Patricia Warkevicz-Guiliano

• Managed patient interactions for appointment scheduling and verification, ensuring accuracy and efficiency.
• Addressed and resolved patient inquiries through direct phone conversations and in-person consultations, ensuring a positive experience.
• Ensured integrity of patient records in electronic health systems to support quality care.
• Executed comprehensive insurance verifications and eligibility assessments to ensure service access.
• Handled billing inquiries and facilitated payment processing efficiently.
• Collaborated with team members to enhance overall patient experience.
• Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
• Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.

• Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
• Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong
relationships.
• Ensured accurate record-keeping with diligent data entry and database.
management for vital company information.
• Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
• Drafted enrollment packets and various client letters, as requested.
• Recorded and maintained team meeting and MH/DS Advisory Board meeting minutes.
• Maintained various client spreadsheets.
• Organized several community events.

• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Developed and organized office procedures to streamline administrative tasks.
• Coordinated logistics for meetings, ensuring availability of necessary resources and materials.
• Supported data entry and management using electronic health record systems.
• Facilitated communication between departments to enhance service delivery efficiency.
• Managed scheduling and coordination of appointments for mental health and developmental services.
• Assisted in maintaining accurate client records and documentation systems.

• Liaised with appellants, management, and Center for Medicare and Medicaid (CMS) Federal Hearing Officers (FHOs) to better understand customer needs and recommend appropriate eligibility appeal solutions.
• Collaborated with cross-functional teams to successfully deliver
comprehensive solutions for clients.

• Managed client relationships through regular check-ins and updates on eligibility appeals' progress and status with FHOs.
  • Drafted final hearing decisions based on Affordable Care Act statues and other applicable federal and state law.
• Identified areas of improvement for clients' operations, implementing targeted solutions to increase productivity.
• Independently completed and assisted clients in navigating complex healthcare application updates with strategic recommendations.
• Member of Congressional Team, where urgent, high-priority eligibility appeal resolution was requested by the Houses of Congress.

• Successfully managed multiple projects simultaneously by prioritizing tasks
  according to urgency, resource availability, and alignment with
  organizational goals.
  • Planned, designed, and scheduled phases for large projects.
  • Met project deadlines without sacrificing build quality or workplace safety.
• Established effective communication among team members for enhanced
  collaboration and successful project completion.
  • Monitored progress against established goals, adjusting schedules and
  resources as needed to keep projects on track.
  • Delivered exceptional customer satisfaction by proactively addressing
  client concerns and meeting or exceeding expectations throughout the engagement process.
  • Developed comprehensive project plans with clear timelines, milestones, and budget requirements, ensuring timely delivery of high-quality results.

• Verified health insurance benefits and obtained high-end radiology
  authorizations.
  • Worked closely with quality assurance teams to identify trends in errors and developed targeted training initiatives aimed at reducing future inaccuracies within the recertification process.
  • Reduced processing errors by diligently reviewing documents for
  completeness and accuracy before submission.
  • Conducted regular audits of patient files to ensure compliance with
  regulatory requirements and organizational policies.
  • Maintained confidentiality of sensitive patient information in accordance with HIPAA guidelines while handling recertification tasks.
  • Assisted patients with complex cases, resolving issues and ensuring
  continued access to necessary care.