Lorinda Earl
Wylie,TX
Summary
Compassionate Patient Advocate at Elevance Health with a proven track record in proactive problem-solving and resource utilization. Skilled in benefits verification and appeals facilitation, ensuring patient rights are upheld. Adept in Microsoft Office, I excel in delivering quality assurance and effective communication, enhancing patient experiences and outcomes.
Overview
18
18
years of professional experience
Work History
Patient Advocate
Elevance Health
11.2016 - Current
- Financial liaison between patients, healthcare providers, insurance companies, and drug manufacturers
- Assist patients enroll for assistance through the manufacturer programs, co-pay assistance, apply for grants if they are experiencing financial hardship
- Responded to patient concerns and questions with compassionate and knowledgeable service while providing emotional support
- Benefits Verification
- Prior Authorization: initiated, follow-up, track prior authorizations
- Appeals: facilitated appeals between patient, healthcare providers, insurance companies
- Provided all Med D patients with updates regarding payment arrangements through insurance providers
- Scheduled: Rx deliveries
- Workflow: Entered details into computer systems and managed database of information for MD referrals medical history
- Managed patient complaints professionally and efficiently while maintaining strict adherence to HIPAA regulations.
Medical Receptionist
Diagnostic Clinic of Longview
07.2007 - 07.2016
- Coordinated patient scheduling, check-in, check-out, payments for billing, and scheduled payment arrangement for bad debt.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Scheduled specialist referrals, hospital testing, lab work
- Entered details into computer systems and managed database of information.
- Managed multi-line phone system and pleasantly greeted patients.
Education
High School Diploma -
Longview High School
Longview05.1996
No Degree - Criminal Justice
Tyler Junior College
TylerSkills
- Patient rights
- Proactive problem-solving
- Resource utilization
- Quality assurance
- Verbal and written communication
- Computer: Microsoft: Excel, Word, Office, Outlook
Timeline
Patient Advocate
Elevance Health
11.2016 - Current
Medical Receptionist
Diagnostic Clinic of Longview
07.2007 - 07.2016
High School Diploma -
Longview High School
No Degree - Criminal Justice
Tyler Junior College
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