Sheila Joseph
Summary
Detail-oriented and methodical Healthcare professional offering 10+ years of experience in related roles. Successful at efficiently handling client inquiries, billing and administrative tasks. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
8
8
years of professional experience
Work History
Patient Financial Services Representative II
Memorial Hospital West
Pembroke Pines, FL
10.2024 - Current
- Enhanced patient registration experience by efficiently verifying and updating required information such as patient demographics, insurance, and financial information.
- Verified insurance benefits, processed payments, and issued receipts.
- Managed high-stress situations calmly while assisting patients experiencing medical emergencies or other urgent matters.
- Provided thorough information about admissions policies, financial requirements, and check-in procedures.
- Supported hospital compliance efforts by adhering to HIPAA guidelines and maintaining the confidentiality of patient information.
- Optimized registration processes to accelerate task completion while ensuring accuracy and quality of service.
- Achieving and exceeding monthly collection goal via enhanced engagement tactics
Billing Specialist
Vitas Healthcare
Miramar, FL
11.2022 - 10.2024
- Ensured timely billing through paper and electronic claims in correct formats.
- Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner,
- Research and resolve billing discrepancies including, but not limited to, billing frequency, required forms, and general billing requirements
- Manages clearinghouse and payor accept/reject reports timely while ensuring all claim rejections are resolved within 72 hours of rejection occurrence.
- Provide support to the Collectors by producing timely, accurate and complete billing documents.
- Meets established daily productivity standards.
Patient Financial Representative
Baptist Health
Miami, FL
01.2022 - 09.2022
- Efficiently complete responsibilities in areas of registration, financial screening and verification of all assign patients
- Ensures that all necessary demographic, billing, and clinical information is obtained and entered with timeliness and accuracy
- Virtually communicate and verify patients via zoom platform
- Confirm insurance benefits and obtains pre-certification/authorization as necessary
- Determines and accepts required payments, including but not limited to co-pays and deductibles
- Corresponds with physician's and their staff, nursing unit staff, and/or other appropriate personnel to exchange necessary information.
Member Engagement Representative
Avmed
Miami, FL
08.2020 - 10.2021
- Respond promptly to member inquiries and follow up as needed
- Enhanced member satisfaction by promptly addressing and resolving inquiries and concerns.
- Answer members and/or provider questions regarding claims, payments and plan details
- Achieve mastery level of knowledge on all member plans and benefits including co-payments and deductibles
- Document all members or providers interaction via computer system
- Maintain confidentiality and safeguard member information according to regulatory requirements.
Patient Access Representative
University of Miami
Medley, Fl
01.2019 - 08.2019
- Responsible for scheduling and registering patients for appointments within the University of Miami Health System
- Utilizing the EPIC scheduling system to search for appointments across multiple physicians, resources, specialties, and sites
- Understanding medical triage as well as government and commercial insurance requirements to ensure patients are scheduled with the appropriate provider within a convenient time frame
- Engages and collaborates with other departments as applicable.
Medical Order Processor
All American Medical
Miramar, FL
07.2017 - 01.2019
- Place outbound call to customers regarding Diabetic testing supplies and/ or durable medical supplies
- Place Orders for customers when necessary and provide friendly reminders when it is time to replenish supplies
- Request prescription from Physician's office or advise of expired prescription
- Accountable for all Physician Orders processing which includes sending, retrieving, data entering and following up
- Improved order tracking and customer updates, utilizing advanced order management software features.
Education
Hospitality And Tourism Management
Florida Atlantic University
Boca Raton, FLSkills
- MS Windows proficient
- Revenue Management
- Data Entry/ Data Analysis
- Customer satisfaction
- HIPPA Train
- Medical Terminology
- Insurance Verification
- Claims processing
- Patient registration
- Insurance verification
- Yellow belt six sigma
Languages
Creole
Native or Bilingual
Timeline
Patient Financial Services Representative II
Memorial Hospital West
10.2024 - Current
Billing Specialist
Vitas Healthcare
11.2022 - 10.2024
Patient Financial Representative
Baptist Health
01.2022 - 09.2022
Member Engagement Representative
Avmed
08.2020 - 10.2021
Patient Access Representative
University of Miami
01.2019 - 08.2019
Medical Order Processor
All American Medical
07.2017 - 01.2019
Hospitality And Tourism Management
Florida Atlantic University