LaVinnciea Nelson

• Demonstrated strong work ethic and adaptability in fast-paced environments, consistently meeting deadlines while maintaining high quality standards.
• Coordinated with insurance companies to obtain pre-certification and benefit details.
• Executed high-volume insurance reviews within crucial time limits.
• Optimized bed utilization through strategic scheduling and resource allocation, reducing admission wait times and improving overall patient satisfaction metrics.
• Communicated essential treatment instructions to patients effectively.
• Answered incoming calls, scheduled appointments and filed medical records.

Supported medical staff in completing patient paperwork.

• Company Overview: Contracted w/Aston Carter
• Supported the Associate Director of Admissions in the Patient Financial Advocate Unit
• Obtained Referral Authorization's and financial clearance for all scheduled outpatient Diagnostic Imaging
• Utilized knowledge in ICD-9, CPT Coding and medical terminology to obtain Insurance Verification for all HMO Patients
• Processed paperwork associated with each referral including authorization forms, consent documents
• Utilized various software programs such as Microsoft Office, Teams, Excel, CS-LINK and all Insurance Sites
• Collaborated with internal departments such as clinical staff, billing department and health insurance companies to ensure efficient processing of referrals
• Created Patients HAR's Account based on all sch in & outpatient appointments
• Completed 100 plus hours of training via HealthStream
• Contracted w/Aston Carter

• Company Overview: Contracted w/Aston Carter
• First point of contact upon patient check-in, collecting all proper documents and co-pays prior to checking in patient check-in
• Managed Front Desk Team of 12 Employees maintaining weekly Staffing schedules coordinating w/employees time off requests, breaks and Lunches
• Trained all new hires with Epic, Insurance Verification, and Appointment Scheduling for Primary and Specialty Care Physicians
• Completed all patient outreach calls and scheduling for Mental Health services for patients first initial intake interview
• Assigned patients referral's to Scheduled Appts
• Scheduled approximately 250 patients per week with primary care physicians, pediatrics, specialists, labs, ultrasound, x-rays, and pre-op appointments
• Contracted w/Aston Carter

• Company Overview: Contracted w/Aston Carter
• Assisted in coaching and training junior employees with new assignments
• Assisted Supervisor with conducting staff meetings to relay general information or to address specific topics
• Addressed pending issues flagged on claimant's accounts to determine eligibility status
• Followed up with customers on unresolved issues
• Conducted full claim investigations and reported updates and legal actions
• Escalated files with significant indemnity exposure to supervisor for further investigation
• Provided advice to customers regarding claims, rights and appealing processes to prevent disqualifications
• Checked documentation for accuracy and validity on updated systems
• Followed guidelines when reviewing applicant data to determine eligibility for economic assistance
• Scheduled appointments with applicants to gather information and explain benefits processes
• Contracted w/Aston Carter

• Identified and assessed all Workers Comps Claims submitted and contacted all clients about necessary data missing on initial claims application
• Communicate with insurance adjusters, attorneys' office, and necessary parties participating with the submitted claims
• Reviews account data and activity to devise financial estimation reports and adjustments
• Input financial data into company accounting database for verification and reconciliation, maintaining accurate and current accounts at all times
• Supported management by processing invoices and documents consistently with on-time delivery
• Computerized record-keeping systems, initiating and maintaining financial accuracy and current tracking in Excel
• Aimed to provide clients with the highest level of customer service possible
• Assisted clients and attorneys with requests for invoice copies, ledger details and explanation of accounts receivable and amounts owed
• Reviewed full history of past due accounts and contacted client or attorney regarding collections

• Reviewed documents, correspondence, and reports regarding all claims filed
• Contacted insured or other involved parties to obtain missing information regarding claims submitted
• Consulted with outside parties to resolve discrepancies and create effective solutions
• Ensured proper training for a team of 15-20 employees
• Answered high inbound calls, and emails, while also making outbound follow-up calls to customers
• Collected electronic deductibles submitted for all claims

• Checked patients in and out for all scheduled appointments
• Documented patient medical information, case histories and insurance details to facilitate smooth appointment and payment processing
• Filed charts numerical and alphabetical
• Answered all inbound calls transferring them to the proper personal
• Assisted customers with any questions or inquiries during all visits

• Welcomed and assisting visitors in a friendly and professional manner
• Maintained financial accuracy by collecting deposits, and payments from all customers
• Scheduled and confirmed appointments, meetings, and events
• Monitored offices supplies by checking inventory on a weekly basis and placed orders whenever stock was running low
• I promptly answered multi-line phone system's and greeted callers enthusiastically
• Cleared Bank Disputes, solved client account problems and filed paperwork