June Aboge Duncan
Apple Valley,MN
Summary
Dynamic and resourceful professional with over 15 years of experience in home infusion intake, benefits verification, reimbursement, and payer relations. Proven partner to clinical and billing teams, adept at resolving coverage issues and accelerating authorizations while ensuring the protection of PHI in compliance with HIPAA regulations. Recognized for expertise in training, quality assurance, and cross-functional coordination that significantly reduces denials and expedites discharge-to-home transitions. Committed to enhancing operational efficiency and improving patient outcomes through strategic collaboration and innovative problem-solving.
Overview
19
19
years of professional experience
Work History
Intake/Reimbursement Specialist
Fairview Home Infusion
03.2019 - Current
- Collaborated with affiliated healthcare systems and professionals to streamline the intake and benefit authorization process, improving operational efficiency.
- Analyzed patient and reimbursement information through various web-based portals to effectively identify and resolve potential coverage issues and discrepancies.
- Served as a key point of contact and resource for clinical and billing teams, leveraging strong interpersonal skills to address and resolve insurance benefit inquiries.
- Drove special projects related to patient care coordination by assigning therapy order requests to appropriate clinical teams to ensure timely completion.
- Monitored daily operational reports on patient status, providing clear and concise communication and updates to the clinical team.
- Handled administrative tasks including the accurate documentation of patient demographics and payer information, adhering to HIPAA guidelines.
- Maintained current knowledge of payer requirements, contributing to smoother and more efficient admission practices.
Patient Scheduling Manager
Metro Dentalcare
07.2016 - 03.2019
- Oversaw daily billing and collection operations for assigned accounts, ensuring process efficiency and accuracy.
- Collaborated closely with the Credentialing Support Team to ensure timely resolution of issues that could hinder claims processing operations.
- Managed administrative staffing projects, including new hire onboarding and training, to improve team capabilities and operational readiness.
- Demonstrated ability to work under pressure by assuming management responsibilities in the absence of the primary management team.
- Served as a go-to resource for a 50–60-person team, utilizing high EQ to answer questions, resolve service issues, and troubleshoot operational challenges.
- Contributed to a Quality Assurance Team to review and maintain confidential files, ensuring compliance with accreditation standards.
Patient Services Representative Lead
Metro Dentalcare
01.2007 - 07.2016
- Improved operational capabilities by managing schedule utilization to consistently exceed provider production metrics.
- Acted as Interim manager as needed, effectively evaluating priorities and handling resource management functions under pressure.
- Partnered with insurance companies to verify patient eligibility and resolve outstanding claims, supporting smooth daily operations.
- Handled various administrative tasks, including billing, responding to professional emails, managing mail, and preparing patient records.
- Coordinated the patient referral process with specialists, ensuring a seamless transition of care and documentation.
Education
Associate of Science - Management of Information Systems
MUW-Mississippi University for Women
Skills
- Software application expertise
- Microsoft Word, Outlook & Excel proficiency expertise
- Proficiency in navigating EHR/Systems: CPR,NPPES, Payer portal, (eg, Availity, myCGS)
- Home infusion therapy
- Financial analysis
- Insurance claims processing
- Healthcare management
- Medical & Dental Terminology, ICD-10/CPT/HCPCS
- Interpersonal skills
- Benefit verification, prior authorization, reimbursement, revenue cycle and insurance billing
- Self-directed task execution
- Strong organizational skills
- Skilled in prioritizing concurrent responsibilities
- Strong verbal and non-verbal communication
- Proactive initiator
- Strategic foresight
- Problem-solving resourcefulness
Timeline
Intake/Reimbursement Specialist
Fairview Home Infusion
03.2019 - Current
Patient Scheduling Manager
Metro Dentalcare
07.2016 - 03.2019
Patient Services Representative Lead
Metro Dentalcare
01.2007 - 07.2016
Associate of Science - Management of Information Systems
MUW-Mississippi University for Women