Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
21
21
years of professional experience
Work History
Health Insurance Specialist
Mirrus/Virginia Oncology
Norfolk, VA
01.2008 - 06.2025
Reviewed patient records to ensure accurate and timely billing of health insurance claims.
Resolved discrepancies between invoices and insurance claims data.
Processed payments from insurers in accordance with contractual obligations.
Maintained database of insured members, including demographic information and plan details.
Documented all interactions related to health insurance claims processing in a secure system.
Managed daily operations related to patient enrollment processes such as verifying eligibility requirements or collecting premiums due.
Coordinated activities among third-party administrators, insurers, brokers, employers and employees.
Provided customer service support to answer inquiries about health plans and benefits.
Monitored changes in the healthcare industry to ensure compliance with regulations.
Assessed eligibility of patients for health insurance coverage based on policy guidelines.
Processed changes in insurance policies and periodically reassessed client needs.
Analyzed clients' needs and financial situations to customize insurance policies for individual necessity.
Monitored clients' insurance coverages to ensure changing needs were met.
New Patient Scheduler
Arvon Staffing/Virginia Oncology Associates
Norfolk, VA
01.2008 - 01.2008
Managed the waiting list of potential new patients seeking care at the facility.
Performed follow-ups with patients who missed their appointments as necessary.
Demonstrated exceptional customer service skills while interacting with both internal staff and external customers.
Explained appointment policies to patients and answered questions regarding scheduling, insurance, billing and other related issues.
Ensured that all documentation was completed accurately prior to appointment confirmation.
Processed cancellations or rescheduling requests promptly according to organizational policy.
Responded quickly and efficiently to inquiries from internal personnel or external customers.
Created reports on upcoming appointments for physicians' review prior to patient visits.
Resolved scheduling conflicts by working collaboratively with team members to find suitable solutions.
Utilized electronic health record software for scheduling purposes.
Assisted with check-in and check-out process for new and existing patients.
Monitored the schedule daily to ensure accuracy of appointments.
Prepared reminder notices for upcoming appointments through mail or automated systems.
Coordinated referrals between external providers and internal departments.
Verified patient eligibility for services based on current insurance information.
Organized patient charts, updated demographic information, and verified insurance coverage.
Provided support to front office staff in a timely manner when needed.
Informed patients about their appointment times via phone or email.
Answered incoming calls from patients and scheduled appointments.
Maintained up-to-date knowledge of medical coding system changes in order to accurately enter data into patient records.
Updated patient records with appointment and billing information promptly.
Collaborated with medical staff to identify and implement scheduling process improvements.
Communicated effectively with patients regarding appointment details, preparation instructions, and follow-up care.
Followed up with patients and confirmed appointments.
Developed and maintained scheduling templates and guidelines to improve efficiency.
Informed patients regarding needed medical tests and procedures.
Answered phone calls and took messages for staff members.
Coordinated appointments with customers and staff members according to availability.
Coordinated scheduling for multiple physicians across various specialties, balancing patient needs and doctor availability.
Reviewed insurance information with patients and processed copays.
Managed appointment cancellations and rescheduling, minimizing gaps in physicians' schedules.
Coordinated with insurance companies to verify coverage and obtain necessary pre-authorizations.
Instructed patients regarding how to prepare for appointments.
Tracked and reported on appointment no-shows and cancellations, analyzing trends for management.
Updated patient information in databases and adhered to confidentiality requirements.
Facilitated emergency appointment requests, prioritizing patient care needs.
Handled incoming calls and inquiries from patients, providing timely and accurate information.
Adjusted appointments according to priority and tracked appointment durations.
Billing Specialist
Rehabilitation Associates, Inc.
Virginia Beach, VA
01.2004 - 11.2006
Performed additional duties as assigned by management team.
Calculated billing charges, prepared and submitted claims to insurance companies.
Provided support to other departments within the organization as needed.
Performed data entry into accounting software programs such as QuickBooks.
Reviewed medical records to ensure accuracy of billing information and patient data.
Patient Services Coordinator at US Oncology Network - Virginia Oncology AssociatesPatient Services Coordinator at US Oncology Network - Virginia Oncology Associates
Senior Advisor, Area Development at ALSAC St. Jude Children's Research HospitalSenior Advisor, Area Development at ALSAC St. Jude Children's Research Hospital