Tanya Kuzminskaya
Vancouver,WA
Summary
Multi-lingual Patient Services Representative with 15+ years' experience.
Certified WA state navigator with 4 years of experience.
Overview
26
26
years of professional experience
Work History
Patient Financial Counselor
Providence Health & Services
11.2022 - Current
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
- Served as a liaison between patients, providers, and insurance companies during the referral process, addressing any concerns or questions that arose along the way.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Verified patient insurance eligibility and entered patient information into system.
Patient Service Representative
Medassist, A Firstsource Company
10.2017 - 08.2021
- Review the hospital census or utilize established referral method to identify self-pay patients on a daily basis
- Screen those patients who are in-house and are designated self-pay for state, county and/or Federal eligibility assistance programs
- Initiate the application process when possible
- Identifies specific patient needs and direct them to the appropriate agency for assistance
- Introduces the patients to MedAssist services and informs them that we will be contacting them on a regular basis about their progress
- Provides transition, as applicable, for the backend Patient Account Representatives to develop a positive relationship with the patient
- Records all patient information on the designated in house screening sheet
- Document the results of the screening in the onsite tracking tool and hospital computer system
- Identifies out-patient accounts from the census or applicable referral method that are designated as self-pay
- Reviews system for available information for each outpatient account identified as self-pay
- Screens patients on site as able
- Attempts to reach patient by telephone if unable to screen on site
- Document out-patient accounts when accepted in the hospital system and on site tracking tool
Patient Services Representative/On Call
Providence Medical Center
08.2014 - 11.2017
- Customer Service, answer the phone
- Check patients in, answer questions and provide information
- Schedule patients for Diabetic Education
Medicare Services and Enrollment Specialist
CareOregon
10.2014 - 03.2017
- Use online Call Tracking system to document all activities from any mode of communication from members, providers and other customers
- Communicates verbally and in writing with members, physicians, third parties and other CareOregon departments as required to facilitate the enrollment, disenrollment and billing processes
- Maintains detailed tracking of each function within the enrollment and disenrollment process including correspondence and the issuance and accuracy of member ID cards
Member Services Representative
Columbia United Providers
01.2006 - 09.2013
- Provide world class service to health plan members and providers calling to inquire about eligibility, coverage, claims, etc
- Participated and tested the implementation of QNXT from IDX
- Document all interaction with members and providers in QNXT system
- Research ICD9, HCPCS and CPT codes
- Medicaid, Medicare and commercial plans guideline and requirements knowledge
- Consistently meet/exceed department standards to deliver on client's expectations
- Assist in training of new staff members
- Take Russian speaking calls, provider discharges; assist with grievances and complaints
Surgery Scheduler
Legacy Good Samaritan Hospital
03.2005 - 01.2006
- Customer Service and data entry
- Answer multi-line phone and assist callers
- Schedule surgeries for multiple doctors
Cabin Service Agent/Customer Services
Delta Global Services
04.1999 - 06.2001
- Customer Service
- Checking travelers in and routing them to the appropriate gate
Education
High School - General Studies
Moldova High School
Medical Administrative Assistant -
Western Business College
Skills
- Call Center
- Front Desk
- Customer Service
- Hospital Admitting
- Medical Scheduling
- Epic
- Insurance Verification
- ICD-10
- Medicare/Medicaid expertise
- Financial counseling
- Patient registration
- Caring and empathetic
- Detail-oriented
Personal Information
Work Permit: Authorized to work in the US for any employer
Languages
English
Native or Bilingual
Russian
Native or Bilingual
Ukrainian
Native or Bilingual
Timeline
Patient Financial Counselor
Providence Health & Services
11.2022 - Current
Patient Service Representative
Medassist, A Firstsource Company
10.2017 - 08.2021
Medicare Services and Enrollment Specialist
CareOregon
10.2014 - 03.2017
Patient Services Representative/On Call
Providence Medical Center
08.2014 - 11.2017
Member Services Representative
Columbia United Providers
01.2006 - 09.2013
Surgery Scheduler
Legacy Good Samaritan Hospital
03.2005 - 01.2006
Cabin Service Agent/Customer Services
Delta Global Services
04.1999 - 06.2001
Medical Administrative Assistant -
Western Business College
High School - General Studies
Moldova High School
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