SYREETA NELSON ROCHESTER
NYC Department of Social Services
Brooklyn,NY
11
years of professional experience
Healthcare administrative professional with 8 years of experience in insurance verification, prior authorization support, and referral coordination. Proven ability to manage high-volume requests, maintain accurate Epic documentation, and work collaboratively with clinical teams to improve patient access and streamline authorization workflows.
Work History
Case Manager, Adult Protective Services
1 Year 3 Months- Collaborated with multidisciplinary teams including social workers and legal counsel to develop and implement individualized care plans for over 50 vulnerable adults.
- Conducted home visits to assess and address safety and service needs of vulnerable adults, ensuring their well-being.
- Maintained organized and up-to-date documentation of client interactions and case files for efficient access and case management.
Care Advisor, Patient Access
5 Months- Empowered anxious patients and families by clarifying the complete care journey from initial consultations through surgical procedures and follow-up appointments.
- Orchestrated the coordination of 30-40 weekly appointments for oncology patients, optimizing access to essential medical services and consultations.
- Managed high-volume patient phone calls, addressing inquiries to enhance patient experience.
Resource Navigator (Contract)
1 Year 3 Months- Bridged communication gaps between patients with long-haul COVID, healthcare providers, and research personnel, enhancing care delivery and research participation.
- Guided clients navigating quarantine to access essential healthcare services and financial benefits through proactive system engagement.
- Verified and documented 120+ client inquiries weekly in Salesforce, ensuring high data accuracy to support effective client information management.
Practice Associate II
4 Years- Scheduled 40-60 patient appointments daily, balancing provider availability and urgent requests to enhance clinic flow.
- Collected patient demographic data, scanned and organized documents into charts, and verified insurance eligibility to streamline patient intake.
- Collaborated with clinical, billing, and administrative teams to enhance authorization workflows and improve coordination of patient services.
Patient Care Representative
2 Years 6 Months- Addressed patient concerns swiftly and professionally, contributing to improved patient satisfaction.
- Coordinated with patients and referring providers regarding authorization updates, appointment changes, financial waivers, and out-of-pocket responsibilities.
- Assisted in training and supporting staff on authorization procedures, departmental workflows, and best practices to promote operational efficiency.
Education
Bachelor of Science - Healthcare Policy and Management
Skills
Prior Authorization
Insurance and Benefits Verification
Customer Service
HIPAA Compliance
Epic Systems
Patient Access Operations
Billing Collection
Medical Terminology
Timeline
Case Manager, Adult Protective Services
NYC Department of Social Services
03.2025 - 06.2026Read More
Care Advisor, Patient Access
Memorial Sloan Kettering Cancer Center
06.2024 - 11.2024Read More
Resource Navigator (Contract)
Research Foundation of The City University of New York
02.2022 - 05.2023Read More
Practice Associate II
61st Street Service Corp. (ColumbiaDoctors OB/GYN)
02.2018 - 02.2022Read More
Patient Care Representative
CityMD Urgent Care
08.2015 - 02.2018Read More
New York City College of Technology
Bachelor of Science from Healthcare Policy and Management
Read More