Krista Reed
Macclenny,FL
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
7
7
years of professional experience
Work History
Financial Advocate
Nemours Childrens Health
06.2023 - Current
- Executed financial assurance audits and implemented new control points and metrics to support clinical changes.
- Initiated conversations with families to uncover financial needs, screen and qualify for assistance/charity programs, plan for expected cost of care.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Review and track Medicaid applications to continue treatment awaiting determination.
- Determine eligibility for internal financial assistance for over 200 patients.
- Obtain, review, and discuss insurance benefits and estimated cost of care.
Registration
Nemours Childrens Health
10.2022 - 06.2023
- Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing and coding questions.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Checked o patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Stayed calm under pressure and successfully dealt with difficult situations.
Patient Services Specialist
Nemours Childrens Health
01.2020 - 05.2022
- Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
- Verified patient availability during appointment scheduling process to reduce reschedules and cancellations.
- Contacted insurance company to verify patient coverage before visit.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Facilitated communication between patients and various departments and staff.
- Responded to inquiries by directing calls to appropriate personnel.
- Trained new staff on filing, phone etiquette and other office duties.
- Answered over 70 incoming calls per day, scheduled appointments and filed medical records.
- Provided excellent customer service to patients and medical staff.
Referral Coordinator
Park Avenue Dermatology
05.2018 - 11.2019
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
- Scheduled appointments with specialists on behalf of clients.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Assisted with completion of referral forms and verified data accuracy and completion.
Patient Registrar
Orange Park Hospital (HCA)
06.2017 - 05.2018
- Coordinated with nursing staff to process and direct patients to appropriate departments
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Facilitated timely check-in by greeting visitors and establishing purpose of visits.
- Prepare Trauma charts and coordinated with Case Worker for family contact.
Education
High School Diploma -
Orange Park High School
Orange Park, FL06.2016
Skills
- Financial Services
- Audits
- Prospecting
- Strategic financial planning
- Insurance Products
- Debt management
- Problem Solving
- Customer Service
- Insurance Benefits
- Data Entry
- Documentation
Timeline
Financial Advocate
Nemours Childrens Health
06.2023 - Current
Registration
Nemours Childrens Health
10.2022 - 06.2023
Patient Services Specialist
Nemours Childrens Health
01.2020 - 05.2022
Referral Coordinator
Park Avenue Dermatology
05.2018 - 11.2019
Patient Registrar
Orange Park Hospital (HCA)
06.2017 - 05.2018
High School Diploma -
Orange Park High School
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