Customer Service Patient Liability Representative - Piedmont Healthcare - Atlanta, Georgia
(2025-08)
- Identified patient medical records in accordance with Piedmont's established processes and policies, ensuring compliance with regulatory guidelines.
- Maintained accurate indexing of all documentation, supporting operational efficiency and adherence to healthcare standards.
Patient Access & Insurance Verification Specialist - Emory Healthcare - Atlanta, Georgia
(2024-06 - 2026-01)
- Conducted thorough insurance verification and eligibility reviews to ensure accurate patient service delivery.
- Interpreted contractual provisions and insurance policies to determine coverage requirements and streamline claim processing procedures.
- Monitored claim statuses, adhering to departmental quality standards and productivity metrics to enhance operational efficiency.
- Coordinated with clinical staff and external stakeholders to resolve complex claim and authorization issues, fostering effective team collaboration.
- Delivered exceptional customer service while managing sensitive patient and insurance information, demonstrating strong written and verbal communication skills.
Patient Access & Claims Support Specialist - Children's Healthcare of Atlanta - Atlanta, Georgia
(2023-03 - 2025-05)
- Verified patient insurance coverage and ensured documentation adhered to contractual provisions and payer requirements.
- Coordinated with clinical teams to gather accurate medical documentation essential for claims processing and reimbursement.
- Communicated with patients and insurance providers to resolve discrepancies, facilitating timely claim approvals.
- Maintained accurate electronic health records while supporting billing and compliance procedures in accordance with HIPAA regulations.
- Identified and resolved issues affecting claims accuracy and reimbursement timelines, enhancing overall claims support efficiency.
Medical Scribe & Clinical Documentation Specialist - Aquity Solutions
(2020-10 - 2023-03)
- Documented physician-patient encounters with precision in electronic health record systems, ensuring compliance with regulatory guidelines.
- Supported physicians by maintaining accurate clinical documentation, facilitating effective billing and reimbursement processes.
- Acquired in-depth knowledge of medical terminology, diagnoses, and healthcare documentation standards to enhance documentation quality.
- Assisted in verifying documentation accuracy for insurance and claims-related processes, contributing to streamlined operations.
Graduate Assistant, Diversity & Inclusion - University of Miami
(2019-07 - 2020-05)
- Coordinated documentation and communications for university diversity initiatives, enhancing written and verbal communication skills.
- Managed confidential information while supporting student engagement activities, demonstrating professionalism in a fast-paced environment.
Research & Administrative Assistant - University of Miami
(2016 - 2019)
- Assisted with research data collection and administrative operations for health-related studies, demonstrating knowledge of the health care industry.
- Maintained organized records and ensured confidentiality of sensitive information while supporting project coordination and documentation management.
