Maria Cristina Neveux
Merrimack,New Hampshire
Summary
Knowledgeable Patient Care Advocate highly effective at satisfying patient care needs while eliminating unnecessary financial healthcare burdens. Broad knowledge of healthcare services and levels of care, financial options and insurance coverage scope. Known for working positively with care team members to reach creative solutions. Participated with stratifying efforts in moving the needle to improve Medicare Advantage plan ratings to a 3-5% increase on HEDIS measure Annual Preventative Visit from January 2024 thru current.
Overview
16
16
years of professional experience
Work History
Patient Care Advocate
Centene Corporation
01.2024 - Current
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Demonstrated empathy toward diverse patient populations, building trust through compassionate interactions.
- Actively participated in ongoing professional development opportunities to stay current on best practices and emerging trends in patient care advocacy.
- Answered provider inquiries via email, telephone and written correspondence.
- Managed large datasets, ensuring timely delivery of accurate and relevant information to stakeholders.
- Utilized statistical methods to identify significant relationships between variables, driving strategic initiatives within the organization.
- Improved data accuracy by conducting thorough data validation and cleansing processes.
- Enhanced patient care quality by identifying trends and patterns in healthcare data.
- Assisted in chart chase and medical records review for MY 2023 for CMS Star rating compliance.
Patient Advocate III
Conifer Health Solutions LLC
04.2021 - 12.2023
- Patient Advocate for the HIV Ryan White Program at Dartmouth Health with a patient population of 800+. Works with the team to meet the Ryan White grant compliance.
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Monitored patient progress and provided emotional support.
- Provided emotional support to patients and families during challenging medical situations, fostering trust and rapport.
- Managed patient complaints professionally and efficiently while maintaining strict adherence to HIPAA regulations.
- Educated patients on available resources and community programs, increasing their access to needed services.
- Negotiated payment plan arrangements with medical billing departments on behalf of the patients experiencing financial hardship.
Public Benefits Specialist
Ensemble Health Partners
10.2019 - 04.2021
- Certified Revenue Cycle Representative by HFMA 2019-2021.
- Assist customers in navigating patient insurance processes for obtaining authorizations and benefits verification, collaborate with management to discuss changes in service strategies, updates to policies and procedures.
- Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program, work between systems to accurately triage, reply and resolve customer questions.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Observed strict procedures to maintain data and plan participant confidentiality.
Lead Financial Counselor
St. Joseph Hospital
04.2018 - 10.2019
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Negotiated payment plan arrangements with medical billing departments on behalf of the patients experiencing financial hardship.
- Managed patient complaints professionally and efficiently while maintaining strict adherence to HIPAA regulations.
- Educated patients and families on healthcare options and financial support resources.
- Maintained patient records and updated electronic health systems to safeguard data.
- Implemented best practices in patient advocacy through continuous professional development initiatives.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Trained new staff on filing, phone etiquette and other office duties.
- Applied strong leadership to 4 Financial Counselors doing regular huddles and talked about problem-solving skills to maintain team efficiency and organize workflows.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Cash Receipts Representative, Payment Processor II
St. Joseph Hospital
05.2016 - 04.2018
- Responsible for ensuring the accurate management of cash receipts and execution of payment processing transactions.
- Entering payments amounting from $1-$100,000 from insurance companies to the system and balancing the sheets at the end of the day.
- Managing electronic check deposits and processes for the day for all hospital payment transactions, cash, credit cards or check payments.
- Supported team members in their tasks, contributing to overall team success.
- Entered data into computer tracking system and filed paperwork according to procedures.
- Maintained accurate records and ensured timely completion of all necessary paperwork.
Administrative Assistant
St. Joseph School Of Nursing
12.2013 - 05.2016
- Responsible for providing administrative and operational duties for the executive and support team, managed multiple projects simultaneously and prioritize based on evolving business needs, maintained clear communication credibility, trust and support with internal staff members, executed policies, standards and procedures focused on operational excellence and providing outstanding internal customer service, adopted and advanced new technologies to facilitate tactical business solutions
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
Owner/General Manager
Steakstreet Grill & Restaurant
09.2008 - 12.2012
- Managed all restaurant functional touchpoints including financial planning, operations, inventory, quality and guest services, created a positive guest experience, managed, developed and inspired a team, identified ways to improve business and financial results, oversaw a broad range of finance planning activity, managed relationships and contracts with beverage food distributors, liquor companies and other vendors
Skills
- Multitasking ability
- HIPAA Compliance
- Verbal and written communication
- Relationship Building
- Documentation
- Goal Setting
- Healthcare operations
- Proficient in EPIC, Allscripts, Power BI, P360, Teams, Microsoft Office
- Process Improvements
- Organizational Skills
- Team Collaboration
- Eligibility Determination
- Problem-solving abilities
- Calm and Effective Under Pressure
Timeline
Patient Care Advocate
Centene Corporation
01.2024 - Current
Patient Advocate III
Conifer Health Solutions LLC
04.2021 - 12.2023
Public Benefits Specialist
Ensemble Health Partners
10.2019 - 04.2021
Lead Financial Counselor
St. Joseph Hospital
04.2018 - 10.2019
Cash Receipts Representative, Payment Processor II
St. Joseph Hospital
05.2016 - 04.2018
Administrative Assistant
St. Joseph School Of Nursing
12.2013 - 05.2016
Owner/General Manager
Steakstreet Grill & Restaurant
09.2008 - 12.2012
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