KATINA D. LAUGHLIN
Naperville
Summary
Seeking a position where my billing knowledge, accounting skills, financial abilities, customer service skills and organization abilities would be a professional challenge while contributing to the growth of the organization.
Overview
7
7
years of professional experience
Work History
Patient Service Representative and Insurance Verifier - Therapy & Rehab
Endeavor Health
05.2024 - Current
- Completes check-in/out functions as directed
- Confirms and updates patient identification and demographic/insurance information
- Completes patient registration as needed
- Answered phone calls, responded to emails, and prepared comprehensive documentation to support appointment scheduling, billing
- Verifies insurance benefits and eligibility
- When applicable, pre-authorizes and/or obtains referrals to assure reimbursement and minimize denials
- Collects payments, co-payments
- Documents appropriately in the Epic system
- Serve as first point of contact for patients and families, providing information on payment processes and other procedures
- Communicates with patients and guests including greeting them upon arrival, confirming identity and providing necessary information related to their visit
- Schedule patients and coordinate evaluations, re-evaluations, appointment reminders, and cancellations
- Provide administrative support to our therapists and ensuring the smooth operation of our scheduling system
Financial Counselor
Silver Oaks Behavioral Hospital
01.2024 - 03.2024
- Serves as support to patients and their family members to assure customers have access to all available funding, this involves; working with private as well as governmental agencies; i.e., private insurance, HMO/PPO’s, Medicare Advantage plans, Champus and self-funded patients
- Maintains daily contact with Utilization Management, Business Office, Patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPO’s, patients, their families, physicians
- Assist patients facing hardships by obtaining necessary documentation, such as bankruptcy discharges, death certificates, hardship applications, Medicaid, and supporting documentation, utilizing Equifax reports to demonstrate the patient's inability to pay
- Navigate discharge planning to minimize non-payment risks, provide ongoing patient benefit information for the next level of care, and coordinate the finalization of financial arrangements
- Document benefits and receive payments by notating patient accounts
- Scan all documents into patient accounts
- Verifying insurance coverage of each patient and explaining coverages to patients when they are not covered
Remote: Customer Service/Physician Billing Associate/Claims/Eligibility/Referrals
DuPage Medical Group/Duly Healthandcare
11.2017 - 06.2023
- Answers patient telephone calls and resolves issues as appropriate
- Update insurance information, update patient demographics, resubmit claims to insurance company
- Collect payment and discuss patient balance, process refund requests and screen for financial hardship
- Communicates with insurance companies, patients, providers and prescribers to coordinate reimbursement and access solution
- Maintains confidentiality of patient information in all situations
- Reviews unpaid accounts to determine status and taking appropriate action to ensure payment
- Handle HMO/referrals claims, patient, and third party follow-up problems
- Check eligibility and benefits/insurance verification for treatments, hospitalizations, and procedures
- Identify denied claims requiring support/action from other departments and 'direct traffic' to appropriate personnel
Education
Diploma -
Cornerstone Christian High School
Townsend, GASkills
- EPIC
- MEDHOST
- WAYSTAR
- AVAILITY
- ONESOURCE
- MEDITECH SYSTEM
Timeline
Patient Service Representative and Insurance Verifier - Therapy & Rehab
Endeavor Health
05.2024 - Current
Financial Counselor
Silver Oaks Behavioral Hospital
01.2024 - 03.2024
Remote: Customer Service/Physician Billing Associate/Claims/Eligibility/Referrals
DuPage Medical Group/Duly Healthandcare
11.2017 - 06.2023
Diploma -
Cornerstone Christian High School
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