Summary
Overview
Work History
Education
Skills
Timeline
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Rachael Frivaldo

Ozark,MO

Summary

Adept at boosting revenue and enhancing patient satisfaction, my tenure at Cox Health Systems honed my claims processing expertise and teamwork skills. By exceeding collection goals and reducing denials, I achieved significant improvements in financial performance. My proficiency in computer software and commitment to HIPAA compliance played pivotal roles in my success. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

9
9
years of professional experience

Work History

Insurance Follow-Up Specialist

Cox Health Systems
02.2021 - Current
  • Contributed to team success by meeting or exceeding monthly collection goals while maintaining high standards of accuracy and professionalism.
  • Reduced denials and underpayments through effective communication with payers, leading to increased revenue.
  • Boosted revenue recovery by identifying and resolving errors in billing and coding practices.
  • Participated in regular staff meetings to discuss and strategize action plans for problematic accounts, resulting in improved collections performance.
  • Analyzed denial patterns regularly to develop targeted strategies for reducing claim rejections.
  • Investigated and resolved customer inquiries and complaints quickly.

Clinic Office Assistant II

Cox Health Primrose OBGYN
10.2018 - 02.2021
  • Assisted in optimizing clinic revenue by accurately processing insurance claims, verifying coverage, and collecting copayments.
  • Contributed to increased patient satisfaction by promptly addressing concerns and providing compassionate support during their visit.
  • Monitored inventory levels of office supplies regularly to minimize shortages and reduce costs by placing timely orders.
  • Maintained a clean and organized office environment for optimal functionality, ensuring all necessary supplies were stocked and available for use.
  • Enhanced patient experience by efficiently managing appointment scheduling and timely followups.
  • Provided backup support for other office staff during periods of high demand or absences, ensuring seamless continuation of daily operations.
  • Facilitated smooth patient flow through effective coordination with medical staff and timely communication of relevant information.
  • Ensured compliance with HIPAA regulations by diligently protecting sensitive patient information in all communications and record-keeping practices.
  • Completed clerical tasks such as filing, copying, and distributing mail.
  • Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
  • Interacted with customers by phone, email, or in-person to provide information.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Obtained payments from patients and scanned identification and insurance cards.

Patient Registration Specialist

Cox Health Urgent Care
07.2015 - 06.2019
  • Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.
  • Provided exceptional customer service, addressing patient concerns and answering questions promptly and professionally.
  • Improved patient satisfaction by efficiently registering patients and verifying their insurance information.
  • Assisted in training new staff members on best practices for patient registration, improving overall team performance.
  • Reduced registration errors through meticulous data entry and attention to detail.
  • Maintained strict compliance with HIPAA regulations while handling sensitive patient information.
  • Verified insurance eligibility for patients quickly and accurately, reducing financial discrepancies between patients and providers.
  • Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
  • Imaged and scanned patient and registration documentation into electronic patient records.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Maintained clean and organized workspaces to promote smooth operation and easy access to patient information.
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
  • Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
  • Accurately inputted patient and insurance information into company's computer system using Soarian.

Education

High School Diploma -

Reeds Spring High School
Reeds Spring, MO
05.2007

Skills

  • Critical Thinking Capacity
  • Computer Software Proficiency
  • Time management mastery
  • Data Entry Efficiency
  • Claims Processing Expertiseience
  • Organizational Competence
  • Appeals Process Experience
  • HIPAA Compliance Familiarity
  • Medicaid Expertise
  • Data entry proficiency
  • Teamwork and Collaboration
  • Computer Skills
  • Detail oriented

Timeline

Insurance Follow-Up Specialist

Cox Health Systems
02.2021 - Current

Clinic Office Assistant II

Cox Health Primrose OBGYN
10.2018 - 02.2021

Patient Registration Specialist

Cox Health Urgent Care
07.2015 - 06.2019

High School Diploma -

Reeds Spring High School

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Rachael Frivaldo