Jophanie Williams
Bethalto,IL
Summary
Financial Navigator at OSF Healthcare specializing in insurance verification and patient education. Demonstrated success in improving patient comprehension of financial obligations while building strong relationships through effective communication. Proficient in medical billing and conflict resolution, consistently achieving results that drive revenue growth and enhance patient satisfaction.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Financial Navigator
OSF Healthcare
10.2024 - Current
- Ensures that each patient has a complete and accurate OSF medical record, which includes patient demographics, insurance coverage, responsible guarantor, and registration precision in a manner which the patient understands the services they are receiving, their financial responsibilities for the services provided, and expectations of them pre and post service.
- Financial education will be provided to patients to provide clarity regarding their estimated out-of-pocket expenses and assistance with bill pay options.
- The Patient Financial Navigator is expected to be knowledgeable on payment alternatives, grants, programs, and any other type of assistance to educate and support the patient on their financial options.
- This involves determining a patient's payer source including, but not limited to, obtaining authorization from the payer which includes identifying if services need an authorization, referral, or pre-determination as well as if the procedure is a covered benefit, if the payer is out of network, and be able to assist the patient who has questions on an existing bill or invoice.
- They must be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments.
Medical Office Assistant
OSF Healthcare
11.2018 - Current
- Medical Office Assistants perform delegated clinical and administrative duties consistent with the Medical Assistant program education training and experience.
- Works in both the clinical and front office functions of the practice providing clerical and assisting in the delivery of health care and patient care support activities.
- The Medical Office Assistant performs the duties described below in accordance with the specific needs of the practice.
- Prior Authorizations on medications, med refills, returning clinical calls, Rooming patients, Referrals, Cash handling and deposits, and clinical documentation.
- Also, checking in/out patients, Answering phones, HIM’s, Insurance referrals, Schedule surgeries, Prior Authorizations for radiology, Medical Records, referrals, Medical Clearance for surgery, Catheter orders for patients/ insertion of catheters, return patient calls/ Send out patient letters, and Schedule procedures.
Pandemic Health Worker
OSF Healthcare
03.2020 - 11.2020
- Health Kit deliveries to High-Risk clients that have tested positive to Covid-19, no contact.
- Make outbound calls to clients to enroll them into a Program that monitored Covid-19 symptoms for 16 days.
- Daily/weekly inventory reports.
- Maintained a daily call intake.
- Delivery of Care Kits with no contact Assist with activating clients connections to healthcare team.
- Distance Driving Maintenance of company rental.
- Promoted healthy behaviors and strong relationships between clients and care team.
- Assisted Clients with at home care for recovery from Covid-19.
- Also, reported to work as a fill in lead to help monitor calls and delivery output.
Education
MBA - Business Administration and Management
Southern New Hampshire University
Manchester, NH05.2024
Bachelor of Arts - Culinary Management
Art Institute of Saint Louis
Saint Louis, MO06.2016
Skills
- CPT coding
- Conflict management
- Cash handling
- Customer service
- Microsoft Office
- Business intelligence
- Documentation reviewer
- Detail-oriented
- Leadership and training
- Billing
- Focused
- Disciplined
- punctual
- Health promotion and maintenance
- Motivated
- Innovative
- Accounts payable and receivable
- Insurance benefits and verification
- Data entry
- Problem solving
- Effective communication
- Time management
- Team collaboration
- Conflict resolution
- Revenue growth
- Cash flow forecasting
- Cost control
- Debt management
- Team building
- Honest and dependable
- Active listening
- Professionalism
- Medical billing
- Authorization management
- Medical terminology
Certification
- Performance Measurement Techniques
- Information for Advantage and Knowledge Management
- Information Technology and Ebusiness
- Managing Change
- Change management and understanding context of change
- Microsoft BI
- Coaching vs Mentoring
- Data Analytics to Financial Planning and Analysis
References
References available upon request.
Timeline
Financial Navigator
OSF Healthcare
10.2024 - Current
Pandemic Health Worker
OSF Healthcare
03.2020 - 11.2020
Medical Office Assistant
OSF Healthcare
11.2018 - Current
MBA - Business Administration and Management
Southern New Hampshire University
Bachelor of Arts - Culinary Management
Art Institute of Saint Louis
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