Balanced and reconciled professional claims of oncology department.
Identified and resolved payment issues between patients and providers.
Experience with Medicare HMOs , Aetna, Avmed, Humana, and miscellaneous payers.
Trained colleagues on workflow
Collaborated with coding team and authorization team
Solved financial problems with use of diverse analytical and modeling techniques.
Kept pace with economic, industrial and corporate developments impacting clients' financial wellbeing.
Patient Registration Specialist
Flagler Health Hospital
06.2020 - 06.2021
Competent to register patients on several areas of Flagler Health Enterprise but not limited to: Outpatient Surgery, Lab services, Emergency Dept., and imaging services.
Manage over 50 phone calls per day
Perform data entry on various EMR Systems- Sunrise, POSC, Greenway.
Use surgical booking system (SIS), and surgical orders (Order Facilitator) to identify correct CPT Codes for estimated financial responsibility for each patient.
Arrive and admit patients for their procedures
Provided exceptional customer service, addressing patient concerns and answering questions promptly and professionally.
Document Imaging Tech II
Parallon SSC Of HCA
02.2020 - 02.2021
Responsible for efficiently and accurately prepping, scanning, and/or indexing for at least 10 plus hospitals into Horizon Patient Folder (HPF) document imaging system.
Performed paper document to PC screen validation to ensure that all documents associated with each record have been scanned.
Scanned documents according to policies and procedures in tiered hierarchy system.
Knowledgeable of indexing patient’s records by being proficient with medical forms and medical abbreviations
Albanian Interpreter
European Interpreter Services, Inc.
08.2014 - 08.2018
Provided interpreter services to patients in diverse hospital facilities of Jacksonville , FL ( e.g. Mayo Clinic, Baptist South, and UF & Health).
Translated procedural information to facilitate understanding between doctors and patients.
Ophthalmic Technician Assistant
UF & Health Ophthalmology
08.2015 - 02.2018
Performed eye examinations prior to provider consult.
Explained pre/post-operative procedures to patients and carefully reviewed surgical plans.
Measured and recorded visual acuity and color vision .
Conducted OCT , IVFA, Goldman and HVF testing
Data entry was conducted using EMR (EPIC).
Measured intraocular pressure using Goldman and Tonopen tonometry process.
Carried out at least 20 patients alone per clinic in various specialties (retina, cornea, glaucoma, oculoplastic,hereditary diseases).
Research Assistant
UNF Chemistry Department
05.2014 - 05.2015
Performed experiments on selected strains of yeast to collect data and analyze the effects that environmental toxins have on yeast cells.
Data entry on Excel sheet and notebook journals
Mentored incoming research assistants on procedure experimental protocols and lab safety
Planned, modified and executed research techniques, procedures and tests.
Performed statistical, qualitative and quantitative analysis.
Education
Master of Health Administration - Health Administration
University of North Florida
Jacksonville, FL
05.2025
Associate of Science - Radiography
Florida State College At Jacksonville
Jacksonville, FL
08.2019
Bachelor of Arts - Sociology
University of North Florida
Jacksonville, FL
05.2016
Skills
Great working knowledge of medical terminology and procedures
Proficient to work with EPIC, Sunrise, Cerner, Wilma and MEDITECH
Quantitative, statistical analysis
Data Entry
Analytical and Critical Thinking
Proficient in Microsoft Office Suite
Good time management
Technical problem-solving skills
Well-developed interpersonal skills
Minimum 50 WPM
Polyglot ( Expertise in Albanian, English & intermediate German)
Training and mentoring
Accomplishments
UNF HASA Treasurer (2023-2024)
VP of UNF International Student Association (2012-2013)
UNF Thrive-Mentor students with Asperger's and Autism (2014)
Study Abroad for Health Administration- Munich,Germany (2014)
Certification
Certified Revenue Cycle Representative - August 2023
LCS Level Continuous Improvement Green Belt 1-March 2023
Timeline
Claims Resolution Specialist, II
Baptist MD Anderson Cancer Center
07.2021 - Current
Patient Registration Specialist
Flagler Health Hospital
06.2020 - 06.2021
Document Imaging Tech II
Parallon SSC Of HCA
02.2020 - 02.2021
Ophthalmic Technician Assistant
UF & Health Ophthalmology
08.2015 - 02.2018
Albanian Interpreter
European Interpreter Services, Inc.
08.2014 - 08.2018
Research Assistant
UNF Chemistry Department
05.2014 - 05.2015
Master of Health Administration - Health Administration
University of North Florida
Associate of Science - Radiography
Florida State College At Jacksonville
Bachelor of Arts - Sociology
University of North Florida
Certified Revenue Cycle Representative - August 2023
LCS Level Continuous Improvement Green Belt 1-March 2023
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