Patient-focused and results driven employee equipped with administrative and customer service expertise. Helping to keep healthcare services proceeding smoothly by coordinating communications, data accuracy and policy enforcement. Talented in finding balanced solutions and resolving conflicts.
Skills
Administrative and Office Support
Data Entry and Analysis
MS Office, Word, Excel, & Microsoft Teams
Critical Thinking
Resolving Problems and Conflicts
Organized and Detail-Oriented
Verbal and Written Communication
Calm and Effective Under Pressure
Time Management and Prioritization
Multitasking
Reliability and Dedication
Punctual and Hardworking
Customer Service
Caring and Empathetic
Explaining Policy and Procedures
Knowledge of Community Services and Programs
Medical Terminology
Health Information Access Management
Recent Experience
08/2022 to Current
Credentialing CoordinatorAmedisys Home Health Services – Venice, FL,
Used various programs and software to maintain facility databases containing physician records, files, and credentialing documents.
Collaborated with physicians, nurse practitioners, and other medical and non-medical personnel to maintain informational resources, tracking and documenting requests for updates, certification and credentialing.
Utilized well-developed active listening, interpersonal and communication skills to collaborate with diverse individuals each day.
Kept close tabs on documentation expiration dates, communicating with the correct personnel to submit files prior to expiration.
Performed primary source verifications such as criminal histories, licenses, and board certifications.
Checked applications for missing information and organized all paperwork.
Produced reports outlining assessments completed and follow-up recommendations. Maintaining a detailed database of compliance data, activities, and actions taken.
08/2021 to 09/2022
Patient Financial AdvocateSt. Luke's Health System – Jerome, ID,
Collaborated with clinical and administrative staff to meet patient needs.
Researched and performed insurance verification, pre-certification, and pre-authorization for medical treatment.
Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Counseled patients on potential financial liabilities and payment requirements.
Completed registration procedures for patients, expertly inputting information to meet provider, facility, and legal requirements.
Cultivated positive relationships with patients to help the facility meet satisfaction scores and for patients to obtain the best possible care.
Stayed current on community-based resources and services useful to patients.
Screened patients for eligibility for state, local, and federal assistance programs.
Initiated application processes to add patients to assistance programs and followed through until completion.
01/2020 to 08/2021
Hospitalist Site Coordinator Nebraska Medical Center – Kansas City, MO,
Facilitated communication between physicians, nurse practitioners, patients, families, mortuaries, pharmacies, hospital staff, administration, and other healthcare professionals.
Supported the hospitalist office needs including taking messages, organizing documents, and faxing patient documents in correspondence with HIPPA compliance.
Observed all deadlines, enabling the timely completion of tasks including daily and weekly reports, certifications, billing, and scheduling.
Reviewed patient charts and billing records to check completeness and verify integrity.
Maintained a records management system to process personnel information and produce reports.
Completed documentation, reports, and spreadsheets of financial information.
Performed data import, scanning, and manual keying processes to verify invoice accuracy.
Investigated and resolved issues to maintain billing accuracy.
Leveraged integrated billing software to submit accurate claims.
02/2019 to 01/2020
Patient Financial CounselorTwin Cities Community Hospital – City, STATE,
Registered patients in a pleasant, professional, and timely manner by completing face-to-face interviews to obtain demographic, insurance, and medical information.
Obtained necessary signatures for privacy laws and consent for treatment.
Applied knowledge of payer requirements to utilize online eligibility systems to verify patient coverage and policy limitations.
Obtained authorizations from various insurance providers for inpatient and outpatient services.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Counseled patients on potential financial liabilities and payment requirements.
Screened patients for eligibility for state, local and federal assistance programs.
Communicated financial obligations to patients and collected fees at time of service.
Education and Training
Expected in to to
Associate of Science: Health Sciences Cuesta College - San Luis Obispo, CA, GPA:
Additional Information
Additional Work Experience available upon request (prior working experience in customer service and hospitality)
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.