Dedicated healthcare professional with a background in medical billing seeking a Reimbursement Case Manager position. Bringing strong knowledge of commercial and state insurance guidelines to effectively minimize coverage barriers and support patient access.
Overview
1
1
Certification
20
20
years of professional experience
Work History
Patient Service Representative/Referral Coordinator
Pediatric Health Care Alliance
Brandon, FL
11.2021 - 02.2026
Referrals and Insurance: Managed and filed referral slips, secured authorizations, and verified insurance eligibility to ensure smooth patient transitions.
Patient Communication: Assisted patients and families via phone and in-person, screened phone calls, accurately took messages, and provided essential practice information.
Front Desk Operations: Greet incoming patients, manage patient flow, and complete check-in and check-out procedures.
Scheduling and Records: Schedule patient appointments and ensure demographic and insurance files remain current.
Processed patient co-payments at point of service and completed general office tasks to maintain operational efficiency.
Patient Care Technician
AdventHealth Express Care Clinic
Brandon, FL
01.2018 - 08.2021
Clinical Support: Recorded patient vital signs, weight, and initial intake data to ensure accurate health assessments.
Patient Care: Assisted patients with daily hygiene, comfort measures, and safe movement to enhance patient well-being.
Documentation & Safety: Log all procedures into electronic medical records and follow strict infection control/hand hygiene rules.
Environment Maintenance: Maintained clean, stocked, and organized exam or patient care rooms to support efficient care delivery.
Certified Dermatology Technician
Forman Dermatology
Tampa, FL
08.2016 - 08.2017
Traveled to various nursing home facilities, delivering dermatology care to residents and improving access to services
Supported diagnostic and technical treatment procedures by efficiently setting up and operating medical equipment, enhancing workflow
Provided necessary supplies, support, and assistance to medical staff and patients, ensuring smooth procedures
Charted resident information, ensuring accuracy and timeliness of medical records for better patient care
Exhibited compassionate care and communication, enhancing patient comfort and trust
Promoted personal and co-worker safety by adhering to safety protocols
Maintained clean, orderly, and well-stocked environment, facilitating smooth clinic operations
Healthcare Technician
Healthcare Clinic at Walgreen's
Brandon, FL
06.2013 - 08.2016
Recorded patient vital signs and documented into EMR, ensuring data accuracy for clinical decisions
Maintained confidential documentation of patient information to ensure compliance with federal regulations
Prepared patient, equipment, and supplies for specific procedures, supporting provider efficiency
Assisted provider in daily patient care activities, streamlining workflow and contributing to improved patient outcomes
Implemented infection control measures and confirmed equipment cleanliness and functionality before use
Medical Assistant
Advanced Dermatology and Cosmetic Surgery
Tampa, FL
07.2006 - 08.2012
Patient Preparation: Prepared patients for exams by rooming, taking vital signs, and updating medical histories and dermatological symptoms. [1]
Procedure Assistance: Assist dermatologists during full-body skin checks, biopsies, surgical excisions, and specialized Mohs micrographic surgery.
Treatment Support: Set up and sterilize surgical trays, clean instruments, and help administer topical medications, injections, or suture removals.
Patient Education: Educate patients on post-procedure care, preventive skin care, and prescribed treatment plans.
EMR Documentation: Accurately input clinical notes, vitals, and patient treatment details into electronic health record systems.
Sample Handling: Prepare, label, and log pathology slips, skin specimens, and biopsies for lab testing.
Reimbursement Support: Reviewed patient financial/insurance data, ensured form completeness, and assisted with submission guidelines to streamline reimbursement processes.
Data Management: Accurately log all notes and updates into the CareMetx Connect platform under strict HIPAA rules.
Education
Diploma - Medical Billing & Coding
University of Phoenix-Online Campus
Remote
09-2020
Diploma - Medical Assistant
Edutech Career College
Brandon, FL
01-2006
Diploma -
East Bay High School
Gibsonton, FL
01-2001
Skills
RInsurance Verification
HIPAA
ICD coding
ICD-10/ HCPCS
EMR systems
Patient Account Management
Scheduling appointments
Payment processing
Telehealth assistance
Patient queue management
Organizational management
Attention to detail
Problem resolution
Time optimization
Medical terminology
Health Compliance Standards
Customer relations
Document preparation
Health Compliance Standards
Reimbursement Specialist
Certification
CPR Certification
Additional Information - Work Authorization
Authorized to work in the US for any employer
Timeline
Patient Service Representative/Referral Coordinator
Patient Service Representative/Referral Coordinator at OSU Wexner Medical CenterPatient Service Representative/Referral Coordinator at OSU Wexner Medical Center
Patient Service Representative/Referral Coordinator at Northside Hospital Diagnostic ClinicPatient Service Representative/Referral Coordinator at Northside Hospital Diagnostic Clinic
Referral Coordinator /Patient Service Representative at Wellmed Medical GroupReferral Coordinator /Patient Service Representative at Wellmed Medical Group
Patient Service Representative /Patient Referral Coordinator at Corewell HealthPatient Service Representative /Patient Referral Coordinator at Corewell Health