L Ogarro

Experienced Patient Access and Healthcare Customer Service Professional with over 10 years of experience in patient registration, insurance verification, benefits coordination, claims processing, healthcare customer service, and EPIC documentation. Strong background working with hospitals, healthcare providers, insurance carriers, and patients to ensure accurate registration, eligibility verification, and financial clearance while maintaining HIPAA compliance. Proven ability to manage high-volume workloads with exceptional accuracy and professionalism.

And performing duties such as EKG's and Phlebotomy procedures.

Health Concierge - Aetna / CVS Health - Remote

(2022-01)

• Assist members with health plan benefits, coverage, eligibility, and authorization requirements
• Process healthcare claims and resolve member inquiries
• Advocated between healthcare providers, insurance carriers, and members
• Maintain HIPAA compliance and confidentiality standards
• Document interactions accurately in healthcare systems
• Educate members regarding healthcare products, services, and procedures

Project/Program CSR1 - MMC Group/Maximus - Remote

(2021-02 - 2022-12)

• Responded to customer inquiries via telephone and online portals
• Assisted customers with eligibility requirements and program enrollment
• Reviewed, interpreted, and updated customer records
• Maintained accurate documentation of customer records
• Resolved customer concerns and escalated issues appropriately
• Performed high-volume data entry with exceptional accuracy

Benefits Verification Specialists - MMC Group/Lash Group

(2020-10 - 2021-01)

• Verified insurance eligibility and patient benefits with insurance carriers
• Documented benefit coverage and reimbursement information
• Assisted with prior authorization and appeals processes
• Identified reimbursement trends and delays
• Coordinated cases requiring additional information
• Maintained accurate patient records and documentation

Patient Access Representative - Carney Hospital - Dorchester, MA

(2010-02 - 2012)

• Registered and pre-registered patients for hospital services
• Verified patient demographics, insurance coverage, and eligibility
• Co-payment collections and financial information
• Maintained accurate patient records and documentation
• Assisted patients with admissions and registration processes
• Scheduled appointments and managed patient inquiries
• Answered multi-line phone systems in a fast-paced hospital environment
• Ensured HIPAA compliance and patient confidentiality
• Collaborated with clinical and billing departments to resolve patient account issues

Insurance verifier - Carney Hospital

(2015-07 - 2015-11)

• Verified insurance eligibility and benefits for surgical procedures
• Obtained and submitted prior authorizations
• Utilized EPIC EMR for patient account review and documentation
• Applied CPT coding knowledge during insurance verification activities
• Coordinated with physician offices and insurance carriers to ensure timely services

Epic Trainer - Mary Washington Healthcare - Fredericksburg, VA

(2018 - 2018)

Pre-credentialing

• Completed advanced EPIC training
• Supported healthcare staff during EPIC implementation
• Assisted medical personnel with workflow integration
• Strengthened knowledge of healthcare operations and medical terminology

Medical Coder - Sun Life Financial - Wellesley, MA

(2010-09 - 2012-03)

• Processed and reviewed medical claims
• Entered detailed claim information into healthcare systems
• Applied CPT coding knowledge to claims review processes
• Maintained claim documentation and production reports
• Coordinated with third-party administrators regarding claim status

Human Resources Receptionist - INOVA Healthcare System - Falls Church, VA

(2016-04 - 2017-07)

• Greeted patients, visitors, vendors, and employees
• Managed incoming calls and routed communications appropriately
• Scheduled interviews and coordinated administrative activities
• Performed data entry, scanning, faxing, and record management
• Supported HR staff with daily operations

Provider Representative - InTotal Health

Office Manager - BH Sleep Study Center

Zone Manager - Paradies Lagardere

Food & Beverage Supervisor - Homewood Suites

Teams Sales Leader - Motherhood Maternity

Medical Assistant - Metropolitan Institute of Health and Technology (2017 - 2017)

Phlebotomy - Metropolitan Institute of Health and Technology (2017 - 2017)

EKG - Metropolitan Institute of Health and Technology (2017 - 2017)

EPIC EMR Training - Metropolitan Institute of Health and Technology (2017 - 2017)

Accounting Management - Curry College (2008 - 2010)