Reina Bolen
Casa Grande,AZ
Summary
Highley skilled individual looking to apply my skills and knowledge to Gila River Health Care. Creative and independent problem solver who can lead and help staff provide a great work experience. Bringing strong problem solving abilities, attention to detail, and excellent customer service to drive claim management and improve financial outcomes.
Overview
17
17
years of professional experience
Work History
Claims Specialist
Gila River Health Care
10.2018 - Current
- Submitted electronic/paper claims documentation for timely filing.
- Followed up on denied claims to verify timely payment and resolution.
- Reduced errors in claims submissions through attention to detail and thorough review processes.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Responded to correspondence from insurance companies.
Claims Specialist
Sunlife Family Health Center
02.2013 - 09.2018
- Billed and followed up on claims for a large health center.
- Reviewed electronic medical records communicated with coders for any changes needed.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Correct posting errors as needed
- Identify denial trends
- Resubmitted claims after editing or denial to achieve financial goals and reduce outstanding debt.
- Streamlined communication between departments by developing efficient methods for sharing claim status updates and relevant documentation.
Eligibility Clerk
Sunlife Family Health Center
01.2011 - 02.2013
- Assisted patients with completion of applications and paperwork for Ahcccs intake.
- Assisted patients with Tobacco Tax Sliding Scale Discount.
- Verify Insurances
- Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
- Developed strong rapport with patients by effectively communicating program requirements and processes.
Patient Registration Clerk
Sunlife Family Health Center
10.2007 - 01.2011
- Improved patient registration process by streamlining data entry and reducing wait times.
- Scheduled appointments and follow ups, leading to improved clinic flow and reduced wait times for patients.
- Provided exceptional customer service while addressing patient concerns or inquiries throughout the registration process.
- Insurance verification and eligibility.
- Trained new Patient Registration Clerks, resulting in a more knowledgeable and efficient team.
Education
High School Diploma -
Coolidge High School
Coolidge, AZ05-1993
Skills
- Customer Service
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Excellent communication
- Problem-solving abilities
- Organizing and Prioritizing Work
Timeline
Claims Specialist
Gila River Health Care
10.2018 - Current
Claims Specialist
Sunlife Family Health Center
02.2013 - 09.2018
Eligibility Clerk
Sunlife Family Health Center
01.2011 - 02.2013
Patient Registration Clerk
Sunlife Family Health Center
10.2007 - 01.2011
High School Diploma -
Coolidge High School
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