Mezjgan Nawabi

As a Patients Account Representative I review insurance eligibility and verify coverage details to minimize claim denials and delays in payment. Promote a positive work environment by actively participating in team meetings and contributing ideas for process improvements. Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool. Report all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Receiving and processing correspondence and phone inquiries from patients, payers or any other third party in a timely and professional manner. Resolving accounts by contacting third party payer organizations or patients to facilitate timely payments. Monitoring and reporting the status of outstanding accounts within assigned unit or area of responsibility. Following up on unpaid, denied, and all payment variances for accounts. Ensuring all accounts are resolved in a compliant manner and according to all rules and regulations. Identifying trends in unpaid accounts, developing targeted solutions for improved revenue recovery. Responding to patient, family and external payer inquiries.

Managed a high call volume of customer inquiries, resulting in timely resolutions and positive feedback. Assisted in the development of training materials focused on improving the skills of other Customer Resolution Specialists within the organization. Identified opportunities for process improvements within the department by analyzing trends in common customer concerns or queries. Customer service, billing patient account balance collection activities associated with the hospital and professional revenue cycle. Performed and requested adjustments and contractual write offs as applicable. Trained new employees as assigned. Resolved HB and PB customer service inquires which include: Benefit and eligibility information, billing and payment issues are re-solved. Reviewed explanation of benefits to patients. Performed presumptive charity determinations as applicable. Performed bad debt request transfers as applicable. Ensured daily productivity standards of assigned accounts are met and posting of all action codes related to patient's accounts. Made out bound call to collect on past due self -pay balances. Worked on projects as assigned. Insurance follow up, transferring credits and requesting refunds.

Maintained accurate records by updating patient demographics, insurance, and financial information. Supported hospital compliance efforts by adhering to HIPAA guidelines and maintaining the confidentiality of patient information. Utilized customer service skills and detailed system knowledge to support hospital and clinic operations Scheduled patient appointment and procedures with Epic. Worked with nurses and other clinical staff to process patients and direct to appropriate departments. Maintained strict patient privacy and confidential patient information, taking care to meet all. HIPAA guidelines and statues for data security. Checked daily doctor schedules and verified insurance. Coordinated between patients and healthcare professionals to meet patient needs.

Worked with customers in person and via telephone to answer questions, process transactions, and resolve issues. Ensured accuracy of client information, verifying data collected during the application process and updating records as needed. Assisted clients in understanding complex financial documents required for completing their loan applications successfully. Reviewed loan files for completeness, identified missing documentation, and generated condition lists for applicants. Created and completed loan submission packages. Communicated with customers in person and via telephone to answer questions, process transactions and resolve issues. Organized loan files, updated databases, prepared general correspondence and communicated with stakeholders. Supported underwriting team by ensuring timely, and accurate loan processing. Managed any conditions sent from underwriting departments. Filed completed packages quickly and efficiently.