Detail-oriented individual with exceptional communication and project management skills. Demonstrated ability to handle multiple tasks effectively and efficiently in fast-paced environments. Known for proactive problem-solving and optimizing processes to support team objectives. Possessing extensive knowledge of healthcare insurance and proficiency in Epic.
Overview
21
21
years of professional experience
Work History
Patient Interviewer
Temple University Health System
10.2008 - Current
Greeted candidates upon arrival and provided an overview of the interview process
Results-oriented professional with expertise in ensuring accurate and efficient patient registration for hospital services
Proficient in gathering and processing registration, billing, and related information across various departments, including Admissions, Outpatient, Radiology, and the Emergency Department
Skilled in verifying patient insurance coverage and benefits to facilitate smooth, compliant operations
Committed to delivering exceptional service and support to both patients and healthcare teams
Financial Counselor /Chronic Care Facilitator
The Children’s Hospital of Philadelphia
10.2012 - Current
Manages billing activities with an emphasis on third-party claim efficiency and A/R statistics
Streamlined processes to resolve payment disputes and enhance recovery outcomes
Dedicated professional with extensive experience in supporting the day-to-day operations of a medical practice
Proficient in all aspects of registration within the EPIC system, including performance improvement, documentation, testing, training, and system upgrades
Collaborates with management to evaluate processes and enhance workflows
Delivered detailed updates on customer results, identifying trends, and offering actionable improvement recommendations
Liaised between physician, patient, and insurance carrier to verify that each party had necessary information
Expert in analyzing payment and charge discrepancies to identify issues with insurance companies, contributing to the development of effective corrective action plans
Identify payor-related issues and report them to the management team
Work in coordination with other members of the Physicians' Billing & Compliance Office as necessary
Recommend new approaches, policies, and procedures to influence continuous improvements in the department's efficiency and services performed
Develop analytical reports, as requested
Coordination of Care for Chronic care patients, Scheduling Appointments, arranging transportation
Work queue (WQ) management and reviewing financial/volume data in Qlik sense
Supports the recruitment and training of Program staff; help identify program staffing needs
Insurance Billing Coordinator
Quest Diagnostics
03.2004 - 05.2011
Analyzed trends, resolved billing issues, and developed workflow enhancements for improved revenue cycle efficiency
Adept at handling high-volume patient and customer inquiries regarding billing balances, payment plans, credit card payments, pricing, and insurance rebilling
Committed to evaluating and responding to written billing inquiries, including updating invoices, resolving billing issues, and managing complex customer complaints
Experienced in entering billing and credit adjustments while ensuring accurate patient information is collected
Proficient in analyzing insurance explanations of benefits and addressing third-party denials
Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues.
Education
Bachelor of Science - Business Management
Bloomsburg University
Bloomsburg, PA
12.2003
Skills
Communication
Teamwork
Critical thinking
Time management
Leadership
Adaptability
Financial reporting
Client communication
Economic trends
Cost management
Timeline
Financial Counselor /Chronic Care Facilitator
The Children’s Hospital of Philadelphia
10.2012 - Current
Patient Interviewer
Temple University Health System
10.2008 - Current
Insurance Billing Coordinator
Quest Diagnostics
03.2004 - 05.2011
Bachelor of Science - Business Management
Bloomsburg University
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