Judith Marini

• Increased efficiency in resolving complex cases by maintaining strong relationships with insurance providers, facilitating clear communication and prompt issue resolution.
• Streamlined coordination between medical providers and insurance companies by serving as a reliable point of contact for all claim-related matters.
• Contributed to a positive work environment by sharing best practices among peers and actively participating in team meetings geared towards continuous improvement.
• Delivered comprehensive training programs for new hires on the nuances of insurance follow-up procedures, fostering a knowledgeable and capable workforce.
• Streamlined processing times for insurance claims by collaborating with billing departments to ensure proper documentation and coding practices were followed.
• Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
• Optimized workflow productivity through diligent organization and prioritization of daily tasks, resulting in swift resolution of outstanding issues.
• Cross-trained and provided backup support for organizational leadership.
• Trained staff on operating procedures and company services.

• Verifies insurance eligibility and obtains authorization for neurology tests: MRI, CT, sleep studies, EMGs, EEGs, Lumbar punctures and inpatient tests.

• Created a team-based calendar that assigns each team member days to work. Results in higher productivity average for the entire department, resulting in a more uniformed approach.

• Created “Advanced Practitioner’s Daily Peer to Peer Availity” protocol which is a process that is used to give AP’s with more availability a peer to peer request which resulted in less work overload for AP’s as well as peer to peer request being done in a timely manner.

• Provided support to the clinical team and providers in need of insurance questions regarding patient’s insurance benefits and coverage.

• Trained new staff in obtaining authorizations and understanding different insurances and understanding medical terminology and processes.

• Maintained provider’s schedules to ensure they were full at all times.

• Maintained and utilized the waitlist work queue. 04/2014 – 10/2016

• Scheduled and interacted with patients via telephone, face to face and email. Gathered information in preparation for patient’s on-site appointment.

• Delivered efficient clerical and reception support to department.

• Accurately answered outbound and inbound calls for both patient and providers.

• Trained all new staff in medical call center protocols and processes, from excellent communication to the medical software used by the company.

• Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces, and purchasing supplies.
• Monitored progress and documented patient health status changes to keep care team updated.
• Provided mobility assistance such as walking and regular exercising.
• Administered prescribed medications under direction of physician.
• Maintained records of patient care, condition, progress or problems to report and discussed observations with supervisor or case manager.

• Reduced instances of bedsores by regularly turning and repositioning patients as per care plan.
• Contributed to a positive work environment by fostering strong relationships with colleagues and demonstrating a willingness to help others as needed.
• Maintained a clean and sanitary environment for patients, ensuring infection control practices were followed diligently.
• Earned recognition from patients, families, and supervisors for consistently displaying compassion, attentiveness, and dedication towards improving overall patient experience and satisfaction.
• Contributed to the efficient functioning of the nursing team by promptly responding to call lights and resolving concerns.
• Monitored vital signs and reported any abnormalities to the supervising nurse immediately, ensuring timely medical intervention when needed.

• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Checked patient insurance, demographic, and health history to keep information current.
• Helped patients complete necessary medical forms and documentation.
• Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
• Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.