Healthcare professional with extensive experience in coordinating patient care and ensuring smooth operations in clinical settings. Seeking a responsible position within the company where my experience, education, and personal abilities will make a positive impact and contribute to the success of the company.
Overview
19
19
years of professional experience
Work History
Lead Patient Care Coordinator
Coram Healthcare/CVS Caremark
08.2020 - Current
Successfully trained over 10 new Patient Care Coordinators with understanding daily PCC tasks, become proficient with EPIC, Salesforce and/or HCN360, understanding different types of insurance and successfully relaying benefits to the patient, collecting copays for managed care and Medicare patients, Issuing refunds and Obtaining legal documents electronically prior to start of care
Available to all employees to assist with any questions, concerns, help with de-escalating difficult situations and assist with completing patient onboarding process
Customer Care Representative
Coram Healthcare/CVS Caremark
07.2013 - 08.2020
Worked all new referrals, entering patients into our database and spoke with patients to verify all information is correct and explained their insurance coverage
Worked closely with the pharmacy and sales team to ensure great customer service and seamless transition to home infusion
Obtained imaging authorizations for all imaging departments
Worked closely with insurance companies, patients and nurses to ensure each patient was seen timely
Responsible for registering patients prior to Imaging appointments
Verify demos, obtain missing clinical information and relaying insurance benefits
Regional Admissions Representative
Coram Healthcare/CVS Caremark
01.2008 - 10.2009
Coordinated all in-coming new patient referrals for home infusion therapy
Verified patient's eligibility and benefits with health plans and medical groups
Worked with medical group and/or health plans in obtaining authorizations for services
Worked closely with the pharmacy and sales team to ensure great customer service and seamless transition to home infusion for patients
Confirmation Specialist/Managed Care Collector/Biller
Super Care Medical
12.2005 - 01.2008
QC patient orders before confirmed (Check Eligibility notes, co-pays, if authorization is correct and current for the payor, check through guidelines to see if procedures are covered, obtain doctors UPIN and NPI numbers)
Appeal claims that have been denied incorrectly
Answer billing calls and successfully resolved billing issues from patients and insurance companies
Verified patient insurance eligibility
Mail out claims with correct documentation (Authorizations, CMN, prescriptions, sleep studies, proper medical records, EOB's)
Patient Care Coordinator Reginal Supervisor at Coram Healthcare/CVS CaremarkPatient Care Coordinator Reginal Supervisor at Coram Healthcare/CVS Caremark