Marie Augustin
Jamaica
Summary
Professional and prepared healthcare access professional with strong experience ensuring seamless patient admissions and registration processes. Proven ability to work collaboratively within team to achieve organizational goals and adapt to changing needs. Skilled in patient communication, insurance verification, and data management, providing reliable support in fast-paced environment. Known for maintaining high standards, strong attention to detail and effective results.
Overview
8
8
years of professional experience
Work History
Patient Access Representative
Northwell Health/Northshore University Hospital
01.2023 - Current
- Improves patient satisfaction by efficiently registering patients and verifying insurance information using Invision healthcare system
- Secures patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Contributes to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices
- Coordinates interpreter services when necessary to eliminate language barriers between staff and patients
Claims Auditor
Center's Plan for Healthy Living
05.2021 - 01.2023
- Identified fraudulent activities by conducting detailed audits on suspicious claims, protecting company resources.+
- Reviewed inventory claims to ensure compliance with Medicare, Medicaid/MLTC guidelines while reviewing provider contracts to ensure billed codes are covered
- Participated in ongoing professional development opportunities to stay current on industry trends, enhancing personal skill set and benefitting the organization.
- Streamlined the claims process for increased efficiency through thorough documentation and recordkeeping.
Claims Analyst
Center's Plan for Healthy Living
04.2019 - 04.2021
- Maintained strict confidentiality with all personal data as per company guidelines including detailed documentation on all claims
- Processed claims according to Medicare, Medicaid, and CPHL/MLTC guidelines for proper patient care and billing
- Communicated via email correspondence with colleagues in all departments for assistance with processing claims effectively in a timely-manner
- Completed special projects assigned by upper management for professional growth
Member Service Representative Level 2. (Medicare trained)
Center's Plan for Healthy Living
11.2017 - 04.2021
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Completed referrals, grievances and appeals with the members while advising providers of the member's eligibility status and co-payments/co-insurance
- Completed required continuing education courses to stay current with industry trends and regulations
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
Cytology Accessioner
Sunrise Medical Laboratories
11.2016 - 06.2017
- Contributed to the successful implementation of a new laboratory information system, resulting in streamlined workflows and improved data tracking capabilities.
- Bolstered customer satisfaction levels by responding promptly to questions or concerns from clients related to test results or sample submission guidelines.
- Enhanced lab efficiency by organizing and prioritizing specimen processing tasks.
- Followed safety protocols when receiving, handling and storing specimens.
Education
Liberal Arts - Science Humanities/Social Science
Nassau Community College
05.2025
Skills
- Multitasking
- Organization
- Problem-solving
- Attention to detail
- Adaptability
- Customer service
- Insurance verification
- HIPAA compliance
- Patient registration
Accomplishments
- Honors: Dean's List Spring 2024 and Fall 2024
- Phi Theta Kappa Honor Society Omicron Sigma Inducted February 2025
Languages
American Sign Language
Limited Working
Haitian Creole
Native or Bilingual
Timeline
Patient Access Representative
Northwell Health/Northshore University Hospital
01.2023 - Current
Claims Auditor
Center's Plan for Healthy Living
05.2021 - 01.2023
Claims Analyst
Center's Plan for Healthy Living
04.2019 - 04.2021
Member Service Representative Level 2. (Medicare trained)
Center's Plan for Healthy Living
11.2017 - 04.2021
Cytology Accessioner
Sunrise Medical Laboratories
11.2016 - 06.2017
Liberal Arts - Science Humanities/Social Science
Nassau Community College
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