Referral Specialist

• Mar 2022 - Present

Verify mental health and substance abuse benefits for patients. Confirm coverage of specific CPT/HCPCS codes. Review required provider needed for specific third-party insurances for us to be able to bill. Work with leadership to further define the process of this position and tasks. Verify mental health and substance abuse benefits for patients. Confirm coverage of specific CPT/HCPCS codes. Review required provider needed for specific third-party insurances for us to be able to bill. Work with leadership to further define the process of this position and tasks.

Supervising Coordinator, Patient Financial Service Insurance Follow Up

• Sep 2019 - Mar 2022

Reach out to individuals to make sure that they feel they have the necessary tools to do their jobs or be an ear for them to vent to. Reach out to insurance companies or other health organizations if we are having issues with claims. Work with my fellow supervising coordinators to establish or adjust workflow processes. Responsible for providing strong leadership in supervising the operational activities for a team of 9 billing specialists. Routinely monitor and track staff productivity using measures that include: tracking AR balance, untimely write offs, etc. Ensure that Institutional and Professional Claims are billed and paid on a timely basis maintaining appropriate communication with clients. Monitor and audit accounts to ensure that staff are documenting all activity in the notes section of the billing system, appropriately and thoroughly. Routinely meet with staff individually and as a team to provide feedback regarding the quality of work and productivity levels. Establishes and monitors performance metrics for each employee to ensure key goals are met. Oversee and provide, as applicable, ongoing education of staff as well as the training of all new hires. Execute the hiring and termination processes for the billing specialist positions on my team. Perform evaluations and competencies no less than annually for existing staff with new staff reviews being at 6 months, all done on or before their due dates. Complete and manage payroll with the monitoring of staff to adherence of time and attendance policies. Recommend and participate in corrective action of staff. Worked with Director and Manager of Patient Financial Services to overhaul our hourly positions into a 4 tier career ladder to create a career path for our employees. Created a workplace environment where employees are encouraged to participate, provide input, be highly effective, work together as a team, and have a positive attitude. Participate in team and departmental goal setting. Show less

Patient Service Representative

• Sep 2019 - Sep 2019

Patient Services Coordinator

• Dec 2017 - Aug 2019

I work in the outpatient department handling incoming referrals and scheduling. I utilize Cerner to register patient encounters with the correct contact, insurance, and physician/diagnostic information. I'm also responsible for scheduling evaluations and treatment for physical, occupational, and speech therapies and coordinate those appointments to the best of my ability given patient and therapist availability. I work in the outpatient department handling incoming referrals and scheduling. I utilize Cerner to register patient encounters with the correct contact, insurance, and physician/diagnostic information. I'm also responsible for scheduling evaluations and treatment for physical, occupational, and speech therapies and coordinate those appointments to the best of my ability given patient and therapist availability.

Certified Pharmacy Technician

• Nov 2014 - Dec 2017

I work well in a fast paced environment multitasking typing new prescriptions, dealing with patients, and filling prescriptions. I problem solve with insurance companies, and try to troubleshoot insurance related prescription issues, problem solve with insurance companies, using my people skills to settle issues with HIPAA policy, and a quick learner of pharmacy policy and procedure. I work well in a fast paced environment multitasking typing new prescriptions, dealing with patients, and filling prescriptions. I problem solve with insurance companies, and try to troubleshoot insurance related prescription issues, problem solve with insurance companies, using my people skills to settle issues with HIPAA policy, and a quick learner of pharmacy policy and procedure.