Monique January
Harker Heights,TX
Summary
Experienced office medical professional with over 20 years in patient scheduling, medical record management, and insurance verification. Proven ability to enhance operational efficiency and patient satisfaction through effective communication and multitasking. Committed to maintaining confidentiality and adhering to HIPAA guidelines while delivering exceptional patient experiences.
Overview
28
28
years of professional experience
Work History
Financial Counselor
Parkland Hospital
Dallas, TX
02.2023 - 05.2026
- Assess the current financial situation of patients through the verification of patient insurance benefits; serve as the technical expert in confirming patients' benefit coverage and hospital reimbursement.
- Counseled Parkland Hospital patients on insurance, billing, and payment options
- Served as primary contact for financial assistance inquiries, communicating with patients to gather and assess financial, social, and medical histories.
- Gathered and organized information for financial assistance requests, collaborating with providers on treatment plans and medical opinions. Documented all communication and follow-up.
- Screened patients for eligibility in government healthcare programs to cover healthcare expenses, such as Medicaid and chip perinatal programs.
Billing & Collections Coordinator
HTPN - Baylor Scott & White
02.2017 - 09.2020
- Managed accurate billing, timely submission of electronic and/or paper claims, monitored claim status, researched rejections and denials, documented related account activities, and posted adjustments and collections. Followed up with insurance companies for claim payment and/or rejection.
- Analyzed and interpreted claims to accurately be sent to insurance companies. Resolved claim errors for resubmission.
- Reconciled deposit and patient collections with billing audit information and analyzed documents for necessary account adjustments.
- Supported functional teams in developing process documentation for ongoing training.
Patient Access Specialist I
HealthTexas Provider Network
02.2016 - 02.2017
- Coordinated appointment scheduling, managed phone inquiries, tracked referrals, and facilitated patient check-in to streamline patient flow.
- Verified insurance coverage and obtained authorizations.
- Collected patient information, including personal details, medical history, insurance information, and emergency contacts, ensuring comprehensive records for accurate care.
Accountant Rep/Physician Office Rep
Baylor Family Medicine
02.2016 - 07.2014
- Reviewed and corrected patient financial status and payor source information, ensuring accurate preparation and processing of patient bills and eligibility for coverage.
- Updated provider templates to ensure accuracy and compliance with standards, handled patient complaints, oversaw staff in the call center etc.
- Reconciled clinic bank accounts, ledgers, and monthly financial records.
- Prepared journal entries for Baylor Family Medicine general ledger updates.
- Updated provider templates to ensure accuracy and compliance with standards., handled patient complaints, oversaw staff in the call center etc.
Sr Scheduling Coordinator
Froedtet Hospital - Neurology Clinic
08.2012 - 07.2014
- Processed schedule requests and scheduled resources, revising schedules for cancellations or additions and communicating changes to relevant personnel.
- Applied complex scheduling guidelines to accurately interpret orders and treatment plans into scheduled appointments.
- Communicated effectively regarding actual and potential schedule changes to same day or next day's schedule.
- Issued forms to patients and provided detailed scheduling and preparation information.
Patient Registration
St. Mary's Medical Center - ER
07.2011 - 08.2012
- Greeted all patients entering the ED and recorded chief complaint for seeking medical treatment.
- Obtained patient information from EMS upon ambulance arrival and placed identifying ID bands on patients to ensure proper tracking.
- Collected, registered and updated all pertinent medical information to include insurance and demographic data necessary to properly bill for services.
- Confirmed patient identification information was correct in the electronic health record by comparing information on government issued identification to information in the patient electronic health record. Updated patient electronic health record and scanned ID card.
Health Unit Coordinator
Goshen Health Hospital
07.2010 - 07.2011
- Coordinated patient admissions, transfers, and discharges, ensuring seamless patient flow and optimal resource utilization.
- Managed administrative tasks, including entering patient charges and ordering supplies, to support unit operations and enhance patient care.
- Identified and documented issues to enhance operational efficiency. and acted proactively to avoid a negative impact; also, appropriately processed the flow and events occurring within the unit.
Registration Representative
Froedtet Hospital
01.2004 - 01.2007
Registration
Medical College of Wisconsin
01.2001 - 01.2004
Insurance Verification Specialist
Froedtet Hospital
01.1998 - 01.2001
Education
High School or Equivalent -
Skills
- Insurance Process Knowledge
- Patient Education
- Insurance Counseling
- Medical Terminology Knowledge
- HIPAA compliance
- Data Entry & Accuracy
- Scheduling skills
- Time management
- Organizational Skills
- Computer Literacy
- Multitasking Duties
- Critical Thinking
- Teamwork and Collaboration
- Verbal/Written Communication
- Customer Service Skills
- Patient Advocacy
Timeline
Financial Counselor
Parkland Hospital
02.2023 - 05.2026
Billing & Collections Coordinator
HTPN - Baylor Scott & White
02.2017 - 09.2020
Patient Access Specialist I
HealthTexas Provider Network
02.2016 - 02.2017
Accountant Rep/Physician Office Rep
Baylor Family Medicine
02.2016 - 07.2014
Sr Scheduling Coordinator
Froedtet Hospital - Neurology Clinic
08.2012 - 07.2014
Patient Registration
St. Mary's Medical Center - ER
07.2011 - 08.2012
Health Unit Coordinator
Goshen Health Hospital
07.2010 - 07.2011
Registration Representative
Froedtet Hospital
01.2004 - 01.2007
Registration
Medical College of Wisconsin
01.2001 - 01.2004
Insurance Verification Specialist
Froedtet Hospital
01.1998 - 01.2001