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Skills

  • Workload prioritization
  • Interpreting insurance policies
  • Process improvement
  • Organization
  • Supervision
  • Negotiation with insurance companies
  • Medical Billing Processes
  • Deadline adherence
  • Operational improvement
  • Medical terminology proficiency

Work Experiences

  • Had an excellent attendance record and was always on time for work.
  • Looked for industry trends on social media and through online sources.
  • Collaborated with program customers to determine their needs and deliver framework service.
  • Authored process improvement proposals that were adopted by senior management to improve benefit verifications.
  • Educated patients on coverage limits and policy terms.
  • Cut response time from 15 days to 2 days.
  • Recommend successful approaches to Patient Benefits Coordinator for resolving salary and classification complaints.
  • Allowed for strategic adjustments.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Collaborated with internal departments.

Summaries

  • Decreased patient verification times by 11 %.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Boosted claims approval by $8 annually.
  • Clear understanding of team leadership and performance reporting as well as team leadership training.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Accomplished Patient Benefits Coordinator.
  • Adept at claim submission management.
  • Adept at leading benefit eligibility reviews.
  • Costs were consistently reduced while profits were increased.
  • Boosted claims approval rates by 72%.

Accomplishments

  • Resolved escalated benefit issues for high-profile patients, achieving a 33% client satisfaction rating.
  • Trained and managed a team of 2 benefit coordinators, improving overall team productivity by 81%.
  • Established partnerships with insurance companies to expedite approval processes, reducing wait time for patients by 3 days.
  • Implemented steps to reduce time spent per insurance verification, enhancing team efficiency by 79% minutes per case.
  • Maintained compliance with HIPAA regulations while managing sensitive patient benefit information.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Facilitated timely submission of insurance pre-approvals, reducing approval wait times for high-demand procedures and treatments.
  • Led the transition from paper-based records to standard, ensuring smoother access to patient data and improving team efficiency.
  • Functioned as the primary liaison for Denver clinics, ensuring accurate and timely submission of all insurance claims initiatives.
  • Played a crucial role in process improvements that reduced outstanding benefit inquiry turnaround time from 11 days to 18 days.

Affiliations

  • Healthcare IT Certification Committee Participant - Summit Group
  • National Association of Social Workers
  • Jaycees
  • Affiliate, American Medical Billing Association (AMBA)
  • Society of Women Engineers
  • Vice President, Local Chapter of the Southwest Patient Services Association
  • Rotary International
  • Member, American Association of Healthcare Administrative Management (AAHAM)
  • Active Participant, National Health Council (NHC)
  • Association for Computing Machinery

Certifications

  • Certified Healthcare Compliance Officer (CHCO) - American Institute of Healthcare Compliance (AIHC)
  • CompTIA A+ Technician
  • Certified Business Analysis Professional (CBAP)
  • Advanced Beneficiary Notice (ABN) Training - Medicare/Medicaid Learning Center
  • Certified Compliance Technician (CCT) - National Healthcareer Association (NHA)
  • Certified Professional in Healthcare Management (CPHM) - American Institute of Healthcare Compliance (AIHC)
  • Certified Medical Reimbursement Specialist (CMRS) - American Medical Billing Association (AMBA)
  • Electronic Medical Records Certification - method
  • Certified Revenue Cycle Representative (CRCR) - system
  • Certified Medical Billing Specialist (CMBS) - procedure

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