Safiyah Janeef
Hayward,CA
Summary
With a proven track record at Sequoia Hospital, Sutter Health, and various healthcare organizations, I excel in insurance verification and possess exceptional interpersonal skills, ensuring seamless patient registration and billing processes. My expertise in healthcare software and dedication to regulatory compliance have significantly contributed to organizational growth, making me a pivotal asset in healthcare administration.
Overview
15
15
years of professional experience
Work History
Patient Registrar
Sequoia Hospital
08.2024 - Current
- Patient registration to ensure all pre-required paperwork is completed prior to surgery.
- Collect required co-pays and deductibles to meet the monthly quota.
- Work with insurance companies to verify benefits and ensure there are no billing implications.
- Subject Matter Expert in the department for all registration workflows.
- Cover areas that include the Main Admitting, Lab, and Emergency Department.
Administrative Coordinator
Dr. Ronald Chews Dental Office
04.2024 - 07.2024
- Check in patients for appointments, dental consults, and follow-ups.
- Complete admin tasks, i.e., staff roster, cover breaks, update MD schedules, check messages, and emails.
- Complete perio-charting.
- Set up x-ray hardware and clean up after x-rays.
- Patient appointment calls.
- Scan all orders and paperwork.
- Work closely with insurance to verify benefits.
Clinical Support Coordinator Associate
Blue Shield of CA
01.2024 - 04.2024
- Telephonic outreach with members to conduct a Health Risk Assessment.
- Assist with system letters, requests for information, and data entry.
- Provide administrative and clerical support to medical and disease management programs.
- Act as a liaison, gather information, and track all patients referred to the care management program.
- Document all patient-specific information in various information systems.
- Assist in coordinating care for a specific high-risk/high-cost patient population, including referrals to community resources.
- Assist in verifying health plan benefits and coordinating ambulatory services.
Case Manager
Kaiser Permanente
06.2023 - 09.2023
- Research and respond to member grievances and appeals.
- Review and adhere to regulatory requirements.
- Improve member experience via phone calls, emails, and in-person visits.
- Monitor cases by verifying members' concerns, completing proper documentation of concerns, and setting up follow-ups.
- Maintaining members' records by reviewing case notes, logging events, and progress.
Patient Access Representative
Mills Peninsula Health Services
09.2022 - 05.2023
- Schedule and coordinate patients for their MRI, CT, and X-rays.
- Maintenance of patient demographic information.
- Complete daily paperwork for techs, MDs, and admin staff.
- Assist patients with billing related questions.
- Process mail, fulfilling subpoenas, and maintaining a subpoena log.
- Complete payment transactions via phone, and processing payments via Passport.
- Extensive knowledge of Epic workflows includes ADT, Cadence, and Hospital Billing.
- Knowledge of HIPAA guidelines.
- Complete and review medical filing.
- Knowledge of HMO, PPO insurance, Medicare, medical, and commercial.
- 5+ years of medical billing experience.
Patient Admin Specialist II
Stanford Orthopaedic Surgery
07.2021 - 07.2022
- Schedule and coordinate orthopedic surgeries.
- Assist doctors with all medical-related tasks prior to surgery.
- Coordinate all pre-op and post-op appointments.
- Provide correct coding to the authorization department.
- Ensure that all patient information is accurate and complete, and request any missing patient information.
- Obtain and review referrals and authorizations for treatments.
- Confirm patient benefits and insurance eligibility.
- Follow and adhere to all regulations and guidelines set by state programs, HMOs, PPOs, etc.
Pre-Admission Testing Scheduler
Mills Peninsula Health Services
01.2017 - 02.2020
- Company Overview: Surgery.
- Work closely with the doctor's office to ensure proper surgery orders are placed and signed electronically.
- Schedule pre-admission testing phone or onsite appointments for patients before surgery, and warm transfer to S3 for the registration process.
- Assist pre-admission nurses with all pre-surgery-related tasks and paperwork.
- Perform billing for healthcare services, submit billing data to insurance providers, work on claims and claims denials to ensure maximum reimbursement for services provided, and work on front-end/back-end rejections.
- Followed HIPAA guidelines for confidentiality, posting payments, insurance verification, maintaining, and correcting EPT/diagnosis coding errors.
- Contact insurance providers to verify patient coverage and benefits.
Patient Access Representative
Mills Peninsula Health Services
02.2014 - 01.2017
- Company Overview: Admitting.
- Contact insurance companies and billing office personnel to effectively obtain payments and update system information.
- Contacted insurance providers to verify correct insurance information, and obtain authorization for proper billing.
- Follow up on legal claims to update and verify the status of patients' outcomes and obtain due payments.
- Verify patient insurance coverage, assist with the financial plan according to treatment schedules for collections, and communicate between the patient and the billing company regarding health insurance.
- Complete electronic registrations for patients admitted to the hospital or health center, and patients utilizing ancillary departments for procedures or services.
Patient Services Representative
Mills-Peninsula Health Services
04.2013 - 02.2014
- Assisted patients with billing inquiries.
- Billing and claim follow-up (commercial payers) for the Sutter Health Peninsula Coastal Region.
- Train staff, and all billing and follow-up workflows.
- Collaborated with insurance providers to identify discrepancies in medical data, invoices, patient billings, and collections, and to better understand why the claim was being rejected.
- Analyzed all medical billing and admission materials, forwarding documents to the insurance companies.
- Addressed patient inquiries concerning billing and other information.
- Worked with patients to create payment plans, applied payment to each patient's account, reconciling outstanding balances, and adjustments.
Account Specialist
Mills-Peninsula Health Services
12.2012 - 04.2013
- General reception: answering phones, directing calls, greeting patients, visitors, and vendors.
- Assisted patients with billing inquiries, processed mail, completed subpoena requests, and maintained daily logs of requests.
- Process patient payments via phone, and document payments via Passport.
- Maintenance of patient records in Epic.
- Reviewing and filing explanation of benefits.
- Extensive knowledge of ICD-9 codes.
- Process claims and documentation.
- Knowledge of HIPAA guidelines.
- Medical Filing
- Knowledge of HMO, PPO insurance, Medicare, medical, and commercial.
- 5+ years of Medical Billing Experience.
Retail Sales Associate
Nordstrom Rack
05.2012 - 12.2012
- Provided customer service over the phone and in person.
- Answer customers' queries and concerns.
- Maintain sales records for inventory control.
- Provide advice to clients regarding particular products or services.
- Prepared sales contracts and accepted payment through cash, check, and credit cards.
Retail Sales Associate
Macy's
11.2009 - 11.2011
- Greeted customers with determination regarding their needs.
- Provided customer service over the phone and in person.
- Answered customers' queries and concerns.
- Open and close cash registers, performing tasks such as counting money, separating charge slips, coupons, and vouchers, balancing cash drawers, and making deposits.
- Maintained sales records for inventory control.
Education
Certification in Medical Assisting Front Office -
Regional Occupational Program (ROP)
04.2009
GED certificate -
Fremont Adult Education
Skills
- Clerical writing
- Cross-cultural sensitivity
- Information documentation
- Insurance verification
- Speech clarity
- Scheduling
- Healthcare software
- Professionalism and ethics
- Maintaining records
- Organizational growth
- Speaking clearly
- Processing payment
- Strong interpersonal skills
- In-depth healthcare knowledge
- Healthcare regulatory compliance
- Exceptional interpersonal skills
Timeline
Patient Registrar
Sequoia Hospital
08.2024 - Current
Administrative Coordinator
Dr. Ronald Chews Dental Office
04.2024 - 07.2024
Clinical Support Coordinator Associate
Blue Shield of CA
01.2024 - 04.2024
Case Manager
Kaiser Permanente
06.2023 - 09.2023
Patient Access Representative
Mills Peninsula Health Services
09.2022 - 05.2023
Patient Admin Specialist II
Stanford Orthopaedic Surgery
07.2021 - 07.2022
Pre-Admission Testing Scheduler
Mills Peninsula Health Services
01.2017 - 02.2020
Patient Access Representative
Mills Peninsula Health Services
02.2014 - 01.2017
Patient Services Representative
Mills-Peninsula Health Services
04.2013 - 02.2014
Account Specialist
Mills-Peninsula Health Services
12.2012 - 04.2013
Retail Sales Associate
Nordstrom Rack
05.2012 - 12.2012
Retail Sales Associate
Macy's
11.2009 - 11.2011
Certification in Medical Assisting Front Office -
Regional Occupational Program (ROP)
GED certificate -
Fremont Adult Education
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