Vanessa Reyes
ALSIP,IL
Summary
Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Advocate
Great Lakes Medicaid Inc.
Chicago, IL
05.2016 - Current
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Entered details into computer systems and managed database of information.
- Worked effectively with staff from all departments to coordinate resolutions.
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage and payment.
- Manage/analyze high dollar work queue, review accounts to either be released to patient, resubmit claims to insurance provider, etc.
- Verify online eligibility for both Governmental and Non-governmental insurance payers via epic Reg/ADT, etc.
- Create workflows to help improve the quality or work.
- Contact patients via phone call, contact letters or field visits.
- Screen/interview patients for Medicaid eligibility on-site as well as off-site.
- Submit Medicaid application via ABE website.
- Obtain IDPA 2432 for patients to whom meet their monthly spenddown.
- Assist patients with obtaining financial assistance if they do not meet Medicaid requirments.
- Access Epic, Centricity, Star and Cerner software system to obtain account notes, Medical Records, and Medical bills.
- Work directly with Medicaid collectors to obtain bills and verify payments.
- File and appeal accounts/case in which were denied.
- Train new employees with Medicaid process, calling hotline to verify eligibility, screening patients to verify eligibility, apply online for medical coverage, update accounts and follow up as needed.
Recreational Service Director/Social Services Assistant
Center Home For Hispanic Elderly
Chicago, IL
05.2010 - 06.2014
- Constructed short- and long-term planning to improve client programs.
- Created staff work assignments and monitored activity for efficient follow through.
- Evaluated service note content for description representative of clients' response to specified services.
- Managed volunteer program, application process, scheduled their times, logged service hours
- Scheduled staff
- Memos
- Monthly activity programming and outings
- Filing
- Care plan
- Answering calls, meet with family
- Medicare meeting
- Assist patient with discharge planning
Education
GED -
City Colleges of Chicago-Richard J Daley College
Chicago, IL07.2011
Skills
- Patient Information Management
- Communicating to Patients and Families
- Providing Information and Resources
- Registration and Scheduling
- Excellent communication skills and a professional demeanor
- Enthusiastic and persuasive in problem solving situations
- Experienced with Epic, Word, PowerPoint, Excel, Claimgear, Medisoft, Centricity, Cerner and Medi system
- Fluent in English and Spanish
Certification
Certified to run Dementia and Alzheimer's Unit
Timeline
Patient Advocate
Great Lakes Medicaid Inc.
05.2016 - Current
Recreational Service Director/Social Services Assistant
Center Home For Hispanic Elderly
05.2010 - 06.2014
GED -
City Colleges of Chicago-Richard J Daley College