Dynamic Patient Financial Advocate with a proven track record at Firstsource Solutions, excelling in financial counseling and patient advocacy. Expert in navigating complex medical insurance processes, enhancing patient trust through compassionate support. Strong problem-solving skills and a commitment to compliance ensure positive financial outcomes for patients facing medical expenses.
Overview
25
25
years of professional experience
Work History
Patient Financial Advocate
Firstsource Solutions
10.2023 - Current
Educated patients on the availability of various resources to alleviate financial burdens associated with medical expenses.
Bridged communication gaps between patients, providers, and payers to foster a collaborative environment focused on achieving positive financial outcomes.
Reduced patient anxiety surrounding medical expenses by offering compassionate support and financial guidance during difficult times.
Manage the process of aiding patients and their representatives with securing Illinois Medicaid applications
Enhanced patient trust by maintaining confidentiality and ensuring compliance with HIPAA regulations during financial discussions.
Claims Analyst
Blue Cross Blue Shield of Illinois/Texas
06.2019 - 03.2023
Maintained strict confidentiality with all personal data as per company guidelines.
Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
Mentored junior team members, sharing expertise in claims analysis techniques and fostering professional growth within the department.
Examined claims forms and other records to determine insurance coverage.
IT Technical Supervisor
MEDITECH
10.2000 - 03.2022
Enhanced system performance by implementing effective IT infrastructure upgrades and maintenance.
Collaborated with cross-functional teams to develop innovative solutions addressing complex IT challenges.
Developed comprehensive training programs to expand team knowledge in new technologies and software applications.
Coordinated the deployment of new software applications while minimizing disruptions to daily operations.
Mentored junior staff members, fostering a supportive environment that encouraged professional growth and skill development.