Summary
Overview
Work History
Education
Skills
Timeline
Generic

Antonina Kaisa-Salafai

Tacoma

Summary

Dynamic Credit Balance Specialist with a proven track record at R1 RCM, excelling in analytical problem-solving and customer service. Enhanced financial accuracy through meticulous investigations and collaboration, consistently exceeding performance targets. Adept at multitasking and maintaining attention to detail, driving operational improvements in credit balance reconciliation processes.

Overview

16
16
years of professional experience

Work History

Credit Balance Specialist

R1 Rcm
01.2023 - Current
  • Analyzed credit balance discrepancies to ensure timely resolution and compliance with regulations.
  • Processed refunds and adjustments for patient accounts, enhancing financial accuracy.
  • Collaborated with cross-functional teams to streamline credit balance reconciliation processes.
  • Reviewed account statements to identify trends and implement corrective measures.
  • Received inbound customer calls related to credit and accounts receivable.
  • Collaborated with billing departments to proactively address potential credit balance discrepancies.
  • Demonstrated outstanding analytical skills while evaluating complex financial data and identifying root causes of credit balance issues.
  • Contributed significantly towards meeting annual performance metrics by consistently exceeding individual targets.

Pre-registration Specialist

MultiCare Health System-Good Samaritan Hospital
01.2021 - Current
  • Managed patient registration processes ensuring accuracy and compliance with regulations.
  • Assisted in training new staff on registration protocols and software systems.
  • Coordinated with healthcare providers to streamline patient intake procedures.
  • Implemented process improvements that enhanced data entry efficiency and reduced errors.
  • Maintained up-to-date knowledge of insurance verification practices and requirements.
  • Enhanced patient registration accuracy by diligently reviewing and verifying information on registration forms.
  • Managed high-volume workloads while consistently meeting deadlines for processing registrations and updating records.
  • Identified potential areas of improvement within the registration process by conducting regular audits of completed forms and records.
  • Contributed to the development of a user-friendly online registration system, making it easier for patients to provide required information remotely.
  • Maintained a high level of confidentiality when handling sensitive patient data, adhering to HIPAA regulations.
  • Provided exceptional customer service to patients during registration, addressing concerns and answering questions promptly.
  • Coordinated with insurance companies to verify coverage and obtain necessary authorizations for treatment.
  • Demonstrated excellent attention to detail when entering data into electronic health record systems, minimizing discrepancies between documents.
  • Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
  • Confirmed patient demographics and updated practice management software for accuracy.
  • Used Epic Software to record and organize patient insurance and medical information.

Patient Access Technician

MultiCare Tacoma General Hospital
10.2009 - 01.2021
  • Streamlined patient registration processes to enhance efficiency and reduce wait times.
  • Coordinated insurance verification to ensure proper coverage and minimize billing discrepancies.
  • Assisted patients with scheduling appointments, optimizing clinic workflow and resource allocation.
  • Trained new staff on patient access protocols, improving team performance and service delivery.
  • Collaborated with healthcare providers to address patient inquiries, fostering a supportive environment.
  • Analyzed data trends in patient access metrics to identify areas for operational enhancements.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
  • Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
  • Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
  • Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
  • Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
  • Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
  • Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
  • Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
  • Demonstrated excellent problem-solving skills by identifying potential bottlenecks within the registration process and implementing effective solutions to address them.
  • Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients'' needs.
  • Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.

Education

Health Unit Coordinator -

Multicare Health System
Tacoma, WA
01-2007

Medical Assistant - Medical Assistant

Bryman College
Federal Way, WA
06-2004

Skills

  • Accounting principles
  • Collections strategies
  • Payment processing
  • Authorizations
  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Reliability
  • Excellent communication
  • Critical thinking
  • Organizational skills
  • Effective communication
  • Decision-making skills
  • Adaptability and flexibility
  • Data entry
  • Task prioritization
  • Investigations

Timeline

Credit Balance Specialist

R1 Rcm
01.2023 - Current

Pre-registration Specialist

MultiCare Health System-Good Samaritan Hospital
01.2021 - Current

Patient Access Technician

MultiCare Tacoma General Hospital
10.2009 - 01.2021

Health Unit Coordinator -

Multicare Health System

Medical Assistant - Medical Assistant

Bryman College

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