Sharifah Stancil
Morrisville,North Carolina
Summary
Experienced Lead Financial Counselor at UNC Hospital, skilled in Epic systems and relationship building. Proven track record in optimizing financial processes, resulting in improved patient satisfaction through effective communication and strict confidentiality adherence. Recognized for exceptional judgment and collaborative teamwork that enhances overall patient financial experiences.
Overview
14
14
years of professional experience
Work History
Lead Financial Counselor
UNC Hospital
Chapel Hill, NC
04.2018 - Current
- Create hospital and physician estimates using appropriate current procedural terminology along with corresponding international classification of disease diagnosis to accurately reflect patients’ medical condition
- Process financial assistance applications in a timely manner within guidelines and review outcome approval or denial with patients
- Coordinate communication between insurance companies, providers and internal departments
- Confirming the coverage details and eligibility of patients' insurance plans to provide financial clearance for appointments
- Walk patients through signing up for Pharmacy assistance and manufactured drug programs
- Initiate outreach out delinquent payment plans and approve new hospital accounts to be added to current payment plans
- Provided guidance to clinical staff on proper documentation requirements related to billing procedures for Medicaid.
Support Coordinator
Biogen Pharmaceutical
Raleigh, NC
10.2017 - 04.2018
- Handling a large volume of inbound and placing outbound calls meeting service level weekly
- Counsel and educate patients on new and existing therapy
- Submit Benefit Verifications, and deliver explanation of benefits
- Preparing and submitting adverse events also product complaints to maintain compliance
- Consult by placing outbound calls to physician’s office and pharmacy to resolve issues with prescriptions prior to processing order to dispense medication
- Updated case notes on a daily basis using an electronic database system.
- Served as a liaison between families, caregivers and internal, external service providers.
Customer Service Representative
Duke University Hospital
Durham, NC
08.2016 - 10.2017
- Adhering to HIPAA privacy guidelines and all relevant PRMO policies and procedure
- Serve as a resource for all scheduling, registration, and financial assistance in assigned area
- Accurately inputting patient information into the electronic medical record
- Investigating and resolving patient concerns regarding billing errors, insurance issues, and other account discrepancies
- Troubleshooting patient concerns, navigating complex situations, and escalating issues to appropriate
- Maintained a high level of professionalism when dealing with difficult customers.
- Provided exceptional customer service to ensure customer satisfaction.
Claims Processor
Blue Cross Blue Shield
Durham, NC
10.2014 - 08.2016
- Research ICD and CPT 10 codes and assist members with processing health insurance claims
- Route and distribute incoming member calls
- Investigate and resolve customer inquiries and concerns in a timely manner
- Create detailed reports and requests outlining member claim information
- Review explanation of benefits for members understanding of billing
- Maintained accurate records of all processed claims in accordance with departmental requirements.
- Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.
Claims Processor
Trial Card
Cary, NC
01.2011 - 10.2014
- Handle lower level escalated calls in a professional manner
- Assisted providers and clients with questions in regards to claims
- Accurately processed data entry of medical claims
- Scanned claims to each patients account for processing
- Confirm patient’s insurance coverage
- Maintained accurate records of all processed claims in accordance with departmental requirements.
- Corresponded with providers regarding any missing or incomplete documentation needed for successful adjudication of claims.
- Provided exceptional customer service by addressing inquiries promptly and professionally.
- Researched discrepancies between submitted documentation and actual records to identify errors or omissions.
Education
Accounting And Finance
Wake Technical Community College
Raleigh, NC01-2027
Skills
- Proficient in Epic systems
- Telephone etiquette
- Medicaid
- Confidentiality
- Phone etiquette
- Judgement
- Work ethic
- Team player
- Written communication
- Relationship building and management
- Customer service
- Patient counseling
- Professional relationship building
- Insurance planning
- Financial counseling
Affiliations
- Inspect food for quality, expiration dates, and damage
- Sort food into categories
- Pack food into boxes and pallets
Timeline
Lead Financial Counselor
UNC Hospital
04.2018 - Current
Support Coordinator
Biogen Pharmaceutical
10.2017 - 04.2018
Customer Service Representative
Duke University Hospital
08.2016 - 10.2017
Claims Processor
Blue Cross Blue Shield
10.2014 - 08.2016
Claims Processor
Trial Card
01.2011 - 10.2014
Accounting And Finance
Wake Technical Community College
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