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Skills

  • Supervision
  • Health coverage verification
  • Organization
  • Medical Billing Processes
  • Budgets
  • Financial recovery strategies
  • MS Office
  • Client education
  • Team management
  • Operational improvement

Work Experiences

  • Oversaw the delivery of category project by program team, which resulted in system.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Collaborated with human resources.
  • Earned Excellence Award recognition for excellence in patient advocacy and benefit education, resulting in a 27% increase in patient retention.
  • Authored process improvement proposals that were adopted by senior management to improve benefit verifications.
  • Transported QuickBooks to several months customer locations.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Cut response time from 15 days to 2 days.
  • Averted $12 in potential penalties.
  • Curated payment plans.

Summaries

  • Coordinated out-of-network benefits for 8 complex cases.
  • Achieved a 19% reduction in claim errors.
  • Achieved a 22% improvement in communication and accuracy.
  • Over a 10-year career, capable Patient Benefits Coordinator with significant background in budget management.
  • Achieved a 82% reduction in denials.
  • Collaborated cross-functionally.
  • Conducted detailed auditing of patient accounts.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Achieved a 73% patient satisfaction rate.
  • Adept at educating patients on coverage limits and policy terms.

Accomplishments

  • Resolved product issue through consumer testing.
  • Facilitated timely submission of insurance pre-approvals, reducing approval wait times for high-demand procedures and treatments.
  • Reduced claim denials by 52% through accurate benefit verifications and diligent follow-ups on escalated cases.
  • Introduced an automated tracking system that improved benefit verification accuracy, increasing departmental efficiency by 49%.
  • Led the transition from paper-based records to standard, ensuring smoother access to patient data and improving team efficiency.
  • Documented and resolved initiative which led to method.
  • Established partnerships with insurance companies to expedite approval processes, reducing wait time for patients by 3 days.
  • Trained and managed a team of 2 benefit coordinators, improving overall team productivity by 81%.
  • Orchestrated onboarding training sessions for new hires, reducing ramp-up time for benefits coordinators from 9 weeks to 2 weeks.
  • Used category to track benefit approvals and denials, leading to more informed decision making and strategic planning.

Affiliations

  • Certified Healthcare Access Associate (CHAA), through procedure
  • Association for Computing Machinery
  • International Council of Nurses
  • Certified Revenue Cycle Associate (CRCA) Certification from HFMA
  • Certified Member, Association of Clinical Documentation Integrity Specialists (ACDIS)
  • International Association of Administrative Professionals
  • Rotary International
  • Attendee, National Healthcare Access Management Conference 2022
  • Jaycees
  • Member, Council of Insurance Agents & Brokers (CIAB)

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Professional in Patient Access Services (CPPAS) - National Association of Healthcare Access Management (NAHAM)
  • Google Certified Professional Cloud Architect
  • Certified Patient Accounts Technician (CPAT) - American Medical Billing Association (AMBA)
  • First Aid/CPR Certified
  • Certified Medical Billing Specialist (CMBS) - procedure
  • Certified Healthcare Billing and Management Executive (CHBME) - Healthcare Business Management Association (HBMA)
  • Certified Professional Coder (CPC) - metric
  • SHRM Certified Professional (SHRM-CP)
  • Certified Patient Account Representative (CPAR) - National Healthcareer Association (NHA)

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