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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLESUMMARY: A self-motivated professional who can generate new ideas and develop effective solutions by analyzing problems and information. Continuously open-minded, proactive, respectful, and accountable. Uniquely effective in building and maintaining professional relationships.SKILLS:Office Administration Scheduling Phone Etiquette Computer Operation Front Desk Typing Customer Service Cash Register SharePoint Billing Records Insurance VerificationEXPERIENCEPalmer Group/The Iowa Clinic: January 2024 to May 2024 Contract Patient Account Representative Performed duties related to outstanding patient balances via incoming and outbound phone calls, emails, and live chats. Maintained thorough understanding of customer service, medical billing processes and medical terminology Monitored account collection queues and followed through on new and pending tasks Processed credit card payments received from patients that have called in to the customer service line or received via mail Answered and documented patient phone calls and inquiries from a multi-line phone system, live chat, and email Made outbound calls to collect payments on past due accounts Provided outstanding customer service to patients and resolved their concerns, which could include refiling of insurance claims, transferring payments to other charges/databases, and sending itemized statements Arranged financial agreements to assist with patient balances Maintained awareness of applicable laws and/or regulations affecting area of responsibility and made recommendations for changes to ensure compliance Actively pursued inconsistencies and/or inaccuracies in coding and/or billing and appropriately brought them to the attention of the leadership team Maintained confidentiality of all corporate, patient, and financial information Maintained awareness of workload of co-workers and offered assistance as appropriate UCS Healthcare: West Des Moines, IA January 2022 to May 2023 Patient Services Trainer UCS Healthcare January 2023 to May 2023 Provided in-person and telephone training to Patient Services staff members Assisted in new hire training including training new hires on insurance benefits Verified insurance through multiple insurance portals Communicated with other teams within UCS to ensure processes were followed and executed correctly Coached and provided positive and constructive feedback to team members Tracked progress for the team on processes we trained on Assisted in creating and maintaining current and new workflows Identified training needs for current and new staff Completed and filed training notes Covered the front desk when help was needed Completed Relias and other online trainings when needed Attended staff meetings and met with supervisors regularly Handled confidential work Attended training for NetSmartIntake Specialist/Coordinator January 2022 to January 2023 Performed intakes, collected picture ID and insurance card from potential clients Verified insurance for services using WayStar or other insurance portals Verified if the client was a returning client and look for back balances they may have owed before being able to provide care Built new clients into CareLogic system and updated returning client information in the system Explained our consents to clients before asking them to sign Educated clients about possible grant assistance if needed Answered calls on the intake line and provided information about intake and assessments Completed intake over the phone Placed clients on the assessment schedule for an assessment for substance abuse Scheduled appointments for clients needing a mental health assessment Communicated with clinical staff for upcoming assessments Managed the front desk/MAT clinic lobby Greeted clients and communicated with nurses to let them know their patient had arrived Answered the telephone Verified patient information to access their account Scheduled and canceled appointments Processed payment for back balances or copays Helped with monthly eligibility (insurance) batches Verified that payment amounts were correct and updated the spreadsheet with the correct payment that was expectedMethodist Hospital: Des Moines, IA June 2021 to December 2021 Patient Care Technician/Nursing Assistant Communicated which patients were on my roster and provided a report to the next PCT shift Took notes on the daily needs of my patients and made rounds every 4 hours Took vitals and checked blood sugar at specific times and charted them into the patient record Communicated with nurses about patient needs and if the patient's vitals were concerning Adjusted patients in their beds when needed Assisted with restroom, nutritional, and bathing needs Stocked patient rooms with supplies that were needed for their stay Assisted with physical therapy when needed Emptied catheters and colostomy bags and charted the contents Provided post-mortem careLifeServe Blood Center March 2021 to June 2021Donor Services Representative II Screened donors prior to donation via review of pre-appointment questionnaire and review of responses with the donor to verify accuracy and detect potential obstacles to donation Checked donor vital signs including blood pressure, pulse, temperature, hemoglobin, height, and weight Completed donor check-in, scheduled appointments, and entered client information into a database Verified accuracy of donor personal information Performed standard phlebotomy procedures including inspecting and marking the phlebotomy site, accurate labeling of collection bags and tubes, sterilizing using chloro-prep, and administering stick Monitored donor during the donation process and educated on aftercare of donation site Southeast Polk Community School District: Runnells, IA October 2017 to March 2021 Teacher Aide Assisted students with day-to-day classroom tasks and provided behavioral guidance and coaching Observed and recorded student behavior and activities on appropriate Medicaid forms for insurance and billing purposes Maintained HIPAA, Mandatory Reporter, and CPI certifications Orchard Place Child Guidance Center: Des Moines, IA January 2017 to October 2017 Insurance and Intake Specialist Processed client intakes into the center and collected pertinent information Verified insurance benefits Collaborated directly with insurance companies to obtain prior authorizations for certain insurance benefits Worked with clients to schedule appointments Filed client paperwork and maintain client chart Submitted correspondence to the Department of Human Services and insurance companies Corresponded with client therapists to provide feedback regarding clients Processed payments for copay or coinsuranceIowa Ortho: Des Moines, IA August 2016 to December 2016 Patient Experience Specialist Provided direct assistance to incoming patients regarding appointment details, insurance queries, and financial matters Verified patient insurance eligibility and collected copays and payments Scheduled appointments, Maintained electronic client profiles, filed documents, and submitted work batches into completed files Filed all paperwork into patient charts electronically Faxed/scanned work batches into completed files and filed them into the corresponding file cabinet AmeriHealth Caritas (Temporary Position): Des Moines, IA April 2016 to August 2016 Utilization Manager Field incoming calls and process prior authorizations Verified insurance benefits for DME Verified CPT codes for coverage Transferred inpatient prior authorizations to desk nurses Built peer-to-peer cases for in-house doctors Trained new employees on Java Indexed and filed correspondence into appropriate client chart Ankeny Community School District: Ankeny, IA August 2013 to April 2016 Teacher Aide Assisted students with day-to-day classroom tasks and provided behavioral guidance and coaching Observed and recorded student behavior and activities on appropriate Medicaid forms for insurance and billing purposes Maintained HIPAA, Mandatory Reporter, and CPI certifications EDUCATION:Hamilton College: Urbandale, IA October 2004Associate of Applied Science in Medical Assistant |
