MARLENA MYLES
Saint Petersburg ,FL
Summary
Supported team operations in fast-paced office environments by completing clerical tasks efficiently. Assisted staff with administrative needs to enhance productivity. Maintained organization and punctuality while working independently.
Overview
6
6
years of professional experience
Work History
Regional Office Lead
TGH Urgent Care
05.2023 - Current
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Improved front office organization by implementing new filing systems and maintaining cleanliness in waiting areas.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
- Registered and verified patient records before triage with most up-to-date information.
- Maintained strict confidentiality of patient records in compliance with HIPAA regulations.
- Supported office staff and operational requirements with administrative tasks.
- Skilled at working independently and collaboratively in a team environment.
- Conducted regular audits of patient records to maintain data accuracy and integrity.
- Coordinated team schedules to ensure adequate staffing during peak operational hours.
- Maintained strong communication with administrative staff to support operational needs.
- Coordinated supply ordering processes for clinics to support uninterrupted patient care operations.
Billing & Insurance Specialist
Boland & Mannari Oral and Maxillofacial Surgery
05.2022 - 05.2023
- Prepped patient accounts for appointments/procedures
- Called insurance companies to verify patient benefits and coverage
- Called patients prior to appointment/procedures to let them know cost beforehand
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Determined prior authorizations for medication and outpatient procedures
- Pre-certified medical and radiology procedures, surgeries and echocardiograms
- Communicated with insurance providers to resolve denied claims and resubmitted
- Evaluated patients' financial status and established appropriate payment plans
- Precisely evaluated and verified benefits and eligibility
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
Financial Counselor Lead
Bayfront Health St Petersburg – Emergency Room
09.2019 - 05.2022
- Provided front desk support and customer service satisfaction to patients, with courtesy, respect, and professionalism
- Obtained and accurately entered demographic, clinical, and financial data into computer system
- Answered telephone promptly and politely provided information and assistance
- Interviewed patients, loved ones and caregivers to identify any problems related to their care
- Identified insurance payer sources and verified insurance coverage
- Helped patients obtain the necessary services to meet their healthcare needs
- Respected the rights of patients and maintained confidentiality
- Identified and collected copayments to meet patient financial obligations, including applicable deductibles
- Explained admitting procedures and obtained signatures on admission, clinical, and financial forms
- Determined estimated cost for services provided by researching and reviewing medical treatments, tests, medications
Education
FLORIDA VIRTUAL SCHOOL
ORLANDO, FLSkills
- Document Services
- Organization and Record-Keeping
- Patient Intake
- Interview Patients
- New Patient Chart Preparation
- Insurance Verification
- Telephone Etiquette
- Appointment Scheduling
- Front Desk Operations
- Typing and Filing
- Co-payment Collection
- Billing Support
- Cash Handling
- Customer Service
- Collaboration and Teamwork
- Organization and Time Management
- Data Entry
- Insurance Authorizations
- Supply Ordering
- Created Staff Schedules
Timeline
Regional Office Lead
TGH Urgent Care
05.2023 - Current
Billing & Insurance Specialist
Boland & Mannari Oral and Maxillofacial Surgery
05.2022 - 05.2023
Financial Counselor Lead
Bayfront Health St Petersburg – Emergency Room
09.2019 - 05.2022
FLORIDA VIRTUAL SCHOOL