Rachel Pilato
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Eager to learn new skills to grow with the right team.
Overview
9
9
years of professional experience
Work History
Operations Administration; Appeals Coordinator
Maximus Federal Services
05.2023 - Current
- Monitor accurate beneficiary reference in appeal and decision letters throughout processing.
- Generate decision letters to Medicare health plans, health-care providers, beneficiaries, and representatives.
Access Associate
Rochester Regional Health System (Reed Eye Associates)
09.2022 - 04.2023
- Provided exceptional customer service, resolving patient issues promptly and courteously.
- Supported billing department efforts by gathering accurate insurance information during the registration process.
- Ensured accurate patient information, maintaining a high degree of data integrity within the system.
Operations Administration
Maximus Federal Services
06.2019 - 04.2022
- Championed continuous improvement initiatives within the department, driving a culture of innovation in day-to-day operations administration activities.
- Sought opportunities to improve operations by identifying areas for process improvement.
- Consistently exceed stringent productivity goals with a 1% error rating.
- Train new employees and current employees.
- Administrate review process for Medicare claims and appeals from initiation to close.
Massage Therapist
Empire Therapeutic Massage Center
01.2017 - 01.2019
- Provided professional massage therapy services
- Collaborated with clients regarding health issues, expectations, etc
- Reviewed paperwork and obtained signatures
- Utilized scheduling and payment software
- Maintained client files
- Made confirming and follow-up phone calls with clients.
Rehabilitation Auditor
ConServe Arm
08.2015 - 12.2016
- Accessed and analyzed tax documentation, income statements, financial obligations, and other submitted documentation to identify resources and calculate reasonable payment plans.
- Provided detailed documentation on audit findings.
- Maintained confidentiality, handling sensitive information discreetly throughout all stages of the audit process.
- Followed established auditing processes to meet internal and regulatory requirements.
- Mentored junior auditors, sharing knowledge and best practices to foster their professional growth within the team.
Education
Continuing Education -
Monroe Community College
Associate of Applied Science - Massage Therapy
Monroe Community College
Rochester, NY06.2009
Skills
- Data entry proficiency
- Strong analytical skills
- Proofreading skills
- Math Skills
- HIPAA compliance
Websites
Timeline
Operations Administration; Appeals Coordinator
Maximus Federal Services
05.2023 - Current
Access Associate
Rochester Regional Health System (Reed Eye Associates)
09.2022 - 04.2023
Operations Administration
Maximus Federal Services
06.2019 - 04.2022
Massage Therapist
Empire Therapeutic Massage Center
01.2017 - 01.2019
Rehabilitation Auditor
ConServe Arm
08.2015 - 12.2016
Continuing Education -
Monroe Community College
Associate of Applied Science - Massage Therapy
Monroe Community College
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