Dedicated Patient Financial Specialist with over 15 years' experience in medical billing. Skilled in insurance verification, obtaining authorizations and patient account management. Committed to maintaining confidentiality and providing compassionate service to patients navigating financial aspects of care.
Overview
28
28
years of professional experience
Work History
Patient Financial Specialist
Prisma Health Cancer Institute
Greenville
06.2021 - Current
Educated patients on financial options and payment plans available.
Assist patients with applying for financial assistance, SC Medicaid
Assisted patients in understanding and completing necessary paperwork for insurance coverage.
Verify insurance eligibility and benefits
Guided patients in accessing resources for medical bill assistance, including charity programs and government aid.
Assist in finding copay assistance for drug/treatments costs
Assist in finding drug assistance for oral and chemotherapy medications for uninsured patients
Run estimates for chemotherapy treatments and all self-pay patients
Obtain authorizations for chemotherapy, oral medications, lab and radiology procedures
Obtain VA authorizations
Completed disability and FMLA paperwork for eligible patients to ensure compliance with regulations.
Investigated denials and submitted appeals.
Assisted in resolving billing disputes through effective communication.
Collect any fees/balances due (self-pay charges, copay, deductible, out of pocket, coinsurance, etc.)
Schedule peer to peer with insurance company & providers
Complete forms and print UB-04 claim forms for cancer policies
Surgical Coordinator
Prisma Health Eye Institute
Greenville
03.2018 - 06.2021
Scheduled multiple daily surgeries, including cataract, blepharoplasty, and MOHS procedures, to optimize operating room efficiency.
Collaborated with surgeons and nursing staff to ensure seamless patient flow.
Managed patient communication regarding pre-operative and post-operative instructions.
Responded to patient inquiries regarding scheduled surgeries and follow-up visits to ensure clear communication and support.
Secured authorizations for outpatient surgeries to facilitate timely patient care.
Coordinated incoming and outgoing patient referrals to enhance care coordination and facilitate timely access to services.
Maintained accurate patient records in electronic health systems and databases.
Front Desk Receptionist
Retina Consultants
Greenville
06.2016 - 12.2017
Welcomed patients and visitors, ensuring a positive first impression of the facility.
Managed patient check-in and check-out processes efficiently.
Verified insurance eligibility and benefits, facilitating smooth patient experiences.
Scheduled appointments using electronic medical record systems accurately.
Coordinated incoming and outgoing patient referrals, ensuring timely and accurate processing.
Performed various clerical tasks to support office operations.
Maintained accurate medical records for healthcare providers.
Front Desk Receptionist
Medical Oncology Associates
Aiken
08.2014 - 02.2016
Greeted patients and visitors with a friendly and professional demeanor.
Managed patient check-in and check-out processes efficiently.
Facilitated patient registration process to ensure smooth check-in.
Scheduled appointments using electronic medical record systems accurately.
Answered phone calls, directing inquiries to appropriate staff to enhance communication flow.
Coordinated communication between patients and healthcare providers effectively.
Maintained organized patient records in compliance with privacy regulations.
Verified insurance eligibility and benefits for patient services.
Handled payment processing and provided customers with receipts and proper bills and change.
Resolved customer complaints and issues promptly, ensuring adherence to established protocols.
Provided administrative support such as filing documents, photocopying and scanning materials.
Processed incoming and outgoing patient referrals efficiently.
Lead scheduler for all outpatient testing (MRI, CT, PET scan, biopsy, etc.)
schedule urgent, inpatient hospital admissions
obtain authorizations for miscellaneous tests (MRI, CT, PET, biopsy, etc.)
Ensured waiting area remained clean and welcoming for all visitors.
Scheduled routine office maintenance to ensure a functional workspace.
Front Desk Receptionist
Southern Eye Associates
Greenville
04.1998 - 03.2002
Streamlined patient check-in and check-out processes to enhance patient flow.
Scheduled appointments using electronic medical record systems accurately.
Executed patient registration process to ensure accurate and timely data entry.
Managed incoming phone calls professionally.
Verify insurance benefits & eligibility
schedule in-office procedures and testing
Coordinated general clerical duties to support smooth office operations.
collect copays, self-pay fees and account balances