Experienced with background verifying patient information and coordinating billing. Successfully managed self-pay balances through installment accounts, collection processing and financial assistance applications. Highly knowledgeable expert in various insurance contracts.
Overview
9
9
years of professional experience
Work History
Patient Financial Representative SR
Christus Health
07.2022 - Current
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Responds to all types of account inquires through written, verbal or electronic correspondence
Maintains payor specific knowledge of insurance and self-pay billing and follow up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
Health Coordinator
HCSC/ Blue Cross Blue Shield
11.2018 - 07.2022
Contacting members to inform and educate them on our medical management programs
Conducting research, performing data entry, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities
Maintain compliance within all applicable local, state, and federal laws and regulations
Inform providers on the denials of the their patients and give them the correct protocol for a peer to peer or an appeal
Population Health Coordinator
WellMed, United Health Grp
02.2018 - 11.2018
Ensure appropriate clinical information is communicated when patients are referred to Care Management, Disease Management, Palliative Care, Hospice and Social Work services
Utilizes various reports to track patient referrals and scheduling no-shows for patients in collaboration with Care Management staff and Clinic staff
Provides clerical and /or administrative support to clinical staff and managers for special trainings, projects and reports
Provides outstanding customer service by serving as a resource to all internal and external customers
Front Desk Manager
CareNow, HCA
07.2016 - 02.2018
Monitors patient flow to ensure clinic is operating efficiently including monitoring wait times and the Web Check-in process
Management of daily clinic operations including ensuring the clinic is opened and closed in appropriately and in a timely manner
Supervises and trains front desk staff to ensure that all financial policies, timekeeping/attendance, established practices, and standards are followed
Managing individual or team performance including managing visitor issues or complaints and providing necessary follow-up training to staff when needed
Creates a work schedule for all patient representatives based on clinic needs
Partners with marketing to correctly implement and maintain marketing programs
Prepares for and successfully completes clinic audits, reviews, and surveys.
Patient Access Team Lead /Financial Counselor
Las Colinas Medical Center, HCA
07.2014 - 07.2016
Monthly QA on all Registrars
Mentor and coach staff to develop their productivity, accuracy and expertise on hospital wide registrations with additional focus on patient privacy and customer service
Orient, train and evaluate new staff
Create and update department schedule
Cover department after hours, take on-call shifts
Collect demographic data
Assist with Interviews of New Prospects for Registrar Positions
Insurance verification
Light Coding
Medicare Compliance
Patient intake for main and ER registration
Financial Counselor Duties Daily
Pre-Registration
Collect estimated deposit amount
Upfront Collection
Work Closely with CFO
Contact patients over the phone and in person regarding questions on billing and insurance
Advised patients of hospital collection policy and available payment options