Experience

myNEXUS®
• United States
• Hospitals and Health Care
• 1 - 100 Employee
• Operations Specialist

  • Aug 2019 - Present

Ascension Care Management
• United States
• Member Experience Apprentice

  • Oct 2018 - Aug 2019


Fresenius Medical Care North America

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Financial Coordinator

  • Mar 2017 - Jul 2018

  • Patient Financial Oversight – Explores, recommends, and coordinates the varied financial assistance options available to FMS kidney dialysis patients in order to ensure the provision of the best financial resources possible for each patient in the assigned (12) clinics, while maximizing revenue for the company. • Patient Education – Visits assigned clinics on a daily, weekly, or monthly basis to meet with patients to identify, address, research and resolve insurance coverage issues. Educate patients as to availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA). • Insurance Tracking – Monitors all patients’ insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. Addresses any identified anomalies or discrepancies, researches and answers questions as needed. • Insurance Quality Analysis – Provides QA team members with information regarding the details of the patients’ primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA policies. • Financial Assistance – Collects financial information to determine if premium assistance is needed. This may include but is not limited to the following: Completing the American Kidney Fund (AKF) premiums assistance applications on behalf of the patients who qualify and preparing quarterly premium payment requests on all participating patients. • Billing Analysis – Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified. • Month End Reporting – Prepares monthly Financial Coordinator reports to track work progress on monthly basis and to submit to Manager FC; Director FC, BU Controllers and other pertinent personnel.



Dialysis Clinic, Inc.

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Liaison, Patient Assistance

  • Aug 2014 - Mar 2017

  • Application Review – Receive requests for insurance premium payments from DCI; review for completeness and approve patient Financial Analysis Forms (FAF). • Insurance Investigation – Use DCI billing applications to research patient insurance status; be knowledgeable of health insurance and health insurance issues/changes pertaining to the AKF program. • Process Development – Assist in the development and presentation of education materials for DCI Social Workers and Financial Coordinators. • Training – Facilitate training to DCI Social Workers on the proper procedures for entering grant requests and Financial Analysis Forms (FAF) into the DCI Darwin system. • Financial Tracking – Track requests through the AKF payment process to ensure payments are being made in a timely manner; review the DCI Darwin system for proper accounting of charges to the clinics to support the Return on Investment report. • Data Entry – Enter applications and/or grant requests into the AKF Grants Management System (GMS) for AKF to process insurance payments. • Reporting – Prepare Excel spreadsheets as needed for monthly patient re-application tracking purposes.



Apria Healthcare

• Hospitality
• 1 - 100 Employee

• Specialist, Customer Quality

  • Aug 2011 - Aug 2014

  • Insurance Verification – Verifies insurance information for accuracy and completeness and resolves discrepancies as needed; obtains clinical information needed for order processing or reimbursement. • Patient Communication – Contacts patient(s) to advise them of the order placed on their behalf and to confirm all patient demographic information; communicate any financial responsibilities and/or additional information necessary for processing the order received; promote other company product and services as appropriate; demonstrates professional etiquette and courtesy when interfacing with customers. • Documentation/Order Review – Maintains appropriate documentation received with order and conducts follow-up as applicable; ensures proper selection of information online to ensure timely delivery and appropriate revenue recognition for order; process information received from intake/service personnel. • Dispute Resolution – Resolves patient/customer complaints by identifying problems and coordinating appropriate corrective action. • Training – Facilitate training to new hires on proper procedures on how to process orders accurately and efficiently.



State of Tennessee (Dept. of Children Services)

• Specialist II, Administrative

  • Jun 2000 - Jul 2011

  • Personnel Administration – Review/approve weekly timesheets; assist HR with employee personnel file maintenance; conduct new hire background checks using Lexus Nexus. • Calendar Management – Schedule and coordinate meetings, appointments, conference calls and travel arrangements for Managers. • Report Preparation – Prepare and modify documents including correspondence, reports, drafts, memos and emails; assists with the development of PowerPoint presentations and departmental financial budget. • Office Supply Maintenance – Responsible for keeping inventory of all office supplies and placing orders as needed. • Training – Assist with training Social Workers on new departmental systems and procedures. • Policy Development – Assist with the implementation and creation of departmental policies and safety procedures.