REBECCA COSPY
Orange Park,FL
Summary
Dedicated working professional with 10+ years of experience in improving daily administrative operations in healthcare settings. Expert in medical insurance, billing, coding, data entry. Known for effectively managing employee data, medical and patient data, insurance data, and more. Seeking role in medical data or insurance setting to optimize data entry and management.
Overview
16
16
years of professional experience
Work History
Insurance Coordinator
Retina Group of Florida
01.2024 - Current
- Verifies all patient insurance benefits and eligibility at least 48 hours in advance.
- Documents and scans insurance verification information, authorizations, referrals, & drugs into practice management system and EMR.
- Reviews and resolves copayment assistance eligibility and enrollment.
- Completes action requested on copay assistance responses before scanning into MDI.
- Follows and tracks specialty pharmacy drug order protocol.
- Identifies & documents all drug authorization, ordering & shipping issues.
- Fully comprehends financial assistance (CDF, CCC) and patient assistance programs (GATCF, PAP).
- Follows and adheres to changes in payer medical policy guidelines.
- Adheres to OSHA, HIPAA and security protocols.
- Supports RGF's Mission Statement.
- Performs other duties as assigned.
- Remote
North Regional Operations Manager
Florida Retina Institute
01.2020 - 01.2024
- Supervised 14+ ophthalmology clinic staff members by coordinating team projects, managing payroll and time keeping, scheduling all team members, and managing employee data (e.g. performance reviews, etc.). Duties included managing front business office at headquarters and various satellite offices.
- Led data management and data entry for 50-100 patient data daily including patient demographics data, insurance data (e.g. policies, ids, etc.), referring doctors’ data, and copay/balances/collections.
- Increased efficiency for patient services and reporting by ensuring accuracy of claim edits, collecting payments, correcting rejected insurance claims and coding errors, submitting billing data to appropriate insurance providers, and properly coding medical services, diagnoses, treatments, and more.
- Directed entry, organization, and management of budgetary and financial data by managing cash control and daily deposits. Responsibilities involved tracking finances over time, advising on spending, and more.
- Optimized office communication by answering multi-line phone system, directing calls to proper departments, assisting interpretation/translation requests for Limited English Proficient (LEP) patients, assisting with sign language interpreter services requests, and providing excellent customer service to meet patient needs.
Front Office Supervisor
Florida Retina Institute
01.2013 - 01.2020
- Oversaw all patient data by scheduling and confirming 60+ patient appointments daily, verifying individuals’ insurance through insurance portal and by phone, and requesting referrals and authorizations according to insurance guidelines. Duties included entering data into insurance portal and checking information accuracy.
- Managed financial data by collecting patient copay, balance, co-insurance, and deductible at time of service. Duties included balancing cash bags and balance sheet as well as dropping money collected in safe.
- Coordinated all office operations by working with building directors to increase employee recruitment and interviewing, optimize onboarding and new hire training, and support building management and repairs.
- Directed in-office workflow and operating procedures for the business front office at various locations across 7 satellite offices by traveling to satellite offices to support office duties such as managing cash control and daily deposits and answering patient calls and inquiries.
Front Desk Associate
Florida Retina Institute
01.2010 - 01.2013
- Organized and managed patient data by scheduling and confirming patient appointments, authenticating patient insurance using insurance portals and via phone, collecting insurance referral data and authorizations, and managing patient information (e.g. copay, balances, co-insurance, deductibles, etc.).
- Managed budgets and financial data by balancing cash bags, coordinating cash balance sheet on a daily basis, and dropping money collected in safe.
- Improved daily operations by securing the facility (following opening and closing procedures), managing inventory of supplies, providing administrative support at various satellite offices, and training new employees.
- Provided high quality customer service by greeting patients upon arrival, checking patients in, answering phones, and transferring patients to the proper department.
Education
A.S. - Medical Insurance Billing and Coding
Florida Metropolitan University
Jacksonville, FLSkills
- Technical Expertise: patient data management, medical terminology, insurance, billing, electronic health records
- Data Management: data entry, data analysis, data coding systems (CPT-4, ICD-9, ICD-10)
- Data Entry: Medware Medical Billing Software, Allscripts Practice Management System, Nextech Practice, Nextech Administrative Office (Word, Excel, PowerPoint, Outlook), telecommunications (Zoom, WebEx, Teams)
Timeline
Insurance Coordinator
Retina Group of Florida
01.2024 - Current
North Regional Operations Manager
Florida Retina Institute
01.2020 - 01.2024
Front Office Supervisor
Florida Retina Institute
01.2013 - 01.2020
Front Desk Associate
Florida Retina Institute
01.2010 - 01.2013
A.S. - Medical Insurance Billing and Coding
Florida Metropolitan University