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Skills

  • Denial Rate Reduction
  • Communications
  • HIPAA compliance
  • Complex insurance policy navigation
  • Financial aid applications processing
  • Framework coding understanding
  • Audit report preparation
  • Relationship development
  • Operational improvement
  • Healthcare financial reporting

Work Experiences

  • Achieved results within 2016.
  • Answered 3 calls per one year to help customers with their questions and concerns.
  • Collaborated with the marketing team to communicate financial services and discounts, resulting in a 21% uptick in patient enrollment in SAP.
  • Looked for industry trends on social media and through online sources.
  • Collected copayments and kept track of my finances on a daily basis.
  • Achieved a 82% increase in patient enrollment.
  • Consistently exceeded monthly collection goals.
  • Collaborated with the marketing team.
  • Had an excellent attendance record and was always on time for work.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.

Summaries

  • Achieved recovery within 13 months.
  • Achieved a 21% reduction in patient complaints.
  • Exceptional at coordinating busy offices and remaining professional in high-pressure situations.
  • Costs were consistently reduced while profits were increased.
  • Comprehensive knowledge of performance reporting and a dedication to patient satisfaction.
  • Complete patient education is a success.
  • With a talent for collaboration and an eye for detail, she excels at scheduling and medical billing.
  • Accomplished Patient Financial Coordinator.
  • Achieved 66% improvement in collections.
  • Boosted revenue accuracy by 71% within 2024.

Accomplishments

  • Implemented online payment processing, increasing auto-pay enrollment by 51% and reducing manual invoice processing time.
  • Managed and tracked prior authorization cases for metric, improving workflow efficiency and reducing delays by 17 days.
  • Coordinated with multiple departments to resolve any discrepancies in patient accounts, reducing outstanding balances by $48,000 over 6 months.
  • Implemented patient-friendly financial counseling, reducing out-of-pocket costs for 8 patients through education on coverage options.
  • Resolved product issue through consumer testing.
  • Investigated and appealed denied claims, resulting in a 57% success rate in reversing denials for high-cost procedures.
  • Collaborated with billing team to reduce aged A/R claims by 83%, resulting in $73,000 recovered over the past year.
  • Guided uninsured and underinsured patients through financial assistance programs, achieving a 33% reduction in hospital write-offs.
  • Documented and resolved process which led to procedure.
  • Designed a new payment plan structure for patients, leading to a 49% reduction in missed payments and improving patient retention.

Affiliations

  • Project Management Institute
  • National Association of Public Hospitals and Health Systems (NAPH)
  • Patient-Centered Outcomes Research Institute (PCORI)
  • American Health Information Management Association (AHIMA)
  • Association for Financial Professionals (AFP)
  • Society of Women Engineers
  • International Association of Patient Financial Advocates (IAPFA)
  • Certified Healthcare Financial Professional (CHFP) Credential
  • Patient Advocate Certification Board (PACB)
  • National Council of Certified Revenue Management Professionals (NCCRM)

Certifications

  • Insurance Billing and Coding Specialist (ICBS) by Harbor & Co.
  • First Aid/CPR Certified
  • Revenue Integrity Professional Certification by NAHRI
  • Certified Professional in Healthcare Quality (CPHQ)
  • Healthcare Finance Professional Certification (HFMA)
  • Certified Medical Office Manager (CMOM)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Healthcare Financial Professional (CHFP)
  • Certified Revenue Integrity Professional (CRIP) by HFMA
  • Certified Patient Account Representative (CPAR)

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