Mariah Sias
Humble,TX
Summary
Dynamic and motivated professional with a proven record of generating and building relationships, managing projects from concept to completion, designing educational strategies, and coaching individuals to success. Skilled in building cross-functional teams, demonstrating exceptional communication skills, and making critical decisions during challenges. Adaptable and transformational leader with an ability to work independently, creating effective presentations, and developing opportunities that further establish organizational goals.
Overview
13
13
years of professional experience
Work History
BMT Admin - Transplant Financial Specialist
Houston Methodist Hospital
05.2023 - Current
- Provided compassionate support to patients experiencing financial hardship by developing customized payment solutions tailored to their individual circumstances.
- Maintained strict confidentiality of patient data by adhering to HIPAA regulations and company policies regarding information security.
- Educated patients on financial clearance.
- Analyzed financial needs of patients and developed tailored strategies to meet goals.
- Devised comprehensive financial plans for patients to achieve short and long-term financial goals.
Training and Development Specialist
Millennium Physician Group
04.2022 - 05.2023
- Worked with central management to identify, plan, align and address training needs
- Compiled training handbook and related course materials
- Gathered data about course success and participant experiences to help with future course planning
- Evaluated success of training and recommended improvements to upper management to enhance effectiveness
- Planned and deployed training programs for financial counselors workflows
- Provided recommendations for process improvements and discontinuation of ineffective or outdated methods.
Oncology Financial Liaison
Houston Methodist Hospital
11.2019 - 04.2022
- Assisted with the development of a New Program
- Provided leadership to the staff, project management, research, and data analysis
- Oncology/rheumatology/hematology patient copay assistance and foundations
- Insurance Optimization.
Patient Access Supervisor
Houston Methodist Hospital
11.2016 - 11.2019
- Performed various patient access duties specific to PAS workgroup
- Registration, insurance verification, scheduling, financial counseling, oncology/rheumatology/hematology patient copay assistance foundation, revenue cycle, researching denials, submitting insurance appeals, successfully decreased denials
- Attended weekly facility meetings to discuss logistical issues and obtain updated procedural and insurance-related instructions
- Resolved patient financial problems with guidance from documented guidelines and procedures
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability
- Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays
- Supervised team of 8 outpatient patient access representatives
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
- Auditing patient data through the various reporting tools.
Senior Patient Affairs Specialist
Baylor College Of Medicine
09.2015 - 11.2016
- Implemented regulatory guidance procedures for Oncology services
- Developed team communications and information for meetings
- Led projects and analyzed data to identify opportunities for improvement
- Medical provider by ensuring efficient workflow, consistency of service and optimization of collections
- Obtain revenue by recording and updating financial information; record and collect patient charges; investigate denials, control credit extended to patients
- Revenue cycle, charge processing, claim submission and processing, payment processing, collections and accounts receivable management.
Patient Financial Counselor
Our Lady Of Lourdes
01.2013 - 09.2015
- Initiated authorizations and verified insurance for outpatient Infusion
- Followed up with patients regarding financial services such as IVIG, Chemotherapy, etc
- Collected and posted payments and recorded receipts
- Conducted reviews of clients' financial circumstances
- Counseled patient about financial planning, budgeting and debt management
- Advised patients in accordance with the facility's policies and procedures
- Collected deposits for hospital admissions
- Gathered and analyzed financial data of patients to determine eligibility for financial aid.
Patient Access Registration
Lafayette General Hospital
07.2011 - 12.2012
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Education
Bachelor of Science - Psychology
University of Houston - Downtown
Houston, TX12.2024
Skills
- Exceptional management skills of people and information
- Proficient in Microsoft Word, Excel, PowerPoint, Outlook
- Personnel Training and Development
- Designed and implemented a new program to streamline workflow processes
- Project Management
- Technical Skills
- Problem solving
- Effective communication
Timeline
BMT Admin - Transplant Financial Specialist
Houston Methodist Hospital
05.2023 - Current
Training and Development Specialist
Millennium Physician Group
04.2022 - 05.2023
Oncology Financial Liaison
Houston Methodist Hospital
11.2019 - 04.2022
Patient Access Supervisor
Houston Methodist Hospital
11.2016 - 11.2019
Senior Patient Affairs Specialist
Baylor College Of Medicine
09.2015 - 11.2016
Patient Financial Counselor
Our Lady Of Lourdes
01.2013 - 09.2015
Patient Access Registration
Lafayette General Hospital
07.2011 - 12.2012
Bachelor of Science - Psychology
University of Houston - Downtown