Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Hospital Care Investigator
NYC Health + Hospitals/Metropolitan
02.2023 - Current
Overseeing several high-value work queues and ensuring payment is rendered in a timely fashion
Upholding hospital core values of ICARE
Reconciles denials issued by various governmental agencies to ensure prompt payment and increase hospital revenue
Verifying payment and reconciling both under and overpayments
Ensures each payment made follows guidelines set by State and federal legislature
Confirming and correcting patient insurance and demographical information as needed
Partaking in process mapping projects wherein accounts receivable of 87 million dollars are to be decreased from an average of 4.8 days to 3.2 days.
Developed strong working relationships with hospital departments and staff members, facilitating efficient information gathering.
Strengthened communication between departments through consistent updates facilitating collaborative problem-solving efforts.
Reduced complaints by addressing patient concerns, ensuring their needs were met promptly and professionally.
Maintained detailed notes allowing for easy review and analysis by management when needed.
Stayed up-to-date with industry best practices and regulatory changes, ensuring accurate information was used during billing and subsequent follow up.
Student Intern (Ophthalmology)
NYC Health + Hospitals/Metropolitan
06.2022 - 11.2022
In charge of inventory of the Ophthalmology Department
Took calls and messages on the phone as needed
Made follow-up and reminder calls to patients as needed
Oversaw paperwork such as patient consent forms was appropriately signed and utilized
Built professional relationships with colleagues at all levels within the organization, strengthening interpersonal communication skills during the internship experience.
Reported back to staff to receive day-to-day tasks and responsibilities.
Gained exposure to various aspects of the industry through active participation in company events, workshops, and training sessions during the internship period.
Developed time-management skills through balancing multiple assignments while consistently meeting deadlines during the internship period.
Drug Clerk
Walgreens
02.2019 - 10.2019
Packaged and distributed medication as required
In charge of patient satisfaction score for the pharmacy
Earned over 100 5-star patient reviews within the span of 8 months
Acted as a liaison between patient and insurance company involving claims, denials, inaccurate pricing, coverage gap, deductibles, and prior authorizations
Billed appropriate entities for patient medication
Handled reimbursement forms for patients to ensure insurance payout
Counseled patients with questions and concerns
In charge of reconciliation wherein all medications were accounted for.
Participated in continuing education opportunities to enhance professional development skills related to the pharmaceutical industry continuously.
Collaborated with healthcare professionals to ensure optimal patient care and address medication-related concerns.
Maintained a clean, organized, and visually appealing pharmacy environment to enhance the overall shopping experience for customers.
Facilitated communication between the pharmacy team and medical providers for seamless prescription processing and patient care coordination.
Education
B.S. in Health Sciences -
York College
01.2023
Associate Degree in Liberal Arts -
Queensborough Community College
01.2019
Skills
Leadership
Adaptability
Healthcare Systems Knowledge
Research abilities
Policy Interpretation
Teamwork and Collaboration
Problem-Solving
Time Management
Effective communication skills
Problem-solving abilities
Multitasking
Reliability
Accomplishments
Collaborated with a diverse team in the planning of multiple Patient Access activities.
Gathered over one thousand dollars for the red nose charity.
Supervised team of 4 staff members.
Documented and resolved lag time between receipt of perception script which led to a 25 percent reduced wait time for patients.
Certification
CAC Certification
References
Dava Mosley-Cisse- Assistant Director Fiscal Affairs- (212)-939-2171
Jun Chung- Assistant Director Fiscal Affairs- (212) 423-6023
Service Aide - Food & Nutrition Department at NYC Health + Hospitals - Metropolitan HospitalService Aide - Food & Nutrition Department at NYC Health + Hospitals - Metropolitan Hospital