Lynann Conklin-DeRosa
Port Jervis,NY
Summary
Accomplished Patient Accounting Representative and Authorization Specialist with a proven track record at Bon Secours Community Hospital, excelling in HIPAA compliance and patient account management. Demonstrated expertise in insurance verification and customer service, significantly enhancing billing accuracy and patient satisfaction. Skilled in leading teams and streamlining authorization processes for improved operational efficiency.
Overview
24
24
years of professional experience
Work History
Patient Accounting Representative
Garnet Health Medical Center
05.2023 - 05.2024
- Sumbitted all claims for Medicaid claims in a timely manner to ensure payments.
- Some cross training in Medicare and commercial insurances.
- completed workques to check for errors and correct
- Ensured accurate billing, performing regular audits of patient accounts and identifying discrepancies.
- Assisted patients in understanding their financial obligations, addressing concerns, and offering payment options.
- Provided exceptional customer service, resolving patient inquiries and disputes in a timely manner.
- Completed spreadsheets as per Managers request to keep track of clean claim reports.
- completed HMS audits
- completed daily Self Pay cash posting
Authorization Specialist / Supervisor
Bon Secours Community Hospital
10.2000 - 05.2023
- Processed authorizations in a timely manner for different modalities (i.e radiology, infusion, cardiology, physical therapy, diabetic ed etc...)
- Prepared and processed various authorization forms for different insurance companies , ensuring accuracy of information.
- Maintained up to date knowledge of insurance guidelines and regulations.
- followed up on all authorization until approved or denied.
- Scheduled all outpatient services for 3 sister hospitals.
- pre registered all accounts
- verified insurance coverage and eligibility
- Assisted patients with insurance and testing questions.
- As supervisor watched over office of 32 staff members.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- completed time off requests
- Assisted other staff members with any questions they may have.
- Assisted new employees on training in any new office procedures or applications.
Medical Assistant
Parviz R Mohassel MD
01.2000 - 01.2006
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Taught patients about medications, procedures, and care plan instructions.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Education
High School Diploma -
Port Jervis Senior High School
Port Jervis, NY06.2000
Skills
HIPAA Compliance
Patient account management
Insurance Verification
Data entry proficiency
Payment Processing
Medical billing knowledge
Customer Service
Microsoft Office
Correspondence
ICD-10 Coding
Medical Terminology
HCPCS Coding
Scheduling
Timeline
Patient Accounting Representative
Garnet Health Medical Center
05.2023 - 05.2024
Authorization Specialist / Supervisor
Bon Secours Community Hospital
10.2000 - 05.2023
Medical Assistant
Parviz R Mohassel MD
01.2000 - 01.2006
High School Diploma -
Port Jervis Senior High School