Juanita O. Bryant
Long Beach ,CA
Summary
Seeking a position with an organization which will allow personal growth within the company and the opportunity to apply 10 plus years of experience in healthcare also includes educational, interpersonal, organizational, communication, and leadership skills, which will allow the ability to grow in a professional environment and contribute to the organization's goals.
Overview
31
31
years of professional experience
Work History
Insurance Verifier/On Call Supervisor
Corona Regional Hospital
11.2011 - Current
- Contact patients regarding financial obligations.
- Concisely, precisely and accurately document all information.
- Maintain clear communication with patients well as insurance companies.
- Answer incoming calls, make outgoing calls to assist medical offices, patients along with doctors with insurance questions.
- Obtain prior authorization for procedures.
- Scanning medical documents into patient accounts
- On call supervisor, responsible for all call out to maintain 30 employee’s attendance and problem solving with admitting.
- Conducted patient intake interviews, recording and documenting relevant information.
- Communicated verification and authorization status updates with surgery scheduling department to facilitate decision-making for patient admissions and insurance coverage.
- Generated reports to track insurance verifications and claim progress
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Reviewed 150 patient cases and insurance coverage information per week.
- Verified all patient demographic information when registering for services.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Trained new staff on current, correct insurance verification procedures.
- Established and maintained relationships with insurance providers for productive communications.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
Insurance Verifier
St. Jude Medical Center
01.2010 - 11.2012
- Utilizes all available resources to obtain and enter insurance coverage information for ordered services into patient’s file.
- Notifies patients, of any financial responsibility of services provided and requested services that are not provided by insurance.
- Investigates and facilitates prior authorization any other insurance rejections.
- Manages inbound calls from Insurance companies from patients, clients, physicians, practitioners and clinics.
- Reviewed 150 patient cases and insurance coverage information per week.
- Established contact with ordering physician's office to resolve any issues or to collect missing vital information.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations
- Achieved insurance pre-authorizations to enable timely patient procedures
- Established and maintained relationships with insurance providers for productive communications.
- Verified all patient demographic information when registering for services
- Posted payments to accounts and maintained records
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
ER Registration Clerk
Orange Coast Memorial Healthcare
04.2004 - 12.2009
- Responsible for determining patient’s liability based on benefits and advises patients of their liability prior to scheduled elective procedures.
- Notify patients of financial responsibility; collection arrangements prior to services rendered for all elective care.
- Verify insurance eligibility, and benefits for emergent and urgent admissions procedures or other services ensuring communication of patient responsibility to patient or responsible party.
- Verify and secure accurate patient demographics and insurance information, update patient’s account information as needed.
- Full-service customer care including patient registration, assessment & review of patients’ history as related to third party payers, PPO, HMO, EPO, workers-compensation, Medicare, Medi-cal, & Ca-Optima
- Obtained insurance authorization/verification, tracking, pre-certification; collection of deductibles/co-payments, assessment of patient’s overall financial responsibility &/or ability to pay
- Pre-admits patients by receiving bookings from physicians; confirming admitting privileges of physicians; interviewing patients; entering patient information to pre-admissions database
- Greets and receives patients to be admitted by conducting personal interviews; entering demographic and insurance information; confirming pre-admission information; obtaining signatures on legal consents and insurance forms; receiving payment and issuing receipts for tv and video rentals; accepting patient valuables; distributing patient information literature
- Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and standards
- Adhered to EMTALA & MSE requirements.
Owner/Operator
Bryant Family Daycare
05.2000 - 03.2006
- Directed and executed daily operations and activities of in-home daycare center in order to provide age-appropriate instruction and care for children.
- Conferred with parents regarding facility activities, policies and enrollment procedures.
- Reviewed and approved menu plans and food purchases
- Maintaining and observing environment and children's activities
- Record keeping of 50 individual children on daily basis.
- Communication with parents/guardians on any changes both verbally and written.
- Provided emotional and developmental support for children.
- Created age-appropriate lesson plans for children infant to 12 years of age.
- Establish policies and procedures to maintain constant environment.
- Support and follow state and federal guidelines.
- Managed day-to-day business operations.
- Trained and motivated employees to perform daily business functions.
- Kept all building areas and equipment functional and well-organized to promote business performance.
- Developed business plan, processes and procedures to provide superior childcare to customers.
- Consulted with customers to assess needs and propose optimal solutions.
- Assessed income and expenses and adapted plans to improve profit levels.
- Prepared annual budgets with controls to prevent overages.
- Completed regular inspections and maintenance actions, as well as basic equipment repairs, to keep equipment operating at peak levels.
Lead Customer Service Representative
Pacific Healthcare
10.1992 - 05.2000
- Assisted with inbound calls from members, providers, employers and brokers regarding health care benefits, eligibility, claims and open enrollment, trained and mentored new employees.
- Hosted open enrollment presentations for new & existing members & outside executive corporations.
- Researched & resolved billing inquires.
- Assisted supervisor with complex issues.
- Handling patients, referral sources, and administrative department inquires.
- Communicating with insurance companies and/or prior authorization requests
- Entering patient information into a0
- customer information system
- Ensuring customer satisfaction and assisting them with issues/concerns related to their health.
- Serving as backup when other employees are out due to absent staff members.
- Making decisions as needed off-hours or without supervision to ensure uninterrupted supply of product to customers.
- Developing knowledge of customer needs and trends to improve customer satisfaction and loyalty.
- Becoming educated in qualifications of multiple insurances to ensure clean order intake.
Education
N/A - Healthcare Management
El Camino Community College
Torrance, CA2009
Medical/Dental Billing/Coding -
Adelphi Business College
Norwalk, CA2005
High School Diploma -
Compton High School
Compton, CA06.1983
Skills
- Detail-Oriented
- Excellent Multi-Tasker
- Strong Communication Skills
- Flexible Schedule
- Time Management
- Organized
Timeline
Insurance Verifier/On Call Supervisor
Corona Regional Hospital
11.2011 - Current
Insurance Verifier
St. Jude Medical Center
01.2010 - 11.2012
ER Registration Clerk
Orange Coast Memorial Healthcare
04.2004 - 12.2009
Owner/Operator
Bryant Family Daycare
05.2000 - 03.2006
Lead Customer Service Representative
Pacific Healthcare
10.1992 - 05.2000
N/A - Healthcare Management
El Camino Community College
Medical/Dental Billing/Coding -
Adelphi Business College
High School Diploma -
Compton High School
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