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Raya Hapatsha

Raya Hapatsha

Patient Advocate & Benefits Manager
Newton,NJ

Summary

Caring Patient Advocate who is detail-oriented, hardworking, and reliable. Successful working with hospital, social service entities, and insurance companies to achieve positive all-around outcomes. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

Overview

9
9
years of professional experience
2
2
Language

Work History

Patient Advocate & Benefits Manager, Client Services Manager, Quality Assurance Specialist, Genetic Coordinator, Project Manager

siParadigm Diagnostics Informatics
Pine Brook, NJ
06.2017 - 03.2023
  • Manages team between patients and their healthcare providers, insurance companies, and other entities that impact the patients' healthcare needs
  • Informs patients of their rights, responding to patient queries or complaints, resolving issues, and helping them with insurance claims and payments
  • Analyzes complex Explanation of Benefits forms to verify correct billing of insurance companies
  • Verify insurance coverage, submit reimbursement claims, and communicate with insurance companies, patients, and healthcare providers
  • Submitted electronic and paper claims to various insurance companies to collect medical payments
  • Prepared billing statements for patients and verified correct diagnostic coding
  • Work effectively with medical payers such as Medicare, Medicaid, and commercial insurance companies to obtain timely and accurate payments
  • Handle medical record keeping and submission for insurance reimbursement
  • Coordinate, monitor, and improve the workings of the various technical departments (100+ employees)
  • Formulate and implement departmental and organizational policies/procedures to maximize output
  • Update, revise, and maintain the laboratory’s Quality Assurance manual, SOPMs, and other quality documents
  • Implements GMP best practices for process improvement with expertise in document management systems in accordance to HIPAA guidelines, OSHA standards, and ensure compliance with local, state and federal health, safety, and environmental regulations
  • Process specimens (bone marrow aspirates and biopsies, peripheral blood, fresh tissue, and smears) and enter data into software
  • Provide patients with proper documentation and reports in order to proceed with counsel.

*Awarded Employee of the Month in December 2018, March 2019, December 2020, and April 2022

Business Development Manager

Colonial Surety Company
Montvale, NJ
06.2016 - 06.2017
  • Inside sales - ERISA fidelity bonds, Fiduciary Liability Insurance, Errors & Omissions Insurance
  • Outside sales - Cold calling, outbound calls, lead generation, and B2B marketing and sales
  • Satisfy client needs through strategic marketing via online system
  • Trains Pension Professionals navigating online system by utilizing tools and reports to streamline bond process
  • Creates customized marketing material for Pension Professionals’ client outreach
  • Analyzes company financial statements, Profit & Loss, and Balance Sheet

*Grew entire territory 45% within 7 months

*Received “Highest Regional Growth Award” in first quarter for 123% New Business.

Branch Manager

Enterprise Rent-A-Car
Lodi, NJ
02.2014 - 06.2016
  • Trains staff by reviewing and revising knowledge of products and sales training
  • Review staff job results with one-on-one meetings, being responsible for employee evaluations
  • Prepares sales and customer relations reports by analyzing and categorizing sales information; identifying and investigating customer complaints and service suggestions
  • Excelled as Business Corporate Account Manager (BCAM) by maintaining consistent corporate growth, conducting successful marketing sales calls, and seeking new outlets for local business
  • Maintain local and national corporate growth by conducting successful marketing sales calls and seeking new outlets for local business
  • Analyze sales, growth, and fleet activity of branch

*Awarded Triple Crown award in April, May, August 2015: 43% increase in Operating Profit/Customer Service score above national average/ 27.9% fleet growth

*Selected to be Women's Interactive Network (WIN) chair aiding in personal and professional development of female employees on regional scale while competing against other top performing females from other regions throughout the company

*Awarded as MVP during St. Louis Branch Manager Workshop amongst 250 peers on a national scale

*Name placed on plaque at Headquarters in St.Louis, Missouri alongside other recipients over the last 50 years

*Awarded top performer and Elite Club visitor in various areas within the company such as: top associate in protection products sales, insurance replacement sales, and top customer service representative

*Awarded Triple Crown award in April and June 2014: 30% increase in Operating Profit/Customer Service score above national average/ 40.1% fleet growth

*Managed branches that were in Top 5 performing branches in region for income per car (IPC)

*Recognized for creative and effective marketing strategies by receiving the award for "Top Outside Sales: Area L".

Education

B.S - Political Science and Economics Rutgers

The State University of New Jersey

Skills

Adobe Systemsundefined

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Sell your cleverness and buy bewilderment.
Rumi

Timeline

Patient Advocate & Benefits Manager, Client Services Manager, Quality Assurance Specialist, Genetic Coordinator, Project Manager

siParadigm Diagnostics Informatics
06.2017 - 03.2023

Business Development Manager

Colonial Surety Company
06.2016 - 06.2017

Branch Manager

Enterprise Rent-A-Car
02.2014 - 06.2016

B.S - Political Science and Economics Rutgers

The State University of New Jersey
Raya HapatshaPatient Advocate & Benefits Manager