Seasoned insurance specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
8
8
years of professional experience
Work History
Scheduling and Insurance Specialist
Tabitha Healthcare
Lincoln, NE
05.2024 - Current
Reviewed insurance policies to ensure compliance with existing regulations.
Developed and implemented strategies for reducing risk exposures and maximizing profitability.
Maintained accurate records of all transactions related to insurance policies.
Responded promptly to customer inquiries about their policies and provided timely updates as needed.
Ensured that customer data was kept confidential at all times in accordance with applicable laws and regulations.
Facilitated dispute resolution between customers and insurance providers when necessary.
Resolved routine and complex issues by performing detailed research.
Lead Patient Care Coordinator
Lincoln Orthopedic Physical Therapy
Lincoln, NE
08.2020 - 05.2024
Provided direction to staff members on patient care issues.
Monitored, evaluated, and reported patient progress to physicians.
Coordinated with other healthcare professionals to ensure optimal patient care.
Maintained accurate medical records for all patients under care.
Resolved conflicts between staff members regarding patient care decisions.
Scheduled appointments for patients according to their needs.
Ensured compliance with state regulations and hospital policies related to patient care.
Provided guidance and support to junior staff members in their daily duties.
Scheduled evaluations and procedures for patients.
Processed patient intake information and updated medical records prior to treatment.
Completed insurance verifications and claim forms for patient intake and processing.
Communicated with patients to ensure quality of care and develop care plans.
Established strong work network by building professional relationships with physicians and fellow employees.
Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.
Provided administrative support for patient care staff.
Troubleshot and resolved complex customer service issues to enhance patient and family experience.
Demonstrated flexibility during changes to patient care practice.
Managed patient admission and discharge processes, ensuring smooth transitions.
Addressed and resolved patient concerns and complaints in a timely and empathetic manner.
Maintained comprehensive patient records, ensuring accuracy and confidentiality.
Managed patient appointments, ensuring efficient scheduling and rescheduling as necessary.
Provided emotional support and guidance to patients and their families.
Developed and implemented a comprehensive onboarding program for new hires.
Conducted training sessions to ensure successful integration of new employees into the organization.
Provided guidance, support, and feedback to new hires throughout their onboarding experience.
Created user-friendly materials that explained the company's policies, procedures, and expectations.
Monitored progress of trainees to ensure they were meeting goals and objectives set forth by management.
Identified areas where additional training was needed and developed plans to address them accordingly.
Developed assessment tools to measure the effectiveness of the new hire training program.
Provided ongoing coaching and feedback on performance issues arising from new hires.
Created and offered additional materials to enhance training.
Explained goals and expectations required of trainees.
Maintained strong knowledge by participating in workshops, conferences, and online education classes.
Certified Nursing Assistant
Children's Hospital Omaha
Omaha, NE
12.2019 - 07.2020
Assisted patients with activities of daily living such as bathing, grooming, and dressing.
Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
Reported changes in patient condition to registered nurse or physician.
Transported patients to treatment units, using wheelchair or strher.
Answered call lights promptly and responded to patient needs accordingly.
Observed patients for any changes in their physical or mental condition.
Cleaned and sanitized patient rooms according to established protocols.
Maintained accurate records of patient care, condition, progress, or problems for review by medical staff.
Assisted with ambulation of patients utilizing appropriate equipment safely.
Provided comfort measures such as back rubs and positioning pillows for added comfort.
Monitored vital signs including blood pressure, pulse rate, respiration rate.
Responded quickly to emergency situations involving sudden illness or injury.
Participated in educational programs related to nursing assistant skills development.
Answered signal lights, bells or intercom systems to determine resident needs.
Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
Assisted residents with bathing and dressing to promote personal hygiene.
Epic Trainer and Lead Front Desk
Nebraska Medicine
Omaha, NE
01.2017 - 03.2019
Conducted training sessions for new Epic users, providing individual and group instruction as needed.
Provided technical assistance during implementation of Epic software applications in healthcare organizations.
Collaborated with other departments to ensure successful transition from legacy systems to Epic software solutions.
Monitored user performance throughout the transition process and provided additional coaching when needed.
Advised on best practices for using Epic systems for optimal efficiency and accuracy.
Ensured compliance with HIPAA regulations related to patient data security.
Actively participated in team meetings, providing input on ways to improve overall performance standards.
Greeted and checked in patients, updating patient information in computer system.
Verified insurance coverage for appointments and collected co-payments as required.
Scheduled patient appointments, verifying accuracy of appointment times with providers.
Answered incoming calls, responding to inquiries from patients and other medical offices.
Prepared charts for new patients, ensuring all necessary forms were completed correctly.
Assisted with filing of medical records and documents, maintaining accurate electronic files.
Performed data entry tasks related to billing and collections procedures.
Provided support to clinical staff during patient visits, including rooming patients, collecting vital signs and documenting chief complaints.
Processed referrals for specialist care when requested by physicians or patients.
Checked patients in and out for appointments and collected co-payments.
Maintained supply inventory for office area, ordering items as needed and stocking shelves.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Called patients to confirm scheduled appointments and obtain additional details.
Entered insurance, demographics and health history into patient database.
Answered multi-line phone system and directed callers to requested personnel and departments.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Protected patients by observing strict HIPAA guidelines.
Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Took messages from patients and promptly relayed to appropriate staff.
Photocopied insurance cards, documented details and verified patient coverage for upcoming procedures or appointments.
Scheduled appointments, optimizing patient satisfaction, provider time and treatment room utilization.
Processed patient payments and scanned identification and insurance cards.
Education
Bachelor of Science - Management
Strayer University
Washington, VT
12-2024
Associate of Applied Science - Health Information Management
Metropolitan Community College
Omaha, NE
02-2014
Skills
Negotiation
Account management
Client needs analysis
Leads prospecting
Documentation
Claims management
Documentation skills
Reporting
Client relations
Health insurance
Customer service
Marketing strategies
Accomplishments
Presidents List
Epic Trainer
References
References available upon request.
Timeline
Scheduling and Insurance Specialist
Tabitha Healthcare
05.2024 - Current
Lead Patient Care Coordinator
Lincoln Orthopedic Physical Therapy
08.2020 - 05.2024
Certified Nursing Assistant
Children's Hospital Omaha
12.2019 - 07.2020
Epic Trainer and Lead Front Desk
Nebraska Medicine
01.2017 - 03.2019
Bachelor of Science - Management
Strayer University
Associate of Applied Science - Health Information Management