Summary
Overview
Work History
Education
Skills
Timeline
Generic

ROSEMARIE SUDANO

Naples,USA

Summary

Dependable Patient Financial Counselor serving diverse needs of patients through active communication and responsive engagement with the highest standards of ethics and professionalism. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure a patient financial and/or patient advocate position. Ready to help team achieve company goals.

Overview

26
26
years of professional experience

Work History

FINANCIAL COUNSELOR

Center For Sight
11.2021 - Current
  • Increased patient confidence in billing process by providing clear explanations of insurance benefits and coverage limitations.
  • Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
  • Negotiated payment plans with patients, maintaining high rate of successful payments.
  • Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
  • Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.

SENIOR AUTHORIZATION SPECIALIST

21 Century Oncology
08.2019 - 04.2020
  • Called applicants to set up appointments and explain benefits processes.
  • Input all communication with applicants into computer system to facilitate future clarification and knowledgeable support.
  • Reviewed criteria for different aid programs to determine eligibility for various applicants.
  • Conducted approximately 20 interviews per day with applicants, explaining benefits process and which programs were available.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Completed all pre-certifications for chemotherapy and outpatient radiology services.

FINANCIAL COUNSELOR

FL Cancer Specialists
02.2014 - 08.2019
  • Reviews/approves all managed care orders according to policy and procedure including off-label, special order drugs, red drugs and radiology.
  • Works managed care reports ahead minimum of 1 week. Waivers are completed accurately and signed by patients prior to treatment as required.
  • Completes pre-determination process as needed for off label regimens.
  • Works with physicians in resolving diagnosis/coding issues in timely manner.
  • Maintains good working knowledge of compendia, peer review journals and insurance clinical drug policies.
  • Creates treatment estimates for all patients with financial responsibility for treatment/scans.
  • Informs patients in advance of financial obligations and meets with them to sign treatment estimates and collect payment.
  • Posts money that is collected.
  • Meets with patients who have billing questions and works with CRS staff to resolve billing issues.
  • Meets with patients with balances over $100.
  • Communicates collections issues with office manager and Clinical Financial Manager in timely manner.
  • Screens under-insured patients for financial assistance.
  • Works with Financial Aid department in completing application process.
  • Utilizes all available copay cards for commercial insured patients and completes registration process prior to patient starting therapy.
  • Monitors accounts closely to ensure that awarded grants cover course of treatment.
  • Assists patients through Medicaid application process.
  • Screens un-insured patients for possible compassionate drugs.
  • Monitors accounts to ensure comp drugs are obtained in a timely manner.
  • Patient bar report is worked daily according to policy and procedure to prepare next day AR for office collections.
  • Accounts are updated with current benefits, labs and hospitals are updated in EMR, financial class and allocations are updated in Centricity.
  • Conveys money in Centricity to keep payments allocated appropriately.
  • AR report is accurate and understandable for Patient Service Staff to use for daily collections.
  • Final collection totals and percentages are completed on a daily basis.
  • Numbers are recorded in monthly clinic collections spreadsheet daily.
  • Reviews daily schedules and works with UM department to ensure all necessary authorizations are in place prior to patient appointment.
  • Obtains necessary referrals, authorizations and Medicaid eligibility for all add-on patients (within 48 hours).
  • Obtain all required authorizations for out-patient services (radiology, blood transfusion, specialist referrals etc.) scheduled outside of FCS.
  • Coordinates peer to peer reviews as needed with doctors/ARNPs.
  • Ensures all required NOPR documentation is completed prior to designated deadlines.

FINANCIAL COUNSELOR/PATIENT REGISTRATION

NCH Healthcare Systems
02.2000 - 02.2014
  • Complete and accurate patient registration in Cerner System.
  • Verifying and authorizing insurance benefits.
  • Collecting patient responsibility.
  • Obtaining and accurately entering into computer system patient and/or guarantor demographics and insurance information along with proper coding.
  • Responsible for financial counseling of patient for resolution of patients account in relation to insurance requirements.
  • Charity review and referring patient for eligibility determination.
  • Collecting out of pocket expenses from patients that have ability to pay.
  • Document detailed information in patient account notes for reference to work performed.
  • Provide estimates using tools such as Med Assets for patients or physicians.
  • Experience completing registration in Emergency Department.
  • Utilize internet and phone to obtain and determine insurance benefits.

Education

High School Diploma -

Patchogue-Medford High School
Medford, NY
06.1983

Skills

  • Interpersonal skills
  • Oral communication
  • Grants and clinical trials
  • Multi-tasking
  • Research
  • Patient Counseling
  • Problem solving
  • Time management
  • Insurance Verification

Timeline

FINANCIAL COUNSELOR

Center For Sight
11.2021 - Current

SENIOR AUTHORIZATION SPECIALIST

21 Century Oncology
08.2019 - 04.2020

FINANCIAL COUNSELOR

FL Cancer Specialists
02.2014 - 08.2019

FINANCIAL COUNSELOR/PATIENT REGISTRATION

NCH Healthcare Systems
02.2000 - 02.2014

High School Diploma -

Patchogue-Medford High School

Similar Profiles

CREATE PROFILE