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
Portland, OR
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
Vancouver, USA
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
Portland, USA
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
Vancouver, USA
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