Natoya Haliday

• Verify insurance eligibility for all inpatient admissions, including emergency, elective, and urgent cases, ensuring timely approval and authorization.
• Obtain prior authorizations and certifications from insurance companies to facilitate smooth admission and reduce denials.
• Communicate with insurance representatives, case managers, physicians, and patient families to clarify coverage details and resolve discrepancies.
• Document all verification activities in EMR systems, maintaining accuracy and compliance with hospital policies.
• Assist billing department with insurance follow-ups and resolve coverage issues to support revenue cycle management.
• Stay updated on insurance plan policies, payer requirements, and healthcare regulations.
  

Conducted eligibility and benefits verification for outpatient and inpatient services.

• Coordinated with clinical and administrative teams to gather necessary patient information.
• Provided patients with insurance-related information and advised on coverage and financial responsibilities.
• Maintained detailed records of verifications and insurance communications.

Serve as the first point of contact for patients, families, and medical staff, maintaining a professional and welcoming environment.

• Schedule and coordinate over 100 weekly visits for nursing, physical therapy, and home aides.
• Verify patient insurance coverage and obtain necessary authorizations, reducing billing errors by 20%.
• Maintain accurate patient records using Epic system.
• Ensure compliance with HIPAA regulations and agency protocols.
• Coordinate communication between clinicians, case managers, and families to ensure care plan alignment.
• Train and oversee office assistant and volunteers as needed.

• Register an average of 60+ patients per shift in the Emergency Department, accurately collecting personal, insurance, and medical information.
• Verify insurance eligibility and pre-authorizations to expedite billing and reduce claim denials.
• Enter patient data into the hospital’s EHR system (Epic) with high accuracy and attention to detail.
• Provide clear, compassionate communication to patients and families, explaining registration processes and answering questions.
• Coordinate with triage nurses and clinical staff to ensure smooth patient flow.
• Maintain strict adherence to HIPAA policies and confidentiality standards.

• Assisted with patient check-in and scheduling for outpatient services.
• Managed phone calls, directed patients to appropriate departments, and handled sensitive information discreetly.
• Supported billing department by verifying insurance data and processing payments.
• Maintained electronic and paper filing systems in compliance with healthcare regulations