NIKI PATEL
Summary
A highly determined, skilled, and compassionate healthcare assistant of eight years. seeking a patient benefits analyst position. My areas of expertise are in insurance claims and policies, healthcare regulations, patient advocacy, and patient care coordination. I am looking to join an organization where I am able to bring my vast knowledge of patient care and insurance expertise.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Assistant Manager - Healthcare
Pacific Dental Group
09.2023 - 01.2024
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Worked with the insurance tool EPIC for patient care analysis
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Patient Benefit Specialist Analyst
AHF Wellness Center - AID
09.2021 - 03.2023
- Evaluated and managed the insurance and financial aspects of patient care
- Determined patient's eligibility for treatment and care based upon insurance coverage and financial needs
- Managed insurance claims, claim statuses, and resolved insurance claim denials, rejections, and outstanding insurance claims
- Educated patients on healthcare regulations, insurance policies, and reimbursement guidelines to ensure accurate claims processing
- Provided patients with additional mental health resources and connected them to mental health services.
Medical Support Assistant
Southern Regional Medical Center
10.2020 - 09.2021
- Worked directly under the medical director for mental health
- Verified patients' insurance coverage, processed insurance claims, and assisted with billing inquiries
- Collaborated with recreational therapists and other healthcare providers to collect private medical information about patients to ensure a seamless flow of information for coordinated care
- Maintained strict confidentiality, adhering to HIPAA regulations while handling sensitive patient information.
- Created excel data sheets to monitor patient admittance and progress
- Provided administrative support to the medical staff, resulting in improved efficiency and streamlined operations
- Assisted in daily operations of the medical office, including filing and maintaining patient and office records.
Healthcare Coordinator
Jen-Care Senior Medical Center
05.2019 - 08.2020
- Streamlined patient care delivery by collaborating with patients, healthcare providers, and pharmacies
- Coordinated patient appointments, referrals, and follow-up care to ensure optimum patient satisfaction
- Addressed patient scheduling conflicts, arranged transportation for patients, and assisted patients with any challenges with healthcare treatment.
- Worked with healthcare tool EPIC for patient care analysis and record maintenance
Personal Banker
Wells Fargo
03.2017 - 04.2019
- Managed high-volume transactions during peak hours while maintaining attention to detail, ensuring seamless customer experience.
- Balanced cash drawers accurately at the end of each shift, minimizing discrepancies in financial records.
- Built and strengthened customer relationships by leveraging excellent interpersonal and communication skills.
- Counted and packaged currency and coins.
- Identified fraudulent activities by diligently monitoring transactions and reporting suspicious activity to management.
Education
Bachelor of Science - Healthcare Management
Clayton State University
Morrow, GABBA - Management
Clayton State University
Morrow, GA05.2015
Associate of Science - Biology
Clayton State University
Morrow, GA12.2013
Skills
- Ability to extract patient information from multiple reporting systems
- Proven ability to provide expert level patient care
- Operations Management and ability to delegate tasks and allocate resources to meet company needs
- Strong and working knowledge of healthcare regulations with adherence to HIPAA
- Ability to form strong and positive relationships with healthcare providers
- Working knowledge of tools like EPIC (healthcare) , MS Office
Awards
- Service Recognition Award - Wells Fargo
- Mental Health Matter Award - Southern Regional Medical Center
- Deans List - Clayton State University
Certification
- Professional in Human resources (PHR)
- Synopsizor Technologies Inc - Business Analyst
Languages
English
Native or Bilingual
Gujarati
Native or Bilingual
Hindi
Full Professional
Timeline
Assistant Manager - Healthcare
Pacific Dental Group
09.2023 - 01.2024
Patient Benefit Specialist Analyst
AHF Wellness Center - AID
09.2021 - 03.2023
Medical Support Assistant
Southern Regional Medical Center
10.2020 - 09.2021
Healthcare Coordinator
Jen-Care Senior Medical Center
05.2019 - 08.2020
Personal Banker
Wells Fargo
03.2017 - 04.2019
Bachelor of Science - Healthcare Management
Clayton State University
BBA - Management
Clayton State University
Associate of Science - Biology
Clayton State University
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