JOHEIri ACEVEDO
BERGENFIELD,NEW JERSEY
Summary
Experienced in prior authorization within healthcare settings, handling tasks such as ensuring accuracy of patient insurance information and obtaining necessary approvals for medical procedures. Demonstrates strong skills in administrative work, documentation management, and fostering effective communication between patients, providers, and insurance companies. Known for problem-solving capabilities, precision in task completion and ability to positively impact workflow efficiency. Detail-oriented Patient Service Representative with outstanding treatment knowledge and stellar communication skills. Successful at coordinating between patients and professionals and offering comprehensive patient education. Committed to organization and time management.
Overview
11
11
years of professional experience
Work History
Insurance Verification Specialist
Comprehensive Mri of New York
Westchester, NY
03.2019 - Current
- Conducted insurance verifications for patient procedures and appointments.
- Communicated with insurance providers to obtain prior authorizations.
- Updated patient records with verification details and authorization statuses.
- Coordinated with medical staff regarding coverage issues and patient inquiries.
- Analyzed claims data for discrepancies and potential follow-ups.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
Patient Service Representative
LM Medical Center
New York, NY
02.2018 - 10.2018
- Assisted patients with appointment scheduling and insurance verification processes.
- Managed patient inquiries and provided accurate information regarding services offered.
- Handled patient records using electronic health record systems for data accuracy.
- Facilitated communication between patients and healthcare providers to address concerns.
- Processed patient forms and documentation to ensure compliance with regulations.
- Verified insurance information, collected payments, and scheduled appointments.
- Adhered to HIPAA regulations when handling confidential patient information.
- Assisted with scheduling follow-up appointments according to provider availability.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Maintained a clean and organized reception area.
- Assisted with the completion of medical forms and records.
- Obtained proper authorization and identification to release confidential medical records.
- Coordinated with patients and healthcare professionals to meet patient needs.
- Supported hospital and clinic operations using customer service skills and detailed system knowledge.
Patient Service Representative
Westside Radiology
New York, NY
03.2014 - 02.2018
- Managed patient scheduling and appointment confirmations efficiently.
- Handled incoming calls, directing inquiries to appropriate departments promptly.
- Greeted and checked in patients, updating patient information in computer system.
- Checked patients in and out for appointments and collected co-payments.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Carried out daily tasks by professionally communicating with physicians and technicians.
- Informed patients of financial responsibilities prior to rendering services.
- Straightened up waiting room to maintain neat and organized space.
Education
High School Equivalency -
Bergen County Technical School
Hackensack, NJSkills
- Insurance verification
- Data entry
- Electronic medical records
- Claims analysis
- Prior authorization
- Patient communication
- Effective communication
- Process evaluation
- Communication and interpersonal skills
- Medical terminology
- Current procedural terminology (CPT)
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Insurance Verification Specialist
Comprehensive Mri of New York
03.2019 - Current
Patient Service Representative
LM Medical Center
02.2018 - 10.2018
Patient Service Representative
Westside Radiology
03.2014 - 02.2018
High School Equivalency -
Bergen County Technical School
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