Sabrina Edwards
Silverhill,AL
Summary
Results-oriented administrative professional with expertise in insurance verification and EMR management. Drives operational efficiency and patient engagement through effective problem-solving and team leadership. Delivers high-quality service while cultivating a supportive environment for patients and colleagues. Focused on advancing organizational success with innovative solutions and collaborative efforts.
Overview
9
9
years of professional experience
Work History
Payor Operations Specialist
Ria Health
Remote
06.2024 - Current
- Reviewed insurance coverage details across multiple payer platforms, processed verification results, confirmed eligibility, and determined financial responsibility.
- Investigated and resolved insurance issues to uphold accurate billing and ensure smooth revenue cycle operations.
- reengaging patients amid insurance changes or lapses to sustain ongoing participation in care.
- Partnered across functions to address barriers to continued enrollment through implementation of effective solutions.
- Coordinated daily operations by executing client outreach, handling inbound calls, and performing accurate data entry.
- Maintained continuity of care by leveraging comprehensive EMR documentation alongside streamlined workflow efficiency.
- Coached individuals facing financial barriers by detailing pricing options and relevant lower-cost programs.
- Assessed enrolled patient insurance eligibility and implemented updates as needed.
Enrollment Specialists
Ria Health
Remote
01.2023 - Current
- Performed thorough patient assessments to capture detailed information for accurate service connection.
- Partnered with healthcare providers to support comprehensive meeting of patient needs during meetings.
- Evaluated consumer reviews to determine significant trends and identify improvement opportunities.
- Managed creation and ongoing maintenance of customer information system for stronger data management.
- Evaluated CRM system data to identify retention intervention opportunities.
- Facilitated exit interviews with departing customers, synthesizing gathered insights for prevention strategies.
- Delivered empathetic support to enable timely patient connections to necessary medical services.
Asst. Chief Corrections Officer
City of Foley
Foley, USA
12.2017 - 10.2022
- coordinated rehabilitation and reintegration of individuals within correctional system through guidance and support.
- Streamlined resource distribution through coordinated inter-departmental collaboration.
- Created policies and procedures centered on facility safety and well-being.
- Strengthened team support by cultivating a supportive environment for over 13 team members through strong leadership.
Education
B.S. - Criminal Justice
Troy University
Troy, AL05-2017
A.A. - Psychology
Pensacola State College
Pensacola, Fl05-2015
Skills
- Data management
- Eligibility verification
- Medical record management
- Team management
- Revenue cycle management
- Problem analysis
- Technical proficiency
- Time management
References
References available upon request.
Timeline
Payor Operations Specialist
Ria Health
06.2024 - Current
Enrollment Specialists
Ria Health
01.2023 - Current
Asst. Chief Corrections Officer
City of Foley
12.2017 - 10.2022
A.A. - Psychology
Pensacola State College
B.S. - Criminal Justice
Troy University