Experience

Community Care Plan
• United States
• Insurance
• 100 - 200 Employee
• Provider Operations Coordinator

  • Apr 2023 - Present


iRhythm Technologies, Inc.

• United States
• Medical Equipment Manufacturing
• 700 & Above Employee

• Patient Financial Navigator

  • Oct 2020 - Apr 2023

  Manage inbound calls from patients inquiring about coverage and benefits for cardiac monitor usage as prescribed by the physician Verify patient information following HIPAA guidelines to ensure patient privacy Ensure that patients are aware of any and all costs associated with their cardiac devices as well as programs to help offset any costs with insurance coverage Advise patients of the options for discounted self-pay, also taking the time to overview financial assistance programs as well as payment plan options offered in-house Manage priority projects for certain doctors' offices requiring close work with insurance providers to ensure coverage of devices for patients; follow up with Primary Care Referrals and Prior Authorizations as required by the patient's insurance provider Ensure follow-through on patient requests for specific benefit information from insurance providers and steps needed for clinical utilization of cardiac monitors Contact insurance companies and provide clinical CPT and diagnosis codes to ensure accurate coverage and benefits to provide to the patient Contact patients who are prescribed Mobile Cardiac Outpatient Telemetry (MCOT) and overview proper use of the device as well as disclaimers Request medical records from clinical sites to be reviewed by the patient's insurance provider to ensure coverage of cardiac monitor Ensure completion of accounts receivable for correct submission and billing of claims Complete benefits verification for registrations of Cardiac Monitors provided by hospitals for immediate patient utilization upon discharge Update registration errors, correcting insurance details and patient demographics Show less



Baptist Health

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

• Physician Practice Representive

  • Sep 2019 - Apr 2023

  Schedule and coordinate cardiac diagnostic procedures for the cardiology group (Echo, Vascular studies, Nuclear Testing)Ensure Post-Op testing is scheduled and completed according to cardiac procedure protocolReview physician orders to ensure correct diagnostic testing is being performed on the patientUpload daily cardiac monitor reports for physician review and update on critical resultsEnter final result reports for daily Heart Monitors as well as create billable encountersRegister patients for diagnostic procedures and verify all patient information is entered correctly Communicate to Medical staff about patient delays and patient concerns prior to testingConfirm patient arrival for the appointment and instruct on preparations for the diagnostic examCoordinate with pacemaker clinic to make billable encounters for remote access pacemakersManage multi-line phones in which I communicate with patients, staff, and medical personnel Show less

• Senior Patient Coordinator

  • Sep 2014 - Sep 2019

  Miami Cancer Institute Scheduled new patient consultations for radiation therapy from referring physician groupsObtained and meticulously organized all incoming new patients' medical records for the radiation oncologist to review before the consultationManaged multi-line phones, assisting patients with follow-ups and re-evaluation processes when the care path indicated a change in the patient's careRegistered patients for consultation and reviewed policies and hospital procedures for radiation therapyCommunicated any delays or concerns of patients to physicians, nurses, and radiation therapy techniciansCoordinated and directed all Proton Therapy inquiries to the Medical Director for reviewMaintained a patient scheduled log for statistical and research purposes, with attention to the disease site and the medical doctor treating the patient Show less

• Administrative Partner

  • Jan 2014 - Dec 2014

  Mother Baby UnitWelcomed and assisted incoming family members, ensuring they had proper identification to access the Newborn nurseryEfficiently managed multi-line phones, facilitating communication between nurses, Pediatricians, and Neonatologists regarding the status of newbornsAdmitted and meticulously organized all newborn records, assembled charts for hospital staff use. Regularly updated records, including labs, x-rays, and consultsAccurately transcribed and promptly followed up on all doctor's orders, placing infants in appropriate areas based on their required level of careThoroughly reviewed patient charts for any pending orders and notified Pediatricians about any newborn updatesLiaised with patient insurance providers to acquire necessary authorizations and verificationsCommunicated the census and unit needs to the nursing team, ensuring efficient and effective management of the units. Show less

• Administrative Partner

  • Dec 2012 - Jan 2014

  Neonatal Intensive Care UnitGreeted patient families and explained the unit's code of conduct and hygiene guidelines for visiting the Intensive Care Environment.Efficiently handled multi-line phone systems and accurately directed calls to the appropriate personnel and departments to ensure efficient communication for patient care.Transcribed physician's orders as instructed by nurses and nurse practitioners and sent specimens to the lab according to lab guidelines.Restocked all supplies in the four NICU units to support 24/7 patient care and treatment.Collaborated with other hospital departments to create patient care plans and schedule diagnostic testing.Contacted patient's insurance carriers to obtain authorization and verification for procedures as well as change in status Prepared the unit for the next shift by reporting all tasks that required follow-up. Show less

• Patient Financial Representative

  • May 2011 - Dec 2012

  Baptist Outpatient Services Urgent CareGreeted patients and directed the patient's families and visitors accordinglyManaged patient charts and acted as a liaison between the patient and healthcare personnel by keeping the lines of communication flowingCross-referenced medical codes with patient information prior to discharge and collection of paymentEfficiently handled multi-line phone systems and accurately directed calls to the appropriate personnel and departmentsCommunicated with nurses and physicians about the patient's needs to facilitate the safety and quality of patient carePrepared the center for the next day's opening by replenishing inventory and organizing the required paperworkFacilitated effective training for new hires, ensuring their efficient understanding and adherence to codes and policies Show less



Miami Seaquarium

• Hospitality
• 1 - 100 Employee

• Associate

  • Jul 2006 - May 2011

  Dolphin Harbor Manage multi-lined phones Review club calendar of events, daily department updates, daily tee sheets, daily park reservations, function sheets and hours of operation daily in order to answer questions intelligently and to help direct members Assist with preparing and printing of club events, activities, menus and promotions Assist with registration tables for club events – checking members and guests in and communication all attendance changes with the manager on duty Direct visitors to appropriate areas throughout the park Capture and edit professional photos with Nikon 650 and Kodak computer program Assist accounting department with filing, daily record keeping other administrative tasks Communicate information to appropriate entity in order to meet member requests/needs Prepares weekly activity reports as required Conduct Training sessions for new hires, so they can efficiently gain knowledge of the work environment Show less