Saragine Jeudy
Hicksville,NY
Summary
Dedicated healthcare professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Supervisor
Lymphedema Therapy Specialists
01.2023 - Current
- Reviewed, balanced and reconciled customer accounts to manage accuracy of payments.
- Identified and resolved payment issues between patients and providers.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Monitored customer accounts to identify and rectify billing issues.
- Audited and corrected billing and posting documents for accuracy on claim submissions.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Retrieved medical data for physicians and patients.
- Upheld HIPAA regulations and standards for protecting patient information.
Sr. Patient Advocate
United Healthcare Group
10.2021 - 01.2023
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Entered details into computer systems and managed database of information.
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage and payment.
- Reviewed patient claims, bills and medicolegal documents for accuracy.
- Helped patients file appeals to insurance denials and worked with insurance companies to resolve disputes.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Patient Care Coordinator
Optum360
01.2020 - 10.2021
- Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Maintained and upheld confidentiality of patient data and condition to safeguard health information.
- Established rapport and relationships with patients and external partners to cross-train and support medical staff.
- Reviewed insurance benefits for proper estimates provided to patients for treatment.
- Completed documentation of care, hospital actions and patient activities.
- Resolved problems with areas such as communication and billing that could negatively impact services.
- Facilitated communication between hospital departments.
- Obtained all required documentation for treatment.
Lead Patient Access Specialist
NYU Winthrop University Hospital
07.2018 - 02.2020
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
Senior Medical Receptionist
Northwell Health Physician Partners
04.2016 - 06.2018
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Completed clerical duties and tasks for clinic administration.
- Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
- Managed multi-line phone system and pleasantly greeted patients.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Helped patients complete necessary medical forms and documentation.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Completed patient referrals to other medical specialists.
Education
Bachelor of Science - Healthcare Management
College of Healthcare Professionals
Houston, TX08.2024
Skills
- HIPAA Regulations
- Data Security and Confidentiality
- Insurance Verification
- Claims Adjustments
- Coordination and Scheduling
- Organization and Time Management
- Prior Authorization Processing
- Insurance Terminology
- Data Review and Analysis
- Invoice and Payment Tracking
- Revenue Operations
- HCPCS Coding Guidelines
- EMR Systems
- CMS Guidelines
Timeline
Revenue Cycle Supervisor
Lymphedema Therapy Specialists
01.2023 - Current
Sr. Patient Advocate
United Healthcare Group
10.2021 - 01.2023
Patient Care Coordinator
Optum360
01.2020 - 10.2021
Lead Patient Access Specialist
NYU Winthrop University Hospital
07.2018 - 02.2020
Senior Medical Receptionist
Northwell Health Physician Partners
04.2016 - 06.2018
Bachelor of Science - Healthcare Management
College of Healthcare Professionals
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