Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Senior Patient Benefit Representative
Texas Oncology
Plano, TX
10.2021 - Current
Observed strict procedures to maintain data and plan participant confidentiality.
Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
Prior to a patient receiving treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
Assess patients’ ability to meet expenses and discuss payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.
Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to the billing office.
Obtained from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
Reviews patient account balance and notifies front desk of patients to meet with.
Stays current on available financial aid. Develops professional relationships with financial aid providers. Networks with financial aid providers to obtain leads to other aid programs.
Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
Customer Service Representative
Dillard's
Plano, TX
07.2021 - 11.2023
Offered advice and assistance to customers, paying attention to special needs or wants.
Answered customer telephone calls promptly to avoid on-hold wait times.
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Gift wrap customer purchase.
Assist with online orders and curbside pickups.
Patient Access Service Team Lead
CRMC/Baylor Scott & White Carrollton
Carrollton, TX
03.2012 - 11.2021
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Trained new staff on hospital processes and procedures.
Provided excellent customer service to patients and medical staff.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Followed document protocols to safeguard confidentiality of patient records.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Engaged with patients to provide critical information.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Assist nursing staff with setting up, PC issues, and other various areas of obligation in Emergency Room.
Assisted in Supervisor role in the Emergency Room.
Education
Business Administration And Management
University of Arizona Global
Chandler, AZ
Skills
Leadership/Communication Skills
Personal and Professional Integrity
Staff Training and Development
Benefits Interpretation
SharePoint
Salesforce
Microsoft Office Suites
Microsoft Excel
Special Projects
Payment Collection
Team Goals
Data Integrity
Time Management
Calendar Management
Medical Terminology
Critical Thinking
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
Human Resources
Interests
Project Coordinator
Credentialing Specialist
Revenue Cycle
Operation Specialist
Compensation Specialist
Languages
English
Full Professional
Timeline
Senior Patient Benefit Representative
Texas Oncology
10.2021 - Current
Customer Service Representative
Dillard's
07.2021 - 11.2023
Patient Access Service Team Lead
CRMC/Baylor Scott & White Carrollton
03.2012 - 11.2021
Business Administration And Management
University of Arizona Global
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