SARINA PHEBE
Delray Beach,FL
Summary
Healthcare administrative professional with over 5 years of experience in insurance benefits verification, patient access, and medical office operations. Skilled in verifying insurance eligibility, interpreting coverage benefits, identifying authorization requirements, and navigating provider portals. Proficient in healthcare documentation, EHR systems, insurance terminology, Microsoft Office, and HIPAA compliance. Detail-oriented and organized, with strong communication and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Behavioral Health Benefit Specialist
Visionary Billing
Delray Beach, FL
01.2023 - 09.2026
- Conduct comprehensive insurance eligibility & benefits verification for patients seeking mental health and substance use treatment for higher all levels of care including outpatient therapy.
- Analyze insurance benefit structures to determine deductibles, cost shares, out-of-pocket maximums, visit limits, exclusions, benefit restrictions, and provider contracting.
- Support revenue cycle and admissions operations by providing timely, detailed insurance benefit information for multiple facilities
Health Care Advocate
Conduent
Delray Beach, FL
03.2020 - 12.2022
- Assisted members by explaining plan benefits, copayments and coinsurance, fulfilling requests for plan documents and ID cards, promoting self-service tools to locate in-network providers and review cost-sharing information.
- Provided members with medical & prescription claims & prior authorization status updates. Provided appeal process for statuses with denials. Utilized resources like Availity & Salesforce to support benefit coordination and continuity of care.
- Assisted members with eligibility, verifying coverage effective & termination dates, reviewing enrollment status, and coordinating benefits information to ensure accurate member records and continuity of healthcare coverage.
Patient Access Representative
Siperstein Dermatology
Boca Raton, Florida
06.2018 - 02.2020
- Managed high-volume appointment scheduling for a dermatology practice, coordinating new and established patient visits, follow-up appointments, same-day requests, cancellations, and rescheduling to optimize provider availability.
- Maintained Microsoft Excel spreadsheets to track scheduling changes, provider availability, cancellations, and appointment openings, and supporting efficient daily scheduling operations
- Utilized EHR and practice management systems to document patient interactions, update demographics, verify insurance information, and maintain accurate appointment records.
Education
High School Diploma -
Atlantic Community High School
Delray Beach, FLSkills
- Electronic Health Records (EHR)
- Data Entry and Documentation Accuracy
- Availity
- Microsoft Excel Spreadsheet Management
- Claims Inquiry Resolution
- Salesforce
- Quality Assurance & Administrative Accuracy
- Customer Service & Conflict Resolution
- Hybrid Work Environment Adaptability
- Customer-Focused Phone Communication
LANGUAGES
English, Haitian-Creole
Timeline
Behavioral Health Benefit Specialist
Visionary Billing
01.2023 - 09.2026
Health Care Advocate
Conduent
03.2020 - 12.2022
Patient Access Representative
Siperstein Dermatology
06.2018 - 02.2020
High School Diploma -
Atlantic Community High School