts Department
Woodhull Hospital Medical Center
Brooklyn, New York
01.2012 - 08.2015
- Assisted in pioneering Discharge office in Emergency room and obtaining both medicaid applications/signatures for consents and capturing many patients with insurances and verifying demographics, in order to obtain revenue through the emergency room, goal was to enroll at least 8-10 patients daily with medicaid.
- Investigated patients demographics in admitting department and in the inpatient units and updated insurances in electronic tracking system, interviewed new patients in units and in the patient accounts department, goal was to obtain at least 8-10 signatures and 10 medicaid applications daily.
- Applied interpreting and translation skills in Spanish in order to assist patients more clearly and have them understand what was being explained and told by both doctors/nurses through out the facility, and provide Customer service representation through out the hospital.
Hospital Care Investigator/Admitting Office/Emergency Room
Elmhurst Hospital Center
Queens, New York
12.2003 - 01.2012
- Verified many patient's health insurances via multiple hospital systems and called insurances for eligibility and verifications.
- Enrolled patients with Medicaid applications, followed up with health insurance providers to obtain payment authorizations, notified and enrolled multiple patients of ambulatory care surgery procedures.
- Obtained health insurances for both inpatient/outpatient revenue for facility, assisted with patient triaging in the Emergency Room, obtained authorization for patients’ insurances for inpatient revenue for facility, goal was to obtain at least 20-50 insurances through out the week.
Education
Certified Application Councelor (CAC)
NYSOH
MARKETPLACE01-2015
Bachelors Degree - Graphic Arts Production Management -
New York City College of Technology
Brooklyn, New York06.2005
Skills
- Interpersonal Communication,
- Written Communication
- Professionalism
- Organizational Skills, attention to detail
- Decision-Making
- Interviewing techniques
- All Scripts, EPIC, e-paces systems,
- Team Collaboration
- Enroll patients in NYSOH applications online/CAC certified
- Proficient in Spanish (reading/writing)
- Microsoft Office, outlook
- Insurance eligibility with online portals
- Insurance eligibility verifications
- Claim status inquiry
- Interpreting skills both medical /translating (Spanish)
Timeline
Financial Investigator/ Emergency Room/Discharge office
Wyckoff Hospital Medical Center
01.2018 - 06.2024
Hospital Care Investigator/Finance Department/ Inpatient Department
Bellevue Medical Center
08.2015 - 01.2018
Hospital Care Investigator/Inpatient Accounts Department
Woodhull Hospital Medical Center
01.2012 - 08.2015
Hospital Care Investigator/Admitting Office/Emergency Room
Elmhurst Hospital Center
12.2003 - 01.2012
Certified Application Councelor (CAC)
NYSOH
Bachelors Degree - Graphic Arts Production Management -
New York City College of Technology
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