Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Overview
11
11
years of professional experience
Work History
Senior Insurance Verifier
Houston Methodist Physician Organization CBO
05.2024 - Current
Efficiently verify patient insurance coverage, ensuring accuracy and compliance with company policies and regulations.
Provide exceptional customer service to patients and healthcare providers, addressing inquiries and resolving concerns regarding insurance benefits and claims.
Updated patient records with accurate, current insurance policy information.
Collaborated with healthcare providers to obtain required patient information for accurate insurance verification.
Reviewed 350 plus patient cases and insurance coverage information per week.
Senior Patient Service Representative
Houston Methodist Hospital
06.2023 - Current
Provide coverage as needed to most doctors in the clinic which includes rooming 15-30 patients daily, scheduling imaging appointments, and follow up as needed
Maintained strict confidentiality of patient information in compliance with HIPAA regulations.
Enhanced patient experience by providing exceptional service during check-in, registration, and checkout procedures.
Supported the clinic's commitment to continuous quality improvement by actively participating in internal audits and process reviews.
Collaborated with clinical staff to ensure seamless coordination of patient care and treatments.
Contributed to revenue growth by accurately verifying insurance eligibility and billing information for each patient visit.
Promoted a positive work environment by effectively collaborating with team members across departments.
Patient Services Representative
Houston Methodist Hospital
04.2022 - 06.2023
Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
Answered between 80-100 incoming patient calls daily and while scheduling up to 250 appointments weekly, provided answers to insurance concerns, and routing calls to appropriate clinical team as needed
Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
Conducted pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
Responsible for effective communication with physician and clinical team along with responding to patients MyChart messages for appointment requests, medication refills, and other clinical concerns.
Patient Access Rep II/Team Lead
Conifer Health Solutions LLC
07.2021 - 04.2022
Adhered to financial and cash control policies along with educating patients about financial obligations while utilizing patient collection techniques.
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Promoted to team lead
Coordinated daily tasks, registration for up to 100 patients daily , checked in/out and collected hospital fees and copays for surgeries, imaging, and lab appointments.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Improved operational efficiency, organizing patient documentation and streamlining access to information.
Applied resolution skills to resolve patients’ concerns.
Managed and coordinated time between workloads to efficiently help team members complete tasks.
Patient Services Coordinator
MD Anderson Cancer Hospital
07.2018 - 07.2021
Interpret and coordinate physician orders to schedule diagnostic testing, procedures, treatment, surgery, x-rays, physical/occupational therapy, and physician appointments.
Prepared and maintained physician templates and assisted with editing/blocking template as needed
Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
Updated and revised all demographics, financial and insurance information as necessary to maintain an accurate patient account
Collected patient co-pay and issued receipt to confirm payment.
Answered 50-100 calls daily while assisting with scheduling/rescheduling of appointments.
Coordinated patient infusion treatments and endoscopy visits.
Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
Promoted a culture of continuous improvement through active participation in staff meetings, trainings, and professional development opportunities.
Customer Service Supervisor
General Dynamics IT
10.2013 - 12.2017
Organized workflows solved employee and customer-based issues and be multifunctional
Managed 10-20 customer service professionals and offered coaching and training
Provided 1 on 1 evaluations with employee reviewing quality monitoring of phone calls quality and performance metrics to improve service levels and assess training needs
Monitored and ensured accuracy of customer records along with interactions and details of actions taken
Supported tier 1 calls and escalated customer service issues as needed
Identified areas of training opportunities for staff and development improvement plans as a team and on an individual bases
Supported management in staff decisions and needs such as hiring, coaching, and counseling employees on work related issues.
Education
BS - Liberal Arts
University of Southern Mississippi
Hattiesburg, MS
12.2016
Skills
Revenue Cycle
Customer Service Focused
EPIC systems
Records Maintenance
Customer service experience
HIPAA Compliance
Insurance Verification
Communication and Interpersonal Skills
Coordination and Scheduling
Insurance Coverage Verification
Teamwork and Collaboration
State
TX
City
Houston
Timeline
Senior Insurance Verifier
Houston Methodist Physician Organization CBO
05.2024 - Current
Senior Patient Service Representative
Houston Methodist Hospital
06.2023 - Current
Patient Services Representative
Houston Methodist Hospital
04.2022 - 06.2023
Patient Access Rep II/Team Lead
Conifer Health Solutions LLC
07.2021 - 04.2022
Patient Services Coordinator
MD Anderson Cancer Hospital
07.2018 - 07.2021
Customer Service Supervisor
General Dynamics IT
10.2013 - 12.2017
BS - Liberal Arts
University of Southern Mississippi
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