Juanita (Wendy) Siefert
Iroquois,SD
Summary
Knowledgeable Biller handling demanding and detail-oriented billing work. Proficient in working with different insurance carriers to achieve timely resolutions to billing concerns.
Thorough and dependable Referral Coordinator with 12 years of experience in Healthcare.
Knowledgeable in Prior Authorization requirements and process.
Very Organized and highly accountable in keeping accurate notes and records.
Excellent customer service skills in working with patients and insurance companies.
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
28
28
years of professional experience
Work History
Billing/Payor Reimbursement Specialist
Huron Regional Medical Center
Huron, SD
01.2020 - 09.2022
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
- Prevented delays and claim denials by correcting information prior to submission.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Delivered timely information to insurance representatives to resolve common and complex issues.
Dispatcher
Burnison Plumbing & Heating, Inc
Huron, SD
09.2016 - 12.2019
- Directed dispatching, routing and tracking of fleet vehicles.
- Maintained updated and detailed records of calls in physical and electronic database.
- Closely monitored dispatch board to triage and prioritize daily calls.
- Planned, organized and managed work of subordinate staff to accomplish consistent work within organizational standards.
Patient Access Representative
Centracare Health - Paynesville
Paynesville, MN
06.2009 - 09.2016
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Operated Switchboard and prepared charts for the next day
Referral Coordinator
Centracare Healthcare - Paynesville
Paynesville, MN
06.2009 - 09.2016
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Scheduled appointments with specialists on behalf of clients.
- Called insurance companies to get precertification/preauthorization and other benefits information on behalf of patients.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Gave patients procedure instructions for radiology procedures and colonoscopies.
- Entered Referrals into the Managed Health Care Insurance systems to insure payments of claims.
Adminstrative Assistant/Maintenance Department
Centracare Health Care - Paynesville
Paynesville, MN
06.2009 - 09.2016
- Setup Maintenance Software & instructed Maintenance Technicians on use.
- Updated MSDS Software & Database
- Updated Emergency Preparedness Manuals & Participated in drills.
- Dispatched maintenance work orders to technicians
- Created & updated maintenance reports for the Maintenance Department Manager.
Education
High School Diploma -
Kennedy Senior High School
Bloomington, MN06.1983
Skills
- Medical Billing
- Claims Investigations
- Patient Reimbursements
- Prior Authorizations
Timeline
Billing/Payor Reimbursement Specialist
Huron Regional Medical Center
01.2020 - 09.2022
Dispatcher
Burnison Plumbing & Heating, Inc
09.2016 - 12.2019
Patient Access Representative
Centracare Health - Paynesville
06.2009 - 09.2016
Referral Coordinator
Centracare Healthcare - Paynesville
06.2009 - 09.2016
Adminstrative Assistant/Maintenance Department
Centracare Health Care - Paynesville
06.2009 - 09.2016
High School Diploma -
Kennedy Senior High School