Successful in coordinating patient care and providing comprehensive customer support service, with expertise in healthcare systems and financial services. Skilled in managing sensitive information and enhancing patient experiences through effective communication. Work as a team player with integrity. Strong background in customer relations and care coodination.
Overview
13
13
years of professional experience
Work History
Patient Care Navigator
Summit Healthcare Regional Medical
Show Low, AZ
09.2024 - Current
Oversaw collaboration among multiple provider offices to streamline operations. Directed scheduling of radiology scans and facilitated referrals to in-house specialists.
Entered radiology orders accurately and efficiently. Assisted providers with CPT codes and ICD-10 special instructions. Supported team in maintaining organized documentation.
Oversaw authorization verification processes to facilitate timely patient appointments. Collaborated with insurance companies to secure prior authorization, enhancing patient scheduling efficiency.
Compiled and dispatched consult notes following patient office visits for accurate medical record-keeping.
Facilitated care coordination for patients to enhance overall health outcomes.
Customer Service Representative
Evolent Health
Arlington, VA
10.2022 - 09.2024
Assist contracted providers with inquiries; such as claims status, authorization status, claims submission, provider affiliation with Mediciad plan.
Conducted quality assurance reviews to maintain high service standards and identify areas for improvement.
High volume call center. Worked remotely for Medicaid insurance based out of New York City.
Maintained knowledge of company website to provide helpful suggestions and recommendation to our providers.
Escrow Assistant
Lawyers Title Company
Show Low, AZ
09.2020 - 08.2022
Facilitated communication between clients, real estate agents, and lenders to ensure seamless transactions.
Prepared and reviewed escrow documents for accuracy and compliance with regulations.
Coordinated closing processes by scheduling appointments and ensuring timely document delivery.
Assisted in resolving discrepancies by collaborating with various stakeholders to gather necessary information.
Patient Support Services
Summit Healthcare Regional Medical
Show Low, AZ
08.2013 - 09.2020
Execute scheduling of various radiology scans; CT, MRI, Nuc Medicine, Interventional Radiology, and Mammogram/ Dexa in our facility.
Skilled at working independently and collaboratively in a team environment.
Streamlined scheduling processes to enhance operational efficiency in patient care.
Managed verification of patient insurance benefits, distinguishing between in-network and out-of-network options. Coordinated authorization processes with multiple insurance providers before scheduling services.
Secured authorization for outpatient surgical procedures across general surgery, OB/GYN, urology, and ENT specialties.
Delivered comprehensive patient care by addressing inquiries regarding referrals and radiology scans.