Sonya Wallace
Houma,LA
Summary
Highly energetic, resourceful and self-directed Patient Navigator with strong clinical and human relations skills. Embraces working with diverse groups and special populations to identify clinical and social concerns of patients.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Patient Navigator
Ochsner Medical Center
New Orleans, LA
10.2022 - Current
- Served as a liaison between healthcare providers and other departments within the organization.
- Identified patient needs and desires and communicated to healthcare professionals.
- Provided assistance to patients and families with navigating the health care system.
- Assisted in scheduling appointments, tests, and procedures for patients.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
Patient Access Representative
Ochsner Medical Center
Houma, LA
01.2017 - 10.2022
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record..
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Certified Professional Coder
South Louisiana Medical Associates
Houma, LA
04.1999 - 12.2016
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Used Epic to assign procedure and diagnostic codes to patient records for billing purposes.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Education
Associate of Arts - Psychology
University of Phoenix
Tempe, AZ06.2012
Skills
- Explaining Policy and Procedures
- Customer Satisfaction
- Insurance Information Collection
- Insurance billing
- Interpreting physician orders
- Appointment Scheduling
- Insurance verifying
Certification
- CPC - Certified Professional Coder
- AAPC Certification ICD 10
Timeline
Patient Navigator
Ochsner Medical Center
10.2022 - Current
Patient Access Representative
Ochsner Medical Center
01.2017 - 10.2022
Certified Professional Coder
South Louisiana Medical Associates
04.1999 - 12.2016
Associate of Arts - Psychology
University of Phoenix
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