Experienced healthcare professional with in-depth knowledge of patient financial processes and a dedication to upholding high standards. Proven track record in overseeing patient accounts and resolving billing issues, which enhances the efficiency of healthcare facilities. Emphasis on teamwork and delivering outcomes, with a flexible approach to evolving requirements. Dependability and adept problem-solving skills.
Overview
17
17
years of professional experience
Work History
Patient Financial Coordinator
Summit Orthopedics
08.2021 - Current
Secure insurance approval for services such as surgeries, imagings, injections, therapy, DME orthotics via insurance companies, workers comp, MVA, self pay patients.
Strong communication skills with provider teams and outside facilities to ensure we obtain all required documentations to meet medical policies.
Strong understanding of insurance's medical policies, medical criteria's, and regulations.
Managed appeal requests and retro authorizations.
Ensuring patients have an understanding of their health insurance coverage and good faith estimates.
Established relationships with clients through follow-ups, keeping them informed about progress updates regarding their services or concerns.
Support the business office with overflow call regarding escalating patient service changes, account issues, along with general patient questions and concern.
Facilitated communication between patients and various departments and staff.
Resolved customer complaints using established follow-up procedures.
Strengthened communication between clinical staff and patients by addressing inquiries and concerns promptly.
Patient Access Service Rep
The Birthplace of the Masonic Children’s Hospital
04.2021 - 08.2021
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Schedule oncoming and future pre admissions with daily reports to the clinical team.
Verified patient insurance eligibility and entered patient information into the system.
Expedited emergency registration procedures to facilitate immediate medical attention for critical cases.
Complete any financial clearances requests.
Conduct and facilitate team huddles via Microsoft Teams.
Promoted a positive hospital image through exceptional customer service during initial contact with patients.
Provided excellent customer service to patients and medical staff.
Assisted in training new hires on departmental protocols, contributing to a more efficient workforce.
Answered incoming calls, scheduled appointments and filed medical records.
Ensure security monitor supervision of the unit, provide efficient traffic control of the birth center and NICU lobby.
Patient Access Representative
M Health Fairview - University of Minnesota Emergency Department
08.2019 - 03.2021
Screen and arrive patients at the first point of initial contact. Intake demographics and chief of complaint while maintaining quality support.
Coordinate with the clinical team to complete a patient's full bedside registration.
Stayed calm under pressure to and successfully dealt with patient that had difficult medical conditions.
Assist clinical team and troubleshoot any escalating patient admission charting issues.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Support incoming calls from outside departments.
Patient and Family Support Staff
LifeWorks
06.2008 - 09.2019
Primary caregiver for an acute disability patient by providing daily care as well as medical attention with tracheostomy suction, ambu bag resuscitation, administering prescriptions, and nutrition feeding.
Provided physical full-body lift to transfers for daily baths, dressings, physical activities, and wheelchair.
Ensure the patient is properly equipped daily with medical orthotics.
Conducted home rehabilitation therapy.
Transport the client to their medical appointments and community engagements via handicap disability vehicle.
Facilitate and conduct individual homeschool courses based on patient IEP goals.
Able to provide additional work experiences, leaderships, community volunteer history upon request.
Education
Bachelor of Science - Youth Studies and Development
University of Minnesota Twin Cities
05.2011
Skills
Strong analytical skills
Medical billing proficiency and insurance verification
Customer service
Data entry proficiency
HIPAA compliance
Financial management expertise and medical billing
Medical billing and medical terminology
Teamwork and collaboration
Attention to detail
Calm and effective under pressure
Multitasking Abilities
Excellent communication
Critical thinking
Organizational skills
Adaptability and flexibility
Decision-making
Detail-oriented
LANGUAGE
English: Fluent in speaking, reading, and writing.
Native or Bilingual
Hmong: Fluent in speaking, intermediate reading and writing.
Native or Bilingual
Timeline
Patient Financial Coordinator
Summit Orthopedics
08.2021 - Current
Patient Access Service Rep
The Birthplace of the Masonic Children’s Hospital
04.2021 - 08.2021
Patient Access Representative
M Health Fairview - University of Minnesota Emergency Department
08.2019 - 03.2021
Patient and Family Support Staff
LifeWorks
06.2008 - 09.2019
Bachelor of Science - Youth Studies and Development
Tribal Cultural Specialist at Upper Sioux Community - Tribal Historic Preservation OfficeTribal Cultural Specialist at Upper Sioux Community - Tribal Historic Preservation Office