L AUREN DEFREITAS

***** ** **** ******,

STARKE, FLORIDA 32091

Tel# 347-***-****

ad40p1@r.postjobfree.com

PROFILE: I am a detail-oriented, fast-learner, and extremely efficient professional ambitiously seeking to secure a position in a challenging and dynamic environment. Where all my professional skills and abilities along with my experience in the healthcare field will be put into practice to provide the best quality of service.

SKILLS:

● Clerical / Admin

- 11 years of health insurance cases & Administrative/Registration expertise

- Excellent interpersonal skills, office etiquette and phone manners

- Typing: 60 WPM

● Computer / Technology

- All Microsoft Office (Word, Excel, Access, Outlook and Power Point)

- Extensive knowledge of ICD-9 Codes, ICD-10 Codes, and CPT Codes

- Electronic Vital Events Registration System (Department of Health)

- AEOS (Huron) Billing WIP

- Eagle Gold 2000

- Eclipsys

-OR Manager

-Experian Passport/E-Care Next

-Epic

Microsoft teams, and suite offices

● Customer Service

• Over 12 years’ experience performing Customer Service duties at different hospital locations

• Demonstrated ability to deal with different types of people some of whom require a high levels of patience

• Transcended in anticipating a persons needs and responding appropriately EXPERIENCE:

Aetna health insurance/CVS, REMOTE

February 2023-current

Customer service representative/A Team

-Customer focused by putting customer and/or patients first during every interaction

-Demonstraring the ability to be empathetic & compassionate

-Steong communication and problem -solvong skills; Empathy towards customers needs and concerns

-Strong computer navigation & typing skills (75 wpm)

-Abolity to manage multiple tasks in a transaction/high volume-bases environment

-Microsoft office suite knowledgeable

-Assist with claims and benefits questions and tasks

-atleast 1 year in a Call Center Setting remotely

-Achieves customer satisfaction of 90% or higher

New York Presbyterian Weill Cornell Hospital, New York, NY July 2016 – present Patient Registrar/ Financial Clearance Center

- Financially clear patients for elective ambulatory, out-patient, same day, out-patient cardiac catherization: complete registrations, validate authorization, and medical necessity checks

-Collaborate with hospital medical staff and physician practices to obtain information necessary to financially clear procedures prior to date of service. Coordinate with insurance company representatives to verify authorizations for procedures

-Generate self-pay estimates for patients and collect payments prior to service

-Collects benefit & eligibility, Deductibles, OOP’s, and Copays on the patient’s Insurance Policies

-Coordinate with International Financial Counselors to provide international clients with up-to-date, essential information regarding their upcoming hospital stay

-Organize peer-to-peer reviews between insurance plan and physician or nurse practitioners New York Presbyterian Weill Cornell Hospital, New York, NY May 2013 – June 2016 Quality Assurance Representative /Patient Access Department of Administrative Services

- Updates/Corrects registrations on Huron Billing WIP list using the AEOS System

- Transfer numerous post payments/charges and all other required billing fees and services rendered

- Randomly audited charts for accuracy of coding as assigned

- Collects and enter into EVERS, and reports to the Department of Health all data related to spontaneous and induced terminations of pregnancies

- Understands patient confidentiality and HIPAA rules New York Presbyterian Weill Cornell Hospital, New York, NY Mar 2009 - May 2013 Front Desk Admitting and Bed Assignment Representative/Patient Access Department of Administrative Services

- Interviewing, gathering, and verifying patient’s insurance and registration information

- Constant communicating with Nurses, Clerks, Physicians, and Medical Chief Residents to ensure proper admittance to patients

- Accurately and effectively assigning patients to the correct accommodation for best patient care

- Responsibly collected money during and/or prior to patient’s procedure

- Independently works multiple shifts with minimum and/or no supervision

- Train new registrars and Consummates death certifications when required VOLUNTEER/INTERNSHIPS:

New York Presbyterian Weill Cornell Hospital, New York, NY May 2008- Mar 2009 Volunteer-Admitting/Patient Access Department

-Acted as a receptionist for the Admitting Department when needed

- Assisted with the Emergency Department with registration and patient charting

-Greeted patients, answered high volume telephone calls in accordance with proper customer service principles EDUCATION:

DeVry College of New York New York, New York

Major: Health Service Management Bachelor Degree: August 2012

Contact this candidate