Experienced healthcare professional passionate about coordinating patient benefits and enhancing the patient care experience. Proven track record in efficiently managing patient inquiries, advocating for their needs, and streamlining benefit processes. Recognized for outstanding teamwork skills, adaptability to changing demands, and effective communication with stakeholders.
Overview
21
21
years of professional experience
Work History
Patient Benefits Coordinator
The Allergy, Asthma and Sinus Center
05.2022 - Current
Responsible for proactively managing the patient responsibility portion of the Accounts Receivable (AR)
I have a complete understanding of the Financial Policy
Able to communicate terms of Financial Policy to patients for full comprehension of payment expectations
I have an expert level of knowledge regarding insurance benefits, coordination of benefits, insurance verification, benefits investigation and payer network participation
Friendly and courteous to patients while educating and communicating expectations
Educated patients on available resources and programs to aid in the management of medical expenses.
Reduced instances of denied claims through meticulous attention to detail when completing paperwork on behalf of clients.
Assisted patients in understanding their insurance coverage, explaining plan details and coordinating necessary authorizations.
Reduced billing errors by diligently reviewing claims and identifying discrepancies before submission.
Enhanced patient satisfaction by efficiently processing insurance claims and verifying eligibility.
MRI Coordinator/Mobile Manager
Knoxville Comprehensive Breast Center
06.2018 - 01.2022
Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping
Managed filing systems for electronic and hard copy documents to keep organized records
Assured timely verification of insurance benefits prior to patient procedures or appointments
Handle authorizations for procedures
Referral Coordinator
Anesthesiology and Pain Management/Knoxville
11.2016 - 05.2018
Responsible for getting new referrals for the practice
Weighed patient need, provider availability and insurance coverage to determine optimal scheduling
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process
Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions
Completed up to20 referral requests each day for medical provider of Pain management services
TN
Patient Service Representative
MSHA
02.2011 - 09.2016
Register patients upon arrival Insurance verification, medical billing and coding DOT physicals and drug screens
Compiled and reviewed medical charts
Took co pays and compiled daily financial records
Performed account reconciliations and resolved variances
Assistant Manager
WalMart
11.2006 - 12.2010
Prepared schedules for staff, managed180 associates Assisted with new hire orientations
Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences
Achieved recognition from senior management for contribution to store success, including managing sales, employees and operations to foster optimal performance
Recruited, interviewed and hired individuals which would add value to team while bringing wealth of experience
Handled customer service by dealing with complaints, organizing stock and answering customer questions
Supported staff development and goal attainment by focusing on skill development and job satisfaction
Store Manager
Roadrunner Markets
06.2004 - 03.2006
Prepared schedules for staff, managed6 staff members Ordered supplies for the store
Data entry and cash drawer management
Oversaw receiving and display of incoming products, meeting planned promotions and seasonal rotation for sales events
Rotated merchandise and displays to feature new products and promotions
Education
High School Diploma -
Science Hill High School
Johnson City, TN
06-1996
Skills
Strong empathy
HIPAA compliance
Office administration
Healthcare regulations
Verbal and written communication
Written and oral communication
Benefits explanation
Proficient in Microsoft
Problem-solving
Time management
Attention to detail
Problem-solving abilities
Timeline
Patient Benefits Coordinator
The Allergy, Asthma and Sinus Center
05.2022 - Current
MRI Coordinator/Mobile Manager
Knoxville Comprehensive Breast Center
06.2018 - 01.2022
Referral Coordinator
Anesthesiology and Pain Management/Knoxville
11.2016 - 05.2018
Patient Service Representative
MSHA
02.2011 - 09.2016
Assistant Manager
WalMart
11.2006 - 12.2010
Store Manager
Roadrunner Markets
06.2004 - 03.2006
High School Diploma -
Science Hill High School
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