Highly energetic, self-motivated, and passionate Healthcare Administrator Professional with over 18 years of experience supporting office setting ,(remotely- Hybrid)and hospital operations, improving workflows, and delivering exceptional patient service, impacting positive organizational outcomes through dedication with providing comprehensive care and administrative support to patients and staff. Successfully managing multiple priorities, goal-deadline driven, and maintaining a high level of work while prioritizing tasks and managing data analytics efficiently to ensure data probity. Brings exceptional communication, attention to detail, and organizational skills that consistently contribute to team and company success in conjunction with senior level management to incorporate strategies into action-based planning and execute department goals.
Overview
20
20
years of professional experience
Work History
Patient Financial Counselor
Shady Grove Fertility Center
01.2023 - 05.2026
Provided financial counseling and education to patients navigating fertility treatment options across multiple regional offices.
Developed and implemented patient payment plans to enhance financial understanding and accessibility.
Collaborated with clinical teams to ensure seamless integration of financial services into patient care workflows and financial clearance.
Enhanced patient satisfaction and understanding by effectively explaining financial options and answering billing inquiries.
Provided compassionate assistance to financially challenged patients, identifying potential sources of funding, grants or discounts when applicable.
Prepared and sent invoices for patient treatment and services
Improved cash flow by proactively monitoring aging accounts receivables and implementing effective collection strategies for financial clearance.
Educated patients on insurance coverage, benefits, and reimbursement processes for fertility treatments.
Enhanced patient understanding and reduced financial stress with clear explanations of complex insurance benefits and coverage.
Verified patient insurance eligibility and entered patient information into system.
Obtained prior auth for all infertility treatment from participating Insurances
Acted as the main point of contact for patients, doctors, and clinical staff by closely reviewing medical charts and maintaining high levels of communication.
Handled sensitive situations with empathy when dealing with distressed patients or those facing serious health challenges while in infertility treatment.
Provided excellent customer service to patients and medical staff.
Patient Financial Associate
Georgetown University Hospital
08.2019 - 01.2023
Supported operations in hospital units based on staffing and patient‑care needs across multiple medical departments, providing flexible clinical and administrative support.
Initiated pre-registration process for all emergency room patients quickly and accurately, obtaining appropriate documentation, identification, and health insurance card to be scanned into the patient medical record. Prepared consent forms or reach out to the legal guardian via telephone to obtain consent for treatment for patients who arrive at emergency room without parent or legal guardian.
Obtained prior-authorization, insurance verification, eligibility when required for scheduled services prior to admission, outpatient procedure and admission for non-scheduled services
Supported and professionally worked closely with nursing, physicians and ancillary departments to maintain teamwork support
Developed and maintained database of records to facilitate smooth transactions for financial processes and clearance
Ensured that information is accurately presented to third party payers or guarantors, to minimizes errors that would result in penalties or other delays in payment to the hospital
Explained financial responsibilities to patients for understanding, including payment options and potential collection procedures imposed upon patients and other responsible parties
Determined patient financial needs, educated, and referred eligible patients to proper county, state or federal agencies to obtain financial assistance
Facilitated communication between patients, families, physicians, various departments, staff and Insurance payers
Received and processed monetary deposits for Emergency Department, Admissions, and Surgery Center
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Provided excellent customer service through active listening skills, understanding patient needs, and offering costumed solutions where needed.
Patient Coordinator
National Spine and Pain Center
01.2017 - 08.2019
Coordinated patient appointments, ensuring efficient scheduling and optimal clinic flow.
Cross- functional Operations to provide optimal coverage to meet office production goals
Provided excellent customer service to all patients, addressing concerns and answering questions promptly and professionally.
Provided administrative support to physicians and Nurse Practitioners managing patient scheduling and calendar
Verified Insurance eligibility by using Real Time, Web-MD & other web-based systems for all established and new patients.
Requested, tracked, and obtained prior-authorizations and Insurance verifications from insurance carriers within a timely and effective manner per physician(s) orders
Received and entered all new referrals retrieved by primary care physician(s) or referring physician(s) for care
Completed daily charge verification to include fee tickets and progress notes reconciliation for accuracy
Lead communicator and managed care regarding issues of denials, insurance up-dates, & changes in insurance plans.
Scheduled and coordinated all new patients, established patients, office visit, procedure post-ops, and pre-op appointments
Collected and processed copays, coinsurance's, and deductibles
Worked effectively with medical payers such as Medicare, Medicaid, private and commercial insurances to obtain timely and accurate payments
Managed efficient cash flow reporting, posted cash receipts, and analyzed chargebacks, independently addressing, and resolving issues
Generated accounts payable reports for management review to aid in financial and business decision making
Answered phones and in person inquiries with friendly demeanor and full knowledge of billing department processes
Precisely evaluated and verified benefits eligibility; reviewed and solved accounts and billing discrepancies
Planned, implemented, coordinated, evaluated, and promoted the continuity of care consistent with established standards and practices
Increased efficiency of the front office operations through effective multitasking, attention to detail, and organization skills.
Trained new employees on office procedures, systems fostering a team-oriented environment.
Ensured accuracy of insurance information for each patient visit, verifying coverage details ahead of time for smooth processing at appointment time.
Assessed processes and procedures, complying with HIPAA regulations.
Provided excellent customer service to patients and medical staff.
Reduced wait times by effectively coordinating with medical staff on patient schedules and room availability.
Lead Patient- Insurance Coordinator
Medstar Cardiology Associates
01.2006 - 12.2016
Maintained office schedule templates for appointments, physician meetings, hospital rounding and call coverage.
Scheduled all new , establish and follow up appointments for routine visits, procedures and or testing.
Assisted with coordination and management of all new projects being implemented for effective office flow
Facilitated patient check-in processes to enhance efficiency and reduce wait times.
Coordinated appointment scheduling, optimizing provider availability and patient access to care.
Managed & educated front and back-office staff ensuring all office policies and procedures were followed
Obtained all required pre-certifications, prior authorizations & referrals for over 75 + Imaging studies and hospital procedures ordered by physician(s)
Reviewed and Interpreted Contractual Terms for Managed Care, Commercial, Medicare, Medicaid, and Workers' Compensation.
Processed all Worker's Compensation cases with follow up with attorney's and case managers.
Conducted follow up calls to insurance company’s, updating and completing appeals of denied claims on patient bills for services rendered to ensure payment.
Achieved benchmark goals managing and obtaining pre-authorizations for all Nuclear Imaging and Ultrasounds, in timely fashion.
Obtained referrals as required and updated in EMR systems.
Negotiated payment of current and past due accounts by direct telephone and written correspondence.
Balanced deposits and credit card payments each day.
Posted daily charges using CPT and ICD coding provided in medical records by physician.
Collected copayments, deductibles, coinsurance's, outstanding balancing, and all financial responsibilities due from patient.
Built and maintained positive working relationships with patients and staff.
Compiled daily financial records Balancing deposits and credit card payments each day.
Trained new employees on proper administrative procedures and how to use programs, keeping operations consistent and efficient for maximum performance
Recommended and implemented workflow to maintain standards of care and meet benchmarks.
Attended monthly meetings representing office to discuss logistical issues and obtain updated procedural and insurance-related instructions and changes.
Submitted request for claims after editing or denial to achieve financial targets and reduce outstanding debt.
Communicated effectively with staff members of operations, finance, and clinical departments.
Managed multi-line phone system and pleasantly greeted patients and directed calls to the appropriate staff.
Upheld company policies, procedures, and HIPAA guidelines
Enhanced patient care by implementing efficient scheduling and coordination processes.
Patient Financial Counselor at Baylor Scott & White Texas Spine & Joint HospitalPatient Financial Counselor at Baylor Scott & White Texas Spine & Joint Hospital