MOQUETTE T. CHANCE
West Orange,NJ
Summary
Healthcare Professional with extensive experience in patient access and prior authorization. As a Prior Authorization Team Lead, maintained a 98% approval rate while mentoring high-performing teams and driving process improvements. Committed to optimizing workflows and enhancing patient-centered service.
Overview
12
12
years of professional experience
Work History
Patient Access Representative
Overlook Hospital ED
Union, USA
01.2023 - Current
- Register patients in compliance with EMTALA guidelines and hospital protocols.
- Verified and updated patient demographics and insurance to ensure billing accuracy.
- Provided compassionate, front-line patient support to enhance patient experience.
- Estimated costs and collected co-pays at point of service to ensure accurate financial transactions.
- Navigated Epic system for efficient patient registration and billing workflows, streamlining processes.
Prior Authorization Team Lead-Remote
Summit Medical Group
New Providence, USA
09.2016 - 03.2026
- Lead a team responsible for securing prior authorizations across multiple specialties, maintaining a 98% approval rate.
- Monitored daily workflows to ensure timely completion, reducing potential financial risk.
- Monitored daily workflows to ensure timely completion and minimized financial risk.
- Coordinated peer-to-peer reviews and appeals for denied authorizations, resulting in increased approval rates.
- Escalate complex coverage issues and serve as the primary liaison with insurance carriers.
- Mentor and train new team members on procedures, compliance standards, and productivity benchmarks.
- Exceeded productivity goals while enhancing patient satisfaction and supporting operational efficiency.
Financial Counselor
NJ Prostate Cancer Center
West Orange, USA
12.2014 - 09.2016
- Verified insurance benefits and secured authorizations for radiation and surgical procedures, facilitating seamless patient care.
- Verified insurance benefits and secured authorizations for radiation and surgical procedures, ensuring timely access to necessary treatments.
- Collaborated with billing teams to ensure timely and accurate claim submissions, minimizing delays in reimbursement.
- Facilitated patient transactions by accurately collecting co-pays and deductibles, ensuring financial accountability.
- Ensured HIPAA compliance while maintaining secure, detailed patient records to protect patient privacy.
Education
GED -
Hudson County Community College
Jersey City, NJSkills
- patient registration
- EMR/EHR Systems (Epic, Athena)
- ICD-10 / CPT
- Outlook
- eviCore
- Team leadership
- HIPAA compliance
- Prior authorization management
- Complaint resolution
- Customer service
Timeline
Patient Access Representative
Overlook Hospital ED
01.2023 - Current
Prior Authorization Team Lead-Remote
Summit Medical Group
09.2016 - 03.2026
Financial Counselor
NJ Prostate Cancer Center
12.2014 - 09.2016
GED -
Hudson County Community College