John Hewlett
GLENDALE,US
Summary
Experienced Financial Counseling Representative with over 10 years of expertise in managing patient insurance data and implementing strategic payment plans. Skilled in utilizing EPIC systems and proficient in insurance verification, ensuring accuracy and compliance. Committed to advancing financial counseling practices to enhance patient satisfaction and streamline healthcare processes.
Overview
9
9
years of professional experience
Work History
Financial Counseling Representative
Mayo Clinic
Phoenix, Arizona
02.2020 - Current
- Manage EPIC patient insurance data, ensuring accuracy and compliance with regulations and Streamline EPIC data management, improving revenue cycle efficiency and accuracy
- Completes insurance verification, eligibility and benefit determination process utilizing integrated electronic eligibility system, payer websites, and phone for all insurance plans within the scope of the patient financial clearance department and assigned service
- Develops a strong working knowledge of the procedures and diagnosis used in the assigned service-lines to ensure authorizations are properly completed for the scope of services that will be rendered to the patient.
- Follows up on pending authorization and referral requests to ensure timely completion and secured sponsorship for cases in the assigned work queue.
Financial Clearance Representative
Ohio State Wexner Medical Center
Columbus, Ohio
03.2018 - 07.2019
- Verified insurance benefits, ensuring accurate patient billing and reducing errors
- Gathered patient-specific demographic and provider information to accurately assess the nature of the request and determine the appropriate appointment area; properly advising patients regarding the need for co-payments, referral authorizations, and or deposits
- Utilized EPIC system for efficient data management, improving workflow
- Scheduled and organized appointments in the electronic medical record for a multispecialty practice.
Office Services
State Auto
Columbus, Ohio
05.2016 - 03.2018
- Researched billing and payment posting issues initiated by patients, insurance carriers or others and notifies customers of findings in accordance with department policies and
- Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes, and acting as a functional leader or reference source.
- Work situations are varied and require extensive insurance billing, follow-up and appeal knowledge, and strong customer service skills.
- responsible for all aspects of front office duties assigned at each clinic, to include reception, patient scheduling, registration, preparing charts for billing, charge entry, payment posting, batch balancing, cash reconciliation/balancing,
Education
ASSOCIATE OF SCIENCE -
Columbus State Community College
Columbus, OhioHIGH SCHOOL DIPLOMA -
Reynoldsburg High School
Reynoldsburg, Ohio01.2012
Skills
- EPIC system
- Financial counseling
- Insurance verification
- Microsoft Windows
Timeline
Financial Counseling Representative
Mayo Clinic
02.2020 - Current
Financial Clearance Representative
Ohio State Wexner Medical Center
03.2018 - 07.2019
Office Services
State Auto
05.2016 - 03.2018
ASSOCIATE OF SCIENCE -
Columbus State Community College
HIGH SCHOOL DIPLOMA -
Reynoldsburg High School