YELENA FARADAY
Tacoma,WA
Summary
Healthcare revenue cycle professional with experience in patient financial services, insurance verification, prior authorization, credentialing, enrollment, and medical billing. Reviews benefits, prepares accurate patient estimates, resolves denials and coverage issues, and supports HIPAA-compliant communication across patient access, billing, and clinical teams.
Overview
1
1
Certification
13
13
years of professional experience
Work History
Patient Estimate Analyst
University of Washington Medical Center (UWMC)
Seattle, WA
04.2026 - Current
- Analyze patient financial estimates for scheduled medical procedures, services, and treatments using available pricing and insurance information.
- Review insurance eligibility and benefits, including deductibles, copayments, coinsurance, and out-of-pocket responsibilities, to support accurate cost estimates.
- Reviewed account histories, data, and insurance information to identify coverage issues, enhancing accuracy of patient financial estimates.
- Collaborated with patient access, financial services, billing, and clinical teams to resolve estimate discrepancies, ensuring timely communication and resolution.
- Documented estimate details and patient communications, ensuring confidentiality and compliance with HIPAA and organizational policies.
Revenue Integrity Credentialing and Enrollment Specialist
University of Washington Medical Center (UWMC)
Seattle, WA
08.2023 - Current
- Executed credentialing and enrollment processes for healthcare providers and allied health professionals, ensuring compliance and accuracy.
- Conduct root cause analyses of denials to identify credentialing and enrollment issues and improve process accuracy.
- Facilitated monthly meetings with Out-of-State Medicaid team to resolve communication gaps and expedite resolution of urgent enrollment issues.
- Maintain compliance with HIPAA, Joint Commission standards, NCQA, CMS, and applicable state regulations.
- Perform National Practitioner Data Bank (NPDB) queries in accordance with applicable Health Care Quality Improvement Act (HCQIA) requirements.
Financial Access Specialist II
University of Washington Medical Center (UWMC) – Laboratory of Medicine
Seattle, WA
07.2022 - 08.2023
- Coordinated communication among genetic counselors, ordering physicians, and patients to clarify insurance benefits and coverage requirements.
- Prepared comprehensive letters of medical necessity for provider review and insurance appeals.
- Initiated and documented prior authorization and predetermination requests, streamlining workflow processes.
- Generated invoices for laboratory services using computerized billing systems, ensuring accurate billing for Medicaid and commercial payers.
Patient Accountant Specialist – Professional Fees
Seattle Children's Hospital
Seattle, WA
06.2022 - 07.2022
- Reviewed and submitted insurance claims, ensuring timely processing and adherence to deadlines.
- Prepared and tracked reconsiderations and appeals, contributing to effective claim resolution.
- Analyzed credentialing-related denials to identify root causes and support corrective actions.
- Participated in process improvement initiatives, leading to enhanced team efficiency.
Charge Review Specialist – Observation
Conifer Health Solutions
Tacoma, WA
01.2022 - 06.2022
- Reviewed complex observation service charges, enhancing documentation and charge capture processes for optimized billing and reimbursement.
- Applied CPT coding and charging knowledge to ensure accurate billing for infusion, injection, and observation services.
- Identified billing errors and omissions, collaborating with staff to resolve discrepancies and ensure accurate billing.
Insurance Prior Authorization Specialist
Mary Bridge Children's Hospital – Genetics Clinic
Tacoma, WA
08.2018 - 03.2022
- Communicated with patients regarding insurance benefits, coverage requirements, and prior authorization processes.
- Initiated and documented insurance investigations for genetic testing and authorization requests to ensure timely approvals.
- Collaborated with GeneDx, Invitae, and the Genetic Support Foundation to secure cost-effective genetic testing options for patients.
- Participated in multidisciplinary meetings to review complex cases requiring prior authorization.
- Compiled clinical and insurance documentation to support appeals of denied authorizations, enhancing chances for approval.
Lead Financial Counselor
Seattle Cancer Care Alliance
Seattle, WA
07.2015 - 08.2018
- Functioned as a certified navigator with WAHPF, providing assistance to patients with Medicaid applications and commercial health insurance enrollment through the health exchange.
- Resolved patient billing inquiries and established payment plans, facilitating timely account payments and enhancing patient satisfaction.
- Evaluated and processed patient financial assistance applications, ensuring access to critical resources for eligible patients.
- Supported compliance with HIPAA, CMS requirements, and applicable state regulations.
Patient Financial Coordinator
Seattle Cancer Care Alliance
Seattle, WA
12.2013 - 07.2015
- Obtained prior authorizations for infusion, pharmacy, and radiation therapy services.
- Researched insurance policies, preparing detailed reports to facilitate decision-making for Revenue Cycle Department.
- Reviewed pharmacy and radiation therapy billing data, identifying discrepancies to support claim denials and appeals process.
- Prioritized and completed urgent, same-day requests, ensuring timely support for patient care continuity.
Patient Access Specialist
Seattle Cancer Care Alliance
Seattle, WA
06.2013 - 12.2013
- Registered patients for treatment services and physician consultations, ensuring accurate intake and prompt service.
- Assisted patients with inquiries regarding clinic locations, services, and insurance coverage, providing clear and helpful information.
- Managed multiline telephone system, efficiently routing calls to appropriate departments to enhance communication and service delivery.
- Explained guidelines and consent forms to patients participating in research studies.
Education
Associate of Science - Health Information Technology
Tacoma Community College
Tacoma, WA06-2028
Bachelor of Science -
University of Phoenix
Tempe, AZ06-2009
High School Diploma -
Mount Tahoma High School
Tacoma, WASkills
- Insurance eligibility verification
- Prior authorization
- Claims submission
- CPT coding
- Electronic health record management
- Coding compliance
- HIPAA compliance
Certification
- Certified Professional Medical Auditor (CPMA) – AAPC, November 2025
- Certified Professional Coder (CPC) – AAPC, October 2024
- Billing and Coding Certificate – NHA, July 2024
Timeline
Patient Estimate Analyst
University of Washington Medical Center (UWMC)
04.2026 - Current
Revenue Integrity Credentialing and Enrollment Specialist
University of Washington Medical Center (UWMC)
08.2023 - Current
Financial Access Specialist II
University of Washington Medical Center (UWMC) – Laboratory of Medicine
07.2022 - 08.2023
Patient Accountant Specialist – Professional Fees
Seattle Children's Hospital
06.2022 - 07.2022
Charge Review Specialist – Observation
Conifer Health Solutions
01.2022 - 06.2022
Insurance Prior Authorization Specialist
Mary Bridge Children's Hospital – Genetics Clinic
08.2018 - 03.2022
Lead Financial Counselor
Seattle Cancer Care Alliance
07.2015 - 08.2018
Patient Financial Coordinator
Seattle Cancer Care Alliance
12.2013 - 07.2015
Patient Access Specialist
Seattle Cancer Care Alliance
06.2013 - 12.2013
Associate of Science - Health Information Technology
Tacoma Community College
Bachelor of Science -
University of Phoenix
High School Diploma -
Mount Tahoma High School