Sandra Stauffer

*** ******** **

New Cumberland PA 17070

ad1hng@r.postjobfree.com

+1-717-***-****

Authorized to work in the US for any employer.

Work Experience

Insurance Discovery

**/**/*****- Present

The Insurance Discovery Specialist performs detailed insurance benefit verifications with insurance.

carriers, government healthcare programs, such as Medicare, patients, and other responsible parties.

Work daily Medicaid eligibility batch report.

Work daily clearinghouse eligibility batch return file.

Work with insurance websites to obtain benefits and validation of coverage.

Review and update patient information from patients and hospitals

Access online provider applications to obtain patient demographics and insurance information.

Makes changes to the patient's account based on insurance information discovered.

Ability to analyze information gathered to identify potential problems or discrepancies.

Other duties as assigned.

Senior CSS House Manager

Community options Inc - York, PA

2013 to 2021

Provided services to individuals with Mental disability MR/Autism with basic living skills, basic needs, and transportation. I also managed staff, scheduling, and end of the month report.

Method3 Bilingual Health Insurance Rep

June 2016 to June 2016

Conduct reminder call campaigns for mostly medical and possibility utility or other clients using predictive dialing equipment to pre-collect programs where the debtor is having a patient responsible balance or close to having their service disconnected. If not resolved, these accounts will be transferred to a collection agency.

Perform self-pay monitoring. This would involve reminder calls to patients that are late on the payment plans they have setup with our clients.

Responsible for learning about all call center clients including how they operate, what options are available to resolve patient or consumer balance, how long they must do so, etc.

Responsible for taking calls to and from multiple and varied types of clients.

Access various remote client systems as needed.

Take credit cards or check payments over the phone to resolve client accounts, setup payment plans by these methods, or give instructions on mailing payments in monthly.

Responsible for sending out statements, itemized statements, and receipts to patients as requested. Responsible for explaining insurance coverage and answering questions to the extent needed for patient balance collection and/or to gather insurance information.

PERSONAL CARE ASSISTANT

Bayada Pediatrics - Lancaster, PA 2002 to 2013

Jessica and Friends Penn Mar org, Home Instead Senior Care, Family Services of Rhode Island.

Provided services from 3 to 9 clients with all different ages in private residential homes to group homes. Duties: Assisted and supported with daily living requirements including, meal preparation, medication administration, and personal care. Managed significant social and behavior challenges in a supportive, non-restrictive manner. Provided transportation and scheduling assistance for medical appointments, therapy sessions, and social outings. Documented and account for all financial transactions related to person supported. Implemented, documented all supports as specified in the Individual Support Plan.

MEDICAL FRONT DESK SECRETARY

CSS- PA 2009 to 2010

Performed routine complex administrative support work in a variety of functions.

Typed all forms of documents, letters, memos, forms, reports, individual documentation and fiscal information accounts payable/receivable. Enter Data into established database and/or forms. Filed and retrieved documents by sorting and sorting documents alphabetically, numerically, and chronologically or as determined by CSG requirements.

Answer multi-line telephone system and refer calls accordingly. Open, sort, places mail into designated location and prepares mail out interact appropriately with internal and external customers. Provided information to the public and enter customer by mail or by phone.

Operate Office equipment i.e., computer, printer, photocopies, fax machine, telephones, calculators, etc. Travel to other sites for trainings, meetings and perform other duties as assigned.

Assisted incoming/ and over the phone Spanish speaking client translated medical forms and interpreted medical information from Spanish to English.

MEDICAL COLLECTION SPECIALIST

HCA- Florida

2005 to 2007

Collecting balances due for 22 Hospitals throughout the West & East coasts of Florida on patient accounts from various payers such as, Auto Insurance, Workers Compensations, and several Health Insurance claims. On a daily basis incoming & outgoing calls made to follow up with Insurance Carriers to ensure the receipt of claims, verification of eligibility, claims address and billing requirements met. Timely processing, proper expected reimbursements are correct, and expeditious payment per contract/Florida Prompt pay laws and Knowledge of medical terminology. As well as other duties as assigned per priority.

COMMERCIAL COLLECTOR

NCO Financial

2004 to 2005

NCO Financial. Making Retail and Commercial Calls to accounts payable to resolve and negotiated past due accounts, disputed and settlements. Keeping all account files organize and up to date on a calendar using a system called CRS a paperless system

Education

High school or equivalent

Skills

•Health Insurance

•Customer Service

•Medical Collection

•Medical billing

•ICD-10

•Medication administration

•Medical office experience

Additional Information

* CPR and HHA certified. Medication Administration.

Computer Savvy, Windows 2000, Microsoft Word, Excel and Internet Explorer.

Computer service, Research & Correspondence skills.

Communicational, Problem Solving, Multitasking Skills. Secretarial, Assessment, Organization Skills, BI-LINGUAL. Experience on ARTIVA, ON BASE and BTI programs.

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