Highly motivated employee with a proven track record of promoting and maintaining a quality work environment. Committed to delivering high levels of productivity while fostering strong relationships among staff members. Possess extensive experience in customer service within both the sales and medical industries.
Overview
6
6
years of professional experience
Work History
Senior Insurance Coordinator Lead
The James Cancer Hospital And Solove Research Institute
07.2024 - Current
Verified insurance and communicated coverage to staff and patients.
Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
Filed and tracked insurance claims and communicated claims status to patients.
Obtained prior authorization and precertification for outpatient procedures.
Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
Analyzed data from various sources to identify patterns in claims activity, allowing for more effective prevention strategies moving forward.
Patient Access Coordinator Lead
The James Cancer Hospital And Solove Research Institute
08.2022 - 07.2024
Contributed to a positive work environment by providing support and assistance to colleagues during peak periods or staff shortages.
Maintained strict adherence to HIPAA regulations while managing confidential patient information throughout various stages of care.
Managed high volumes of inbound calls while addressing scheduling requests, appointment confirmations, prescription refills, and general inquiries professionally.
Increased efficiency of daily operations by implementing electronic health record system for accurate data management.
Provided leadership, guidance, and mentorship to team of 11 work personnel
Patient Access Representative
Nationwide Childrens Hospital
03.2019 - 08.2022
Managed scheduling and registration duties during patients' first interactions with the medical office.
Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance.
Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Maintained daily financial records accurately.
Education
High School Diploma -
Washington High School
Washington Court House, OH
05.2017
Skills
Health Insurance Billing Expertise
Revenue Generation
Appointment Coordination
Client Relations Management
Effective Case Management
Billing Coordination
Effective Call Management
Proficient In POS Systems
Team Coordination Skills
Education
Washington Court House, OH
Timeline
Senior Insurance Coordinator Lead
The James Cancer Hospital And Solove Research Institute
07.2024 - Current
Patient Access Coordinator Lead
The James Cancer Hospital And Solove Research Institute
08.2022 - 07.2024
Patient Access Representative
Nationwide Childrens Hospital
03.2019 - 08.2022
High School Diploma -
Washington High School
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