Samantha Reece
Wellington,FL
Summary
Self-motivated professional promoting attention to detail and the drive to resolve issues effectively. Calm and poised in the most stressful environments. Seeking the opportunity to join new organization and to continue to grow and help people.
Overview
14
14
years of professional experience
Work History
Utilization Review Specialist
Hanley Foundation
West Palm Beach, FL
06.2023 - Current
- Obtained preauthorization for SUD and MH patients to receive Detox and inpatient residential treatment.
- Conducted insurance reviews for patients to ensure ongoing authorization for residential treatment of SUD and MH services.
- Obtained Verification of Benefits for incoming patients, ensuring accurate verification of insurance information including deductibles, out-of-pocket costs, and copays.
- Assisting patients with updating their coordination of benefits.
Admissions Administrative Assistant
Hanley Foundation
West Palm Beach, FL
09.2022 - Current
- Assist the admissions department with intakes of SUD and MH patients.
- Managed and facilitated all extension/financial discussions with patients, families, and guarantors.
- Manage all extension/financial paperwork and ensure proper signatures are obtained on all documents.
- Managed financial collections for all company extensions.
Patient Access Representative
UVA Medical Center
Manassas, VA
04.2010 - 09.2022
- Greeted patients and visitors in a courteous and professional manner.
- Managed incoming faxes related to patient registration processes.
- Assisted with scheduling outpatient appointments.
- Created new patient accounts in EMR system as needed.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Collaborated with other departments to ensure quality customer service was delivered.
- Collected co-pays and other payments from patients at time of service.
- Verified insurance coverage for services provided by the facility.
- Responded to patient inquiries regarding billing or financial matters.
- Ensured accuracy of all data entered into computer system.
- Answered phones promptly in a professional manner.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Facilitated communication between patients, staff members, and third party payers.
- Assisted with preparing daily cash reports for accounting department.
- Followed up on unpaid claims in a timely manner.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Scanned documents into electronic medical records system.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Communicated financial obligations to patients and collected fees at time of service.
- Verified demographics and insurance information to register patients in computer system.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Collaborated with insurance companies to resolve billing discrepancies and pre-certification issues.
- Processed insurance verifications and authorizations to ensure coverage of services.
Education
Advanced Studies
Osbourn Park High School
Manassas, VA06-2005
Some College (No Degree) - Liberal Arts and General Studies
Northern Virginia Community College
Annandale, VASkills
- Quality Improvement
- Healthcare regulations
- Medicare Compliance
- Utilization Management
- HIPAA Compliance
- Discharge Planning
- Communication
- Patient Care Plans
- Medical Coding
- Records analysis
- Medicaid knowledge
- Documentation And Reporting
- Inpatient Care
- Utilization review
- Outpatient Care
- Insurance Verification
- Patient transfers and transitions
Timeline
Utilization Review Specialist
Hanley Foundation
06.2023 - Current
Admissions Administrative Assistant
Hanley Foundation
09.2022 - Current
Patient Access Representative
UVA Medical Center
04.2010 - 09.2022
Advanced Studies
Osbourn Park High School
Some College (No Degree) - Liberal Arts and General Studies
Northern Virginia Community College
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