Experienced healthcare professional adept at managing and documenting patient data with a focus on confidentiality and accuracy. Committed to identifying and resolving problem areas for compliance improvement.
Overview
8
8
years of professional experience
Work History
Admission Liaison
Encompass Health Rehabilitation Hospital of Utah
Sandy, Utah
04.2023 - Current
Reviewed inpatient medical records and assigned accurate ICD-9-CM codes for diagnoses.
Actively participates in meetings with the revenue cycle department and corporate business office.
Contact the patient for correct insurance information, or to update coordination of benefits.
Responsible for pre-registration, insurance verification, pre-certification, and insurance notifications.
Communicate with hospital-based case managers regarding discharges and continued authorizations.
Contact insurance company to obtain missing information, explain and resolve denials, and arrange for payment.
Advised primary care providers on best practices related to making successful referrals.
Collaborated with physicians, nurses, and other healthcare providers to ensure quality care for referred patients.
Communicated effectively with insurance companies regarding authorization for referrals.
Admission Liaison
Shannon Rehabilitation Hospital of Encompass
San Angelo, Texas
01.2021 - 04.2023
Reviewed inpatient medical records and assigned accurate ICD-9-CM codes for diagnoses.
Actively participates in meetings with the revenue cycle department as they relate to denials management.
Contact the patient for correct insurance information, or to update coordination of benefits.
Responsible for pre-registration, insurance verification, pre-certification, and insurance notifications.
Communicate with hospital-based case managers regarding discharges and continued authorizations.
Contact insurance company to obtain missing information, explain and resolve denials, and arrange for payment.
Financial Counselor
Georgetown Behavioral Health Institute
Georgetown, Texas
09.2020 - 01.2021
Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
Assisted patients without healthcare coverage to find resources, services and assistance needed.
Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
Obtained and verified accurate demographic, financial, and insurance information in the process of registration.
Ensured that all patients had been given full information related to their estimated financial responsibilities.
Served as a resource for patients regarding issues with patient accounts and documents, payment arrangements.
Patient Support Lead
Results Physiotherapy
Cedar Park, Texas
08.2018 - 03.2020
Utilized insurance portals and websites for claim status and authorizations.
Provided excellent service to patients by answering phone calls and scheduling appointments upon arrival.
Prepared and submitted accurate patient billing information to insurance companies.
Trained new staff members on office policies and procedures.
Communicated effectively with insurance companies, providers, and patients regarding prior authorizations.
Developed agendas for meetings and events, ensuring timely completion of all tasks.
Mental Health Technician
River Crest Hospital
San Angelo, Texas
01.2017 - 05.2018
Documented patient interactions in compliance with HIPAA requirements.
Maintained confidentiality of patient records.
Consistently provides service excellence to all patients, family members, and visitors.
Provided crisis intervention and de-escalation techniques to help manage patient behavior.
Monitored vital signs, including pulse, respiration and temperature, of psychiatric patients.
Collaborated with other healthcare professionals such as social workers, psychiatrists, counselors and nurses to coordinate quality care for each client.
Education
Master of Business Administration (M.B.A.) in Healthcare Administration -
Texas A&M University - Central Texas
Killeen, Texas
Bachelor of Science for Public Health -
Angelo State University
San Angelo, Texas
Skills
Process Management
Resolving Problems
Critical Thinking
Rapport Building
Strong Organization
Medical terminology proficiency
Honors and Awards
Finalist for Outstanding Graduate Student Research Award, Texas A&M University- Central Texas, Killeen, Texas
Summa Cum Laude, Angelo State University, San Angelo, Texas
Alpha Chi National Honor Society, Angelo State University, San Angelo, Texas
Timeline
Admission Liaison
Encompass Health Rehabilitation Hospital of Utah
04.2023 - Current
Admission Liaison
Shannon Rehabilitation Hospital of Encompass
01.2021 - 04.2023
Financial Counselor
Georgetown Behavioral Health Institute
09.2020 - 01.2021
Patient Support Lead
Results Physiotherapy
08.2018 - 03.2020
Mental Health Technician
River Crest Hospital
01.2017 - 05.2018
Master of Business Administration (M.B.A.) in Healthcare Administration -
Texas A&M University - Central Texas
Bachelor of Science for Public Health -
Angelo State University
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