Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Priscilla Govea

Vancouver,WA

Summary

With an unwavering commitment to excellence and 20 + years of experience in customer service, I am passionate about helping people and dedicated to delivering exceptional customer service. I believe that every interaction is an opportunity to make a positive impact, and I approach each task with enthusiasm and a genuine desire to help others.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Public Benefits Specialist 2

DSHS
03.2023 - Current
  • Conduct intensive interviews to determine eligibility for cash, medical, food, and/or child care benefits
  • Make corrections to audited cases, read cases, vary eligibility factors, and participate in case staffing
  • Explain program requirements and services available to clients
  • Refer clients to both mandatory and optional services and to other agencies as necessary
  • Authorize necessary warrants, medical services, food benefits, and electronic benefits cards
  • Recognize and recompute incorrect payments of grants, and/or food benefits
  • Attend and complete required training courses as mandated
  • Attend and actively participate in agency and community meetings, committees, and workgroups
  • Practice tact, courtesy, and discretion when working with clients
  • Accurately document, listen, observe, communicate, confront, and engage in problem-solving and conflict resolution
  • Utilize critical thinking and problem-solving skills
  • Adapt to change and exercise sound judgement
  • Effectively present material in written and oral form
  • Work with clients in crisis situations
  • Utilize established tools and systems to assist clients in obtaining financial and health services.

Billing & Credentialing Specialist

InVision Eye Care
07.2020 - Current
  • Manage electronic and paper claims submissions across primary, secondary, and tertiary insurance tiers
  • Guarantee prompt and precise payment posting, adjustments, and remark codes
  • Conduct thorough research on accounts receivables, rectifying claim errors and reprocessing for successful payment
  • Ensure organization and currency of accounts receivables under 90 days
  • Handle insurance and patient overpayments
  • Verify coverage eligibility and oversee patient statements
  • Oversee administrative duties such as doctor credentialing, contracting, renewals, and attestations
  • Collaborate with providers to ensure accurate and timely credentialing processes
  • Communicate effectively with insurance companies to resolve billing issues
  • Maintain up-to-date knowledge of billing and credentialing regulations and guidelines.

Patient Care Coordinator

Evergreen Eye Care
05.2014 - 09.2019
  • Managed patient scheduling, check-in, check-out, and billing payments
  • Provided detailed explanations of treatment preparation, instructions, and financial responsibilities not covered by insurance
  • Conducted timely verification of vision and medical benefits before patient procedures or appointments
  • Collaborated with healthcare providers to coordinate patient care
  • Ensured accurate documentation of patient information and insurance details
  • Participated yearly in Project Homeless Connect, serving homeless communities with free eye exams and eye wear.

Office Manager

Dr. Remy J. Delplanche, Eyecare
10.1998 - 04.2012
  • Managed staff to ensure efficient daily operations
  • Scheduled appointments and coordinated patient flow for optimal productivity and satisfaction
  • Handled administrative tasks such as billing, insurance claims, insurance verification, claim denials, referrals, and inventory management
  • Addressed patient inquiries and concerns with professionalism and empathy
  • Collaborated with provider to maintain high standards of care and compliance with regulations.

Education

General Studies -

Portland Community College
Portland, OR

High School Diploma -

Merlo Station High School
Beaverton, OR
06.1998

Skills

  • Verbal and written communication
  • Written and oral communication
  • Policy Interpretation
  • Attention to Detail

Certification

  • Certified Bilingual
  • HIPAA Certified

Languages

Spanish
Native or Bilingual

Timeline

Public Benefits Specialist 2

DSHS
03.2023 - Current

Billing & Credentialing Specialist

InVision Eye Care
07.2020 - Current

Patient Care Coordinator

Evergreen Eye Care
05.2014 - 09.2019

Office Manager

Dr. Remy J. Delplanche, Eyecare
10.1998 - 04.2012

General Studies -

Portland Community College

High School Diploma -

Merlo Station High School

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Priscilla Govea