Trisha Dawson
Cottage Grove,MN
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Reliable employee seeking Medical office position. Offering excellent communication and good judgment.
Overview
14
14
years of professional experience
Work History
Financial Clearance Representative-OP Denials
Allina Health
03.2023 - Current
- Verify insurance eligibility and completes automated insurance eligibility verification,
Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance(s) including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided.
- Review and analyzes patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible
Ensure that initial and all subsequent authorizations are obtained in a timely manner. - Appeal claim denials to obtain payment including if prior auth was done or if retro auth can be done witch includes sending medical records that involve diagnosis to appeal claim to get over turned.
Financial Clearance Representative Associate
Allina Health
05.2022 - 03.2023
- Perform financial clearance processes by interviewing patients and collecting and recording all necessary information for pre-registration of patients
- Educate patients of pertinent policies as necessary i.e., Patient Rights, HIPAA information, consents for treatment, visiting hours, etc.
- Verify insurance eligibility and completes automated insurance eligibility verification, when applicable and appropriately documents information in Epic
- Confirm that a patient’s health insurance(s) is active and covers the patient’s procedure
- Confirm what benefits of a patient’s upcoming visit/stay are covered by the patient’s insurance(s) including exact coverage, effective date of the policy, coverage limitations / requirements, and patient liabilities for the type of service(s) provided
- Provide proactive price estimates and works with patients so they understand their financial responsibilities
- Inform families with inadequate insurance coverage of financial assistance through government and financial assistance programs and refers the patient to financial counseling
- Review and analyzes patient visit information to determine whether authorization is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service where possible
- Ensure that initial and all subsequent authorizations are obtained in a timely manner
- May provide mentoring to less experienced team members on all aspects of the revenue cycle, payer issues, policy issues, or anything that impacts their role
Provider Coordinator
Courage Kenny Rehabilitation Institute
10.2021 - 05.2022
- Provided service including :Schedule follow up appointments, answer phones, transcribe orders, attach plan of care, prep charts, collect co pay, create and close HARS.
Appointment Scheduler
St. Paul Eye Clinic
11.2017 - 10.2021
- Scheduled consultations for patients
- Provided administrative services, including phone and email correspondence, making copies and handling incoming and outgoing mail and faxes.
- Transferred and directed phone calls, guests and mail to correct staff members.
Receptionist
Health East
09.2015 - 11.2017
- Kept reception area clean and neat to give visitors positive first impression.
- Collected Co pay payments from clients and updated account balances.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Scheduled and confirmed appointments
Housekeeper
Regions Hospital
09.2009 - 09.2015
- Disposed of trash and recyclables each day to avoid waste buildup.
- Cleaned elevators, glass and planters in public areas such as lobby, pool and public restrooms.
- Established and maintained clean and comfortable environments in buildings by vacuuming, cleaning windows and dusting.
- Disinfected and mopped bathrooms to keep facilities sanitary and clean.
- Worked on team of to service Patient rooms daily.
Education
Certificate - Medical Office
Saint Paul College - A Community And Technical College
Saint Paul, MNSkills
- Positive and friendly
- Quick learner
- Medical terminology knowledge
- Motivated team player
Timeline
Financial Clearance Representative-OP Denials
Allina Health
03.2023 - Current
Financial Clearance Representative Associate
Allina Health
05.2022 - 03.2023
Provider Coordinator
Courage Kenny Rehabilitation Institute
10.2021 - 05.2022
Appointment Scheduler
St. Paul Eye Clinic
11.2017 - 10.2021
Receptionist
Health East
09.2015 - 11.2017
Housekeeper
Regions Hospital
09.2009 - 09.2015
Certificate - Medical Office
Saint Paul College - A Community And Technical College
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