Experience

Scripps Mercy Physician Partners

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

• Patient Relations Coordinator

  • Jun 2022 - Present

  Provides risk management services including planning, developing, monitoring, entering and reporting data from the database related to patient relations and privacy disclosures. Provides follow up on events and works toward process improvement with the different departments. Assists with claims management including monitoring and resolving patient relations cases in coordination with site risk manager. Is an advocate for concerned patient and family members during or after their stay, or receipt of service in the facility. Listens to issues, investigates concerns, and provides feedback to requesting individual(s). Routinely responsible for writing letters and preparing reports. Show less



Scripps Health

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

• Patient Services Specialist

  • Apr 2018 - Jun 2022

  Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquires as needed. Effectively manages the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns. Acts as a member of the patient care team by supporting the clinical care staff in the care of the patient. Show less



Lyft

• Iran
• Internet
• 1 - 100 Employee

• Driver

  • Jul 2015 - Apr 2018

  Transported customers to city and suburban locations while following all safety regulations, Carried luggage wheelchairs walkers and groceries as needed for elderly or infirm passengers, offered door-to-door assistance as needed, Thoroughly checked brake controls and fuel levels before each shift, Ensured vehicle cleanliness at all times, Provided excellent customer service. Transported customers to city and suburban locations while following all safety regulations, Carried luggage wheelchairs walkers and groceries as needed for elderly or infirm passengers, offered door-to-door assistance as needed, Thoroughly checked brake controls and fuel levels before each shift, Ensured vehicle cleanliness at all times, Provided excellent customer service.



Uber

• Türkiye
• Advertising Services
• 100 - 200 Employee

• Customer Service

  • Jul 2015 - Apr 2018

  Transported customers to city and suburban locations while following all safety regulations, Carried luggage wheelchairs walkers and groceries as needed for elderly or infirm passengers, offered door-to-door assistance as needed, Thoroughly checked brake controls and fuel levels before each shift, Ensured vehicle cleanliness at all times, Provided excellent customer service. Transported customers to city and suburban locations while following all safety regulations, Carried luggage wheelchairs walkers and groceries as needed for elderly or infirm passengers, offered door-to-door assistance as needed, Thoroughly checked brake controls and fuel levels before each shift, Ensured vehicle cleanliness at all times, Provided excellent customer service.



Sharp Health Plan

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

• Eligibility Analyst

  • Jan 2015 - Jan 2016

  Audits eligibility data and system setup to ensure high data quality, Completes inbound and outbound eligibility data reconciliations, identifies and resolves root causes of discrepancies, Provide recommendations for system and process enhancements to improve accuracy, Train users on eligibility processes and functionality, system enhancements, software changes, and eligibility processes, Collaborate with Systems Analyst-Enrollment, I.S. and other key departments on eligibility operations and functionality, Coordinates and performs trouble shooting activities, Downloads and processes enrollment files. Manipulates files as needed using excel or other database tools to ensure accurate data upload, Utilizes FTP and CureIS to upload files into GE, Ensures file turnaround times are kept within agreed upon department time frame, Develops solid professional working relationships with various internal departments, units, vendors, providers, employers, brokers and other customers, Participate in special projects and other duties which may include but are not limited to work groups, proposals, and audits and back up support for other departments. Show less



Sharp HealthCare

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

• Account Analyst III

  • Oct 2011 - Jan 2015

  Research and trend payer issues and identifying systemic issues, Work independently auditing patients accounts, Identify, track and resolve underpayments with payers, and escalate issues, Handle HMO accounts to resolve payer edits, claim encounter issues and eligibility inquires, Identify root cause of rejections, claim issues or payment issues by utilizing effective and creative problem solving techniques within Managed Care guidelines to develop quality service and resolve problems in collaboration with trading partners, vendors, management teams and the system analyst claim support and IT Team, Demonstrate strategic and forward thinking by conducting thorough analysis of downstream and upstream impact of issues and propose solutions using sound judgment and intuitive, Reviews/audits payment posting batches, charge correction batches, credit balances and other invoice/batches as deems necessary to ensure AR Quality compliance, Works on special projects assigned to resolve complex AR issues with HMO claim forms, encounters, payer edits affecting patient balances whether debit or credit, Participate in special projects and other duties which may include but are not limited to work groups, proposals, and audits and back up support for other departments. Show less

• Account Analyst II

  • Feb 2009 - Oct 2011

  Obtain referrals and pre-authorizations as required for procedures, Check eligibility and benefit verification, Review patient bills for accuracy and completeness and obtain any missing information, Prepare, review, and transmit claims using billing software, including electronic and paper claim processing, Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid, Follow up on unpaid claims within standard billing cycle timeframe, Check each insurance payment for accuracy and compliance with contract discount, Call insurance companies regarding any discrepancy in payments if necessary, Identify and bill secondary or tertiary insurances, All accounts are to be reviewed for insurance or patient follow-up, Research and appeal denied claims, Answer all patient or insurance telephone inquiries pertaining to assigned accounts, Set up patient payment plans and work collection accounts, Update MPV billing software with rate changes, Update cash spreadsheets, runs collection reports. Show less



Aerotek

• Musicians
• 1 - 100 Employee

• Payroll Specialist

  • Jan 2007 - Feb 2009

   Managed weekly payroll to over 200 employees and clients. Orientation, new hire paperwork, and end of assignment processing weekly accuracy audits. Insured policies, procedures, and state labor laws were in compliance. Processed workers compensation and unemployment documentation, attended hearings and maintained compliance to all regulations related to claims  Managed weekly payroll to over 200 employees and clients. Orientation, new hire paperwork, and end of assignment processing weekly accuracy audits. Insured policies, procedures, and state labor laws were in compliance. Processed workers compensation and unemployment documentation, attended hearings and maintained compliance to all regulations related to claims



P.H Property Management

• United States
• Real Estate

• Assistant Property Manager

  • Jan 2004 - Jan 2007

   Assembled and prepared monthly owner statements to distribute timely. Processed rental applications, determined qualification, prepared rental agreements to contract with potential tenants, processed delinquent payment and eviction documentation. Scheduled property maintenance for contracted staff. Advertised properties and proposed operational strategies for marketing rentals. Scheduled viewings for available rental properties  Assembled and prepared monthly owner statements to distribute timely. Processed rental applications, determined qualification, prepared rental agreements to contract with potential tenants, processed delinquent payment and eviction documentation. Scheduled property maintenance for contracted staff. Advertised properties and proposed operational strategies for marketing rentals. Scheduled viewings for available rental properties



Radiators and Glass

• Canada
• Construction

• Office Manager

  • Jan 1999 - Jan 2004

   Supervised 8 employees. Completed payroll, arranged schedules, organized meetings, conducted interviews, hired and terminated employees. Provided customer service, price quoting, invoicing, insurance billing and sales. Conducted daily and weekly accounts receivable audits, processed all accounts payable Scheduled job orders, work routes and dispatched between contractors Ordered and returned parts, maintained daily and weekly inventory control tracking  Supervised 8 employees. Completed payroll, arranged schedules, organized meetings, conducted interviews, hired and terminated employees. Provided customer service, price quoting, invoicing, insurance billing and sales. Conducted daily and weekly accounts receivable audits, processed all accounts payable Scheduled job orders, work routes and dispatched between contractors Ordered and returned parts, maintained daily and weekly inventory control tracking