Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
9
9
years of professional experience
Work History
Patient Service Representative
Acclara
Houston, TX
05.2023 - Current
Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Identified and corrected payment problems involving patients or third-party payers.
Contacted insurance providers to check patient coverage.
Reached out to responsible companies and individuals to collect on outstanding debts.
Investigated rejected and denied claims, correcting applicable coding.
Evaluated patient's financial status to establish budget payment plans.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
On Call Coordinator
Maxim Healthcare
Lake Mary, FL
11.2022 - Current
Answered phone calls and took messages for staff members.
Assisted patients with canceling and rescheduling appointments.
Documented customer correspondence in CRM to track requests, problems and solutions.
Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
Maintained records management system to process personnel information and produce reports.
Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
Outreach Coordinator
CareMetx
Bethesda, MD
11.2022 - 01.2023
Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
Called insurance companies and verified patient coverage.
Applied HIPAA privacy and security regulations while handling patient information.
Responded to patient concerns and inquiries professionally and efficiently.
Verified demographics and insurance information to register patients in computer system.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Processed patient responsibility estimate determined by insurance at pre-registration.
Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
Obtained necessary signatures for privacy laws and consent for treatment.
Administrator
Kylers Helping DBA 1st Health Staffing
Rockledge, FL
03.2018 - 10.2022
Spearheaded business development initiatives and led executives in recruitment functions and talent retention.
Crafted and updated recruitment and HR policies and procedures to improve hiring processes.
Liaised between management and employees by relaying work information, adjustments and grievances.
In charge of receiving payments from Medicaid
Advocated for clients, and assisted with obtaining affordable medical insurance from Medicaid, Medicare, and/or affordable cares act insurance
Provided resources to the low-income population including, housing, medical, dental, employment, and daycare if needed
Created and updated work schedules to accommodate changing staffing levels and workload expectations
Increased revenue by creating key business-development programs
Managed payroll, transactions, invoicing, and budgeting to reduce financial inconsistencies
Established positive working relationships with colleagues, managers, and customers through regular communication and effective anticipatory needs.
Spearheaded business development initiatives and led executives in recruitment functions and talent retention.
Supported Living Coach
DPT Support Group
Ocala, Florida
03.2015 - 02.2018
Was in charge of a caseload of over 5 clients
Was in charge of coordinating community resources and securing referrals
Provided assistance with the Low-Income Subsidy Program to assist with the cost of medications and deductibles
Developed team communications and information for quarterly meetings
Scanned documents and saved them in a database to keep track of important organizational data
Conducted inspections of the grounds, buildings, and equipment on the property in order to identify maintenance issues and coordinate timely repairs to ensure clients were moving into well-kept units.