Melanie Ocasio
Lakeland
Summary
Proven expertise in streamlining authorization processes at Moffitt Cancer and Research Institute, enhancing patient satisfaction and departmental efficiency. Demonstrates exceptional teamwork, problem-solving abilities, and a deep understanding of medical terminology and insurance guidelines. Achieved consistent meeting or exceeding of productivity targets, contributing significantly to team goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Transplant Financial Specialist
Moffitt Cancer and Research Institute
Tampa
10.2015 - 04.2024
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Managed time efficiently in order to complete all tasks within deadlines.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Supported clinical staff by providing timely updates on the status of prior authorizations for BMT/CAR-T and Clinical Trial Therapy.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing BMT/CAR-T authorization requests.
- Expedited claim processing by submitting complete and accurate information in accordance with payer requirements.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Assisted in training new team members on company policies and procedures for handling BMT/ CAR-T Therapy authorization requests.
- Interviewed credit applicants by telephone or in person to obtain personal and financial data needed to complete credit report.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Assisted patients with understanding personalized insurance coverage and benefits.
Patient Access Specialist
Tampa General
Tampa, FL
02.2010 - 09.2015
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Streamlined front-desk operations for improved patient flow and reduced wait times.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Verified insurance coverage and obtained necessary authorizations to ensure timely billing and reimbursement.
- Managed high call volume while maintaining a professional demeanor, ensuring accurate communication of information.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
- Worked effectively in fast-paced environments.
Education
High School Diploma -
Brandon High School
Brandon, FL06-2008
Skills
- Teamwork and collaboration
- Problem-solving
- Customer service
- Time management
Certification
- HFMA Certification 2024-2026
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Transplant Financial Specialist
Moffitt Cancer and Research Institute
10.2015 - 04.2024
Patient Access Specialist
Tampa General
02.2010 - 09.2015
High School Diploma -
Brandon High School