Nicole Quintal
Care Specialist
florida,NY
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Professional with skill to maintain accurate records, insurance eligibility and handle various administrative responsibilities. Astute medical administrative professional trained in obtaining authorizations for procedures in and out patient . Helps staff maintain office operations at optimal levels with great organizational and multitasking abilities.
Overview
25
25
years of professional experience
Work History
Sr. Financial Specialist
Mt. Sinai Hospital
01.2015 - Current
- Reviewing and Analyzing patients charts to obtain authorizations for outpatient and inpatient procedures in Epic
- Responsible for insurance verification for all encounters for both hospital and physician
- Referral coordination
- Accurately calculated patient’s payment responsibility after third party payment
- Obtaining authorization and benefits screening
- Pre-registering Patients into Epic System
- Processing Payments and Billing Patients for uncovered charges
- Following up with patients on Insurance Information
- Verify payments which have been collected through other channels (i.e
- External agencies) and took appropriate action
- Worked with external agencies to resolve open issues regarding accounts balances.
FGP Assistant
Mt. Sinai Hospital
01.2010 - 01.2015
- Reduced patient complaints by being the primary point of contact for and liaison between patients, administrative staff and physicians to facilitate proper lines of communication and expedite problem resolutions
- Responsible for obtaining pre-authorizations and assisted patients with their questions and concerns
- Worked alongside Biller and Surgical Coordinator to provide the best care to the patients
- Initiated contact with insurance companies to investigate or resolve payer/edit issues
- Decreased insurance denial rate by 40%, by calling insurance companies and obtaining all required authorization before the patient’s visit
- Coordinated multiple office functions that focus on computerized scheduling, electronic billing accounts payable/receivable, Electronic Medical Record and payment plans with a demonstrated knowledge of insurance carriers and medical terminology
- Trained 3 new employees on how to use the EPIC program and enter patient’s demographics in the system.
Operations Representative
Double Rock Corporation
04.1999 - 12.2010
- Delegated work and coordinated staff members' daily responsibilities
- Process stop payments request
- Analyze and reissue visa debit cards on a monthly basis
- Process lost/stolen forms
- Settled daily debit/credit of money movements/ wire transfers
- Daily balancing of debit/credit portfolio ledgers
- Processed and manually order visa debit cards and ran credit reports
- Fraud prevention on visa cards
- Process ACH applications
Education
Certificate in Applied Management/ Medical Administrative - Billing And Coding
PENN FOSTER COLLEGE, York
Online06.2009
High School Diploma -
Pleasantville Senior Comprehensive School
Trinidad And Tobago08.1990
Skills
- Computer Skills:
- EPIC; Eagle; Cerner; Passport ;Ontrac ; Microsoft Office (Word, Excel, Outlook), Lotus Notes, Data Entry,
- Power Point, Typing Skills: 75 words/min, Lytec Software, E Z Claim Software; Cerner
- Navigating Insurance authorization portals
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Sr. Financial Specialist
Mt. Sinai Hospital
01.2015 - Current
FGP Assistant
Mt. Sinai Hospital
01.2010 - 01.2015
Operations Representative
Double Rock Corporation
04.1999 - 12.2010
Certificate in Applied Management/ Medical Administrative - Billing And Coding
PENN FOSTER COLLEGE, York
High School Diploma -
Pleasantville Senior Comprehensive School
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