Regina Joyner
Davenport
Summary
Highly-motivated employee with desire to take on new challenges. I am a Hardworking with Strong work ethic, adaptability, and exceptional interpersonal skills. offering patient services, medical administration, insurance eligibility, and medical referrals with diligence and knowledge. I have a team-oriented approach and I am extremely well-organized, proactive, and prompt. Additionally, a motivated worker keen to use organizational and time management abilities in diverse settings. looking for new opportunities to develop.
Adept at working effectively unsupervised and quickly mastering new skills. I am a organized and motivated individual, eager to utilize time management and organizational skills across diverse settings. Seeking opportunities to enhance abilities while contributing to company growth.
Overview
11
11
years of professional experience
2
2
years of post-secondary education
Work History
Provider Relations Coordinator
Maximus
New York
12.2022 - 02.2025
- Managed provider data updates, including contact information and credentialing status.
- Developed and maintained relationships with providers to ensure compliance with contractual obligations.
- Reviewed and processed new provider applications.
- Participated in industry forums and conferences to stay abreast of industry developments.
- Monitored performance of contracted providers against established standards.
- Maintained records of all correspondence between the organization and its providers.
- Provided technical assistance to providers regarding electronic transactions such as claims submission or payment inquiry requests.
- Maintained professional relationships with healthcare providers.
Referral Coordinator
Nuvance Health
Connecticut
12.2019 - 12.2022
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Managed up to [300] patient referrals daily through multi-line telephone system.
- Verified documents and associated records to catch and resolve discrepancies.
- Developed productive working relationships with numerous insurance company representatives.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Answered questions and resolved concerns raised by both patients and specialists.
- Commended for timeliness and accuracy in all documentation, from initial contact to account closeout.
- Developed relationships with key stakeholders within the healthcare system to facilitate effective referrals.
Insurance Eligibility Specialist
CareMount Medical
Chappaqua
07.2016 - 12.2019
- Explained eligibility details and affordability options to patients with kindness and respect.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Followed specific security rules and guidelines to protect patient medical records and payment card information.
- Performed verification of Medicare coverage.
- Identified important patient and demographic information.
- Created and maintained accurate and confidential patient files according to regulatory mandates.
Data Entry Specialist
ABB Optical
Hawthorne
04.2014 - 07.2016
- Identified, corrected and reported data entry errors.
- Completed accurate and efficient data entry and database updates to support business operations.
- Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
- Proofread and edited documents to correct errors.
- Executed data verification to ensure expedient error detection.
- Compiled data from source documents prior to data entry.
- Exceeded quality goals to support team productivity.
- Assessed quality of products and compliance with tolerance standards by inspecting products, components and materials.
- Performed detailed measurements with handheld devices and performed visual inspections of line.
- Assessed materials, parts and products for conformance with quality control requirements and production specifications.
- Inspected and repaired products to meet project expectations.
- Used specialized tools to take precise measurements of various aspects of samples.
Education
Associate of Science -
College of Westchester
NY 06.2016 - 08.2018
Skills
- Multitasking
- Organizational skills
- Conflict resolution
- Client relations
- Database management
- Customer service
- Microsoft Office
- Customer follow-up
- Collecting information
- Administrative support specialist
- Verifying data accuracy
- Data Collection
- Database Management
- Client Relationship Management
- Communications management
- Time Management
- Public and Media Relations
- Teamwork and Collaboration
- Problem-Solving
Timeline
Provider Relations Coordinator
Maximus
12.2022 - 02.2025
Referral Coordinator
Nuvance Health
12.2019 - 12.2022
Insurance Eligibility Specialist
CareMount Medical
07.2016 - 12.2019
Associate of Science -
College of Westchester
06.2016 - 08.2018
Data Entry Specialist
ABB Optical
04.2014 - 07.2016
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