Summary
Overview
Work History
Education
Skills
Timeline
Generic

Monique Batiest

Gilbert,AZ

Summary

Diligent healthcare professional with a robust background in processing and managing claims efficiently. Expertise in handling customer inquiries, coordinating with medical teams, and ensuring seamless service delivery. Recognized for strong teamwork, adaptability, and exceptional skills in empathy, active listening, and conflict resolution. Specializes in schedule coordination, maintaining accuracy, and swiftly adapting to evolving needs while consistently driving results and reliability.

Overview

10
10
years of professional experience

Work History

Pediatric Neurosurgery Scheduler

Phoenix Children's Hospital
02.2023 - Current
  • Coordinates patient scheduling and appointment confirmations to optimize clinic operations.
  • Managed approximately 80-100 incoming calls, emails, and faxes daily.
  • Collaborates with medical teams to accommodate urgent cases while balancing overall schedule effectiveness.
  • Utilizes electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.
  • Trains new staff on scheduling systems, ensuring adherence to hospital protocols and best practices.
  • Performs insurance verification, and referral management.

Customer Experience Representative

Molina Healthcare
05.2021 - 09.2022
  • Managed inbound customer inquiries via phone and email, resolving issues efficiently with timely responses.
  • Managed approximately 80 incoming calls daily.
  • Utilized electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.
  • Delivered exceptional customer service, Managed complex case escalations, ensuring timely resolutions and compliance with healthcare regulations.
  • Collaborated with cross-functional teams to enhance patient experiences and streamline processes.
  • Processed claims efficiently, coordinating with multiple departments to ensure timely resolutions for customers.

Customer Service Team Lead

Optum Healthcare
10.2020 - 02.2021
  • Provided leadership support to Customer Service team.
  • Managed approximately 30 incoming calls daily.
  • Reviewed, analyzed, and researched complex claim or benefit contract issues for both members and providers.
  • Monitored staff to improve performance, fostering a collaborative and productive work environment.
  • Provided training development to new and existing staff.
  • Utilized electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.

Payment Resolution Specialist

Trinity Health
09.2019 - 10.2020
  • Processed claims and payments as appropriate in accordance with contractual guidelines to ensure that all potential liabilities are paid in a timely and accurate manner.
  • Collaborated with interdisciplinary teams to streamline resolution processes and improve patient experience.
  • Utilized electronic health record systems to track and manage patient concerns efficiently.
  • Utilized electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.

Claims Reimbursement Specialist

Aerotek: Recruiting And Staffing
06.2018 - 07.2019
  • Processed reimbursement claims efficiently, ensuring compliance with company policies and regulations.
  • Analyzed claim data to identify discrepancies and implement corrective actions.
  • Processed approximately 60 claims processed daily.
  • Collaborated with cross-functional teams to enhance workflow efficiency and resolve issues promptly.
  • Utilized electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.
  • Monitored changes in healthcare regulations impacting reimbursement processes, adapting workflows as necessary.

Claims Analyst

Centene Corporation
12.2017 - 05.2018
  • Analyzed claims data to ensure compliance with regulatory requirements and internal policies.
  • Processed approximately 80 claims daily.
  • Reviewed and adjudicated complex claims, identifying discrepancies and resolving issues efficiently.
  • Utilized electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.
  • Collaborated with cross-functional teams to streamline claims processing workflows, enhancing operational efficiency.

Team Lead/Patient Service Representative

Tritest Healthcare Alliance
08.2015 - 08.2016
  • Processed healthcare authorizations approved by VA (Veterans Administration), for the purpose of obtaining medical services.
  • Managed approximately 80 incoming calls daily.
  • Coordinated patient scheduling and appointment confirmations to optimize clinic operations.
  • Educated patients on VA health plan benefits, coverage options, and eligibility requirements.
  • Utilized electronic health record (EHR) systems to accurately document patient interactions and ensure data integrity.

Education

Bachelor of Arts - Healthcare Administration

Davenport University
Grand Rapids, MI

Skills

  • Medical billing
  • Claims processing
  • HIPAA compliance
  • Medical terminology
  • Commercial and government insurance policies
  • Microsoft Office Suite
  • EPIC
  • Data entry proficiency
  • Interpersonal communication
  • Problem-solving skills
  • CRM software proficiency
  • Leadership
  • Call center operations

Timeline

Pediatric Neurosurgery Scheduler

Phoenix Children's Hospital
02.2023 - Current

Customer Experience Representative

Molina Healthcare
05.2021 - 09.2022

Customer Service Team Lead

Optum Healthcare
10.2020 - 02.2021

Payment Resolution Specialist

Trinity Health
09.2019 - 10.2020

Claims Reimbursement Specialist

Aerotek: Recruiting And Staffing
06.2018 - 07.2019

Claims Analyst

Centene Corporation
12.2017 - 05.2018

Team Lead/Patient Service Representative

Tritest Healthcare Alliance
08.2015 - 08.2016

Bachelor of Arts - Healthcare Administration

Davenport University

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