Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
19
19
years of professional experience
Work History
Eligibility Clerk
San Leandro Hospital
03.2024 - Current
Gathering and entering patient information, including demographics and insurance details.
Maintaining patient records in computer systems or paper files.
Informing patients about their rights and responsibilities, admission processes, and financial obligations.
Verifying insurance coverage and authorizations, and communicating eligibility to patients.
Collecting co-pays, deductibles, and co-insurance, and setting up payment plans.
Providing excellent customer service to patients and families.
PBX relief.
Patient Financial Clearance Lead
Stanford Health Care
07.2011 - Current
Assists with coverage efforts, staff scheduling and daily assignments
Willing to worked varied shifts to cover absent team members.
Completes insurance and authorization processes and assigns daily task and monitor daily activities and workflow.
Prepares timely reports/communicates to Department Manager the status of their service lines with respect to potential problems,changes, or requirements.
Performs daily quality review evaluations of staff and provide feedback for improvement , reports quality concerns to Manager.
Attend daily, weekly, and monthly meetings on Teams, Zoom, or Webex.
Provides staff with patient support in escalations as needed.
Serves as a subject matter expert to staff for questions regarding insurance or authorization problems.
Provides a high level of C-I-Care when dealing with Patients/ Clinical Staff and team members.
Maintains the necessary technical expertise and knowledge, and information on payor requirements to ensure that all staff members information on payer requirements to ensure that all staff members are following appropriate requirements and receiving necessary compliance training.
Provides effective leadership direction to immediate subordinates to include creating work tools to enhance productivity and establishing process improvement procedures.
Call Center Agent
Stanford Healthcare
02.2009 - 07.2011
Managed a large amount of inbound calls in a fast-paced call center environment.
Identified customer's needs and clarified information pertaining to benefits, claims, scheduling , eligibility, and billing questions.
Maintained a strict standard of confidentiality to ensure that our members' protected health information is secure.
Medical Assistant
Menlo Medical Clinic
01.2006 - 02.2009
Completed and submitted clinical documentation in accordance with Menlo Medical guidelines.
Obtained client medical history, medication information, symptoms and allergies.
Sanitized, restocked and organized exam rooms and medical equipment.
Performed clerical duties, such as word processing, data entry, answering phones and filing, scheduling.
Verified appropriate lab couriers picked up collected lab specimens.
Efficiently performed insurance verification and pre-certification and pre-authorization functions.
Performed preliminary physical tests, such as blood pressure, weight and temperature, administer injections, accurately recording results in patient history summary.
Education
Associate of Science - Health Sciences
Merritt College
Oakland, CA
05.2022
Skills
EPIC Superuser
Organizational Skills
Healthcare Terminology
Patient Care
Insurance Verification
Medical Office Experience
Authorization
Timeline
Eligibility Clerk
San Leandro Hospital
03.2024 - Current
Patient Financial Clearance Lead
Stanford Health Care
07.2011 - Current
Call Center Agent
Stanford Healthcare
02.2009 - 07.2011
Medical Assistant
Menlo Medical Clinic
01.2006 - 02.2009
Associate of Science - Health Sciences
Merritt College
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