Experience

Suburban Community Hospital

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Insurance Verifier/Financial Analyst

  • Jan 2019 - Present

  ➤ Managing patient check-ins, providing excellent customer service and handling hospital admission by verifying patient insurance, reviewing prior authorization and obtaining referrals, communicating with patients for additional information. ➤ Overseeing the registration desk for the ER department by conducting patient questionnaires, admitting patients into the hospital, processing discharge documents and obtaining insurance information from patients. ➤ Collaborate with inter-departmental staff to organize and conduct efficient patient services, documenting patient insurance, reviewing and analyzing missing claims, and transmitting correspondence to patients and insurance providers. ➤ Adhering to regulatory compliance and protocols to maintain patient confidentiality, ensuring HIPAA safeguards, performing data entry on patient records and assist with case management services. Show less



Eagleville Hospital

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Admission Coordinator

  • Dec 2018 - Nov 2019

  ➤ Acting as the Patient Accounts/Finance Department liaison to the Admissions Department and their representatives. ➤ Meeting with clients presenting for admission to elicit information needed to complete admission records and to explain specific consent forms, financial arrangement payment agreement forms, and other documents requiring signatures. ➤ Greeting clients and their family members upon arrival to the Admissions Department, logging clients' names and times of arrival on daily log form, labeling or securing clients' luggage, and obtaining clients' signatures on consent forms. ➤ Requesting clients' medical insurance cards, obtaining authorizations from different insurance companies, and completing coverage verification for all prospective insurance to assure sufficient funding before admitting. ➤ Developing and maintaining relationships with medical staff and patients as well as facilitating the transfer of clients from the Detox/Care Unit to the Inpatient Program, Non-Hospital Programs, DDU Unit, and between those programs. ➤ Reviewing referrals and determining if they can be accepted based on admission criteria and then reaching out to the liaison in response to referrals that would be able to be accepted and obtaining more information on specific referrals. ➤ Registering staff and submitting medical claims to insurance companies and payers such as Medicare/Medicaid. ➤ Handling all incoming calls, conducting pre-admission telephone interviews with all clients seeking admission, recording pertinent information, inputting patient data into the hospital system, and setting up patient profiles. Show less



Abington Memorial Hospital

• Scheduler

  • Jan 2016 - Jan 2019

  ➤ Scheduled outpatient appointments, pre-registered patients for their appointments according to established clinical guidelines, insurance regulations, and regulatory requirements, and performed data entry and filing tasks.➤ Completed scheduling with subsequent order entry, medical necessity checking, and pre-certification screening.➤ Performed patient registration, order entry, insurance verification, medical necessity checking, and cash collection for all outpatients seen at the main campus and off-campus sites to facilitate quality patient care and timely reimbursements.➤ Managed multiple phone lines in a courteous manner and obtained reason for calling prior to placing caller on hold.➤ Performed telephone screening interviews using questionnaire, greeted patient post office visit in a polite, prompt, and helpful manner, verified and updated patient data including insurance and pre-certifications if necessary.➤ Maintained files and coordinated special projects, scheduled procedures as requested, printed patient plan from office appointment for medical staff, completed prior authorizations, and requested referrals for procedure date.➤ Presented information to patients regarding preparation for procedures and provided instructions for procedure day.➤ Assisted with operations-related tasks including billing or payroll processing as well as managed and coordinated scheduling for caregivers or clients, and developed and maintained relationships with medical staff. Show less

• Nutrition Associate

  • Feb 2013 - Jan 2016

  ➤ Oversaw meal and food service to ensure patient satisfaction for patients ranging from infancy through late adulthood.➤ Coordinated patient meals while understanding different dietary or nutritional requirements based on patient conditions.➤ Inputted data regarding the consistently rotating patient menu database for easy access, contributed to the success of the hospital tray line management and the delivery of food➤ Provided nutrition care for patients in accordance with current federal, state, or local standards, guidelines, and regulations that govern the facility while building and maintaining effective relationships with employees and guests.➤ Properly handled complaints and provided comprehensive service before escalating any issues to leadership.➤ Worked effectively with others to ensure that quality nutritional services were being provided on a daily basis and supported the Director of Dining Services so that the department was maintained in a clean, safe, and sanitary manner.➤ Provided education on general principles of nutrition while conducting resident interviews on dietary preferences. Show less