Shondra Vielguth
Clearlake,CA
Summary
Driven by a results-focused approach, I leveraged my financial management expertise and exceptional customer service skills at Clearlake Dental - James Kinsel to enhance patient satisfaction and streamline billing processes. My dedication to HIPAA compliance and proactive problem-solving contributed to a significant reduction in claim denials and improved the revenue cycle's efficiency.
Overview
18
18
years of professional experience
Work History
Patient Financial Coordinator
Clearlake Dental - James Kinsel
Clearlake, CA
08.2013 - Current
- Maintained strict confidentiality of patient information while adhering to HIPAA regulations throughout all interactions and communications.
- Contributed to the hospital''s financial stability by maintaining accurate records of all transactions and reconciliations.
- Worked closely with clinical departments on case-by-case basis when coordinating charity care applications, ensuring timely submission and approval.
- Collaborated with clinical teams to optimize patient care coordination and financial management.
- Reduced claim denials, ensuring accuracy in insurance verification and pre-authorization processes.
- Assisted patients in understanding their benefits and coverage, clarifying complex insurance terms, and providing guidance on out-of-pocket expenses.
- Participated in cross-functional team meetings to discuss strategies for improving overall revenue cycle performance.
- Assessed patients'' eligibility for financial assistance programs by conducting thorough reviews of their income and expenses, making appropriate recommendations based on individual circumstances.
- Updated patients'' financial records promptly after receiving payments or adjustments, ensuring timely reporting of account status changes.
- Enhanced revenue collection with diligent follow-ups on outstanding balances and setting up payment plans for patients.
- Increased efficiency in the billing department through regular audits, identifying errors, and providing training to staff members as needed.
- Improved patient satisfaction by efficiently addressing and resolving billing-related inquiries.
- Continuously improved professional knowledge through participation in industry conferences, workshops, and webinars related to healthcare finance.
- Analyzed monthly reports to identify patterns in denials and areas for improvement in billing processes.
- Expedited claims processing by accurately submitting electronic claims within established timeframes consistently.
- Developed relationships with community organizations, establishing referral networks for financial assistance programs available to patients.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
- Engaged with patients to provide critical information.
- Responded to inquiries by directing calls to appropriate personnel.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Trained new staff on filing, phone etiquette and other office duties.
- Resolved customer complaints using established follow-up procedures.
- Delivered support to medical staff in completion of patient paperwork.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Recommended service improvements to minimize recurring patient issues and complaints.
Manager
SUBWAY®Restaurants
Clearlake, CA
01.2006 - 01.2014
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maximized performance by monitoring daily activities and mentoring team members.
- Onboarded new employees with training and new hire documentation.
- Cross-trained existing employees to maximize team agility and performance.
- Controlled costs to keep business operating within budget and increase profits.
- Communicated clearly with employees, suppliers and stakeholders to keep everyone on same page and working toward established business goals.
- Developed and maintained relationships with customers and suppliers through account development.
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
- Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
IHSS Care Provider
IHSS Public Authority
Clearlake, CA
01.2006 - 08.2010
- Prepared nutritious meals according to dietary restrictions and preferences for better overall health.
- Provided transportation and appointments management.
- Provided transportation for clients to medical appointments, social events, and other necessary outings.
- Ensured a safe and comfortable environment by maintaining a clean and organized living space.
Education
Dental Assistant - Dentistry (Pre-Dentistry)
Galen College of Medical And Dental Assistants
Modesto, CA01.2014
Accounting Certificate - Accounting And Business Management
Yuba College, Clearlake CA
Lower Lake, CA06.2010
High School Diploma -
W.C. Carle High School
Lower Lake, CA06.2006
Skills
- HIPAA Compliance
- Financial management expertise
- Healthcare Industry Knowledge
- Professionalism and Ethics
- Office Administration
- Medical terminology understanding
- Insurance Verification
- Strong analytical skills
- Customer Service
- Verbal and written communication
- Claims Processing
- Patient Registration
- Data entry proficiency
- Medical billing knowledge
- Payment Collection
- Attention to Detail
- Punctual and Hardworking
- Calm and Effective Under Pressure
- Registration and Scheduling
- Caring and Empathetic
- Patient Education
- Documenting and Recording Information
- Insurance verifying
- Communicating to Patients and Families
- Patient Confidentiality and Data Security
- Resolving Problems
- Patient documentation
- Insurance Authorizations
- Outbound Calling
- Document filing
- Benefits Explanation
- Appointment Scheduling
- Administrative and Office Support
- Gathering Information from Patients
- Medical History Documentation
- Patient Intake
- Explaining Policy and Procedures
- Insurance Forms Processing
- Claims Handling and Coverage Verification
- Schedule Coordination
- Payment Calculation
Timeline
Patient Financial Coordinator
Clearlake Dental - James Kinsel
08.2013 - Current
Manager
SUBWAY®Restaurants
01.2006 - 01.2014
IHSS Care Provider
IHSS Public Authority
01.2006 - 08.2010
Dental Assistant - Dentistry (Pre-Dentistry)
Galen College of Medical And Dental Assistants
Accounting Certificate - Accounting And Business Management
Yuba College, Clearlake CA
High School Diploma -
W.C. Carle High School