Rae Ann Mainelli
Lake Mary,FL
Summary
Experienced insurance professional with a strong background in meticulously verifying insurance coverage and benefits. Adept at navigating complex systems, resolving discrepancies, and ensuring the accuracy of information. Recognized for exceptional collaboration within teams and ability to adapt to evolving needs. Proficient in effective communication, problem-solving, and maintaining high standards for quality and results. Valued for bringing a positive attitude and a steadfast commitment to continuous learning and personal growth.
Overview
9
9
years of professional experience
1
1
Certificate
Work History
Remote Insurance Verification Specialist III
Orlando Health South Seminole Hospital
05.2021 - 07.2024
- Performed pre-registration functions including calling physician offices, insurance payers and the patient/guarantor, as necessary.
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
- Successfully completed the Certified Revenue Cycle Representative (CRCR) program, enhancing revenue cycle expertise.
- Developed comprehensive guides for Outpatient Infusion processes and estimate creation, enhancing workflow efficiency.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
Lab Assistant II
Orlando Regional Medical Center
08.2020 - 05.2021
- Provided excellent customer service and support in the areas of patient registration, third party reimbursement requirements and regulations
- Performed specimen processing and receiving duties for ORMC ED, Winnie Palmer ED, Arnold Palmer ED, Stroke Alerts, Trauma, and open-heart surgeries on one work bench independently
- Worked with administration to make process improvements within the department including: Adding a refrigerator in the outpatient area for patient samples to be stored at the correct temperature
- Worked collaboratively with team and leadership to create daily assignments for a more efficient workflow in the outpatient area
- Prepared samples for centrifugation, aliquoting and preserving sample integrity.
- Demonstrated flexibility working in a fast-paced and ever-changing environment.
- Developed new protocols and improved existing laboratory processes.
Perioperative Assistant II
Orlando Regional Medical Center
07.2019 - 08.2020
- Assisted under the direct supervision of the Registered Nurse and Anesthesia personnel with positioning of patients, holding extremities during the operative prep, and assisting nursing staff with any patient's needs, being sure to make patients feel comfortable and that all their needs or concerns are met, while keeping them safe
- Provided excellent patient care by making sterility a top priority while scrubbed into a surgical procedure to hold a limb, camera, or retractor placed by surgeon
- Kept views unobstructed by retracting, sponging, and suctioning surgical sites.
- Assigned special tasks by management because I was trusted as someone who holds high integrity in my daily workflow
Lead Lab Assistant
Advent Health Apopka
07.2018 - 07.2019
- Led the development of standard operating procedures, driving consistency and optimizing lab practices across the team.
- Assisted in the hiring process for new lab assistants by conducting interviews and evaluating candidate qualifications, contributing to the selection of high-quality team members.
- Participated in System-wide Clinical Lab Assistant Skills Fair, delivering engaging educational content through interactive games and prizes to enhance learning and retention.
- Created spreadsheets to record workflow and implemented weekly assignments for team.
- Trained new laboratory personnel to apply proper laboratory techniques and best practices.
Certified Lab Assistant II
Advent Health Celebration
05.2015 - 07.2018
- As a member of the Lab Practice Council, I took initiatives to create procedures to reduce our Troponin TAT to
- Successfully collected blood specimens on over 350 patients in January 2017 with 0 recollects
- Served as a reliable source of information for colleagues seeking assistance or clarification on laboratory procedures or equipment use.
- Reduced sample contamination risks through rigorous adherence to proper specimen handling techniques.
- Contacted physicians, nursing stations, or reference laboratories for resolution assistance with unusual test orders.
Education
Certified Phlebotomy Technician - Phlebotomy
Florida Medical Prep
Tavares, FLHigh School Diploma -
Eustis High School
Eustis, FLSkills
- Insurance coverage expertise
- Attention to detail
- Data Review Proficiency
- Epic Systems Proficiency
- Patient Account Management
- Strategic Decision Making
- Insurance Cost Estimation
- Customer Engagement
- Healthcare Billing Expertise
- Effective Time Management
- Patient confidentiality
Certification
- Certified Phlebotomy Technician (CPT) - National Healthcareer Association (NHA).
Languages
English
Native or Bilingual
Timeline
Remote Insurance Verification Specialist III
Orlando Health South Seminole Hospital
05.2021 - 07.2024
Lab Assistant II
Orlando Regional Medical Center
08.2020 - 05.2021
Perioperative Assistant II
Orlando Regional Medical Center
07.2019 - 08.2020
Lead Lab Assistant
Advent Health Apopka
07.2018 - 07.2019
Certified Lab Assistant II
Advent Health Celebration
05.2015 - 07.2018
Certified Phlebotomy Technician - Phlebotomy
Florida Medical Prep
High School Diploma -
Eustis High School
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