LAKESHIA HYATT

Miramar, FL *****

786-***-****

ad4pll@r.postjobfree.com

Professional Profile:

Highly motivated and enthusiastic Human Services professional seeking a career opportunity as a Patient Finance/Admissions Clerk in which I can utilize my knowledge and experience to add value to your organization. Patient-focused, detail-oriented, and compassionate. Personable and courteous in all interactions with patients and team members. I have a strong desire to succeed in a position offering opportunities for personal contribution and professional growth.

Core Skills & Strengths:

- Strong Work Ethic

- Excellent Communication skills

- Problem Solver

- Highly Organized

- Team Player

- Exceptional Written & Verbal Skills

- Exceptional Customer Service

- Excellent Computer Skills & Microsoft Office Suite

- Call center (inbound/outbound calling) & TeleSales

- Data Entry & Appointment scheduling

- Commercial insurance billing & Medicare/Medicaid

- Collections

Professional Experience:

CVS (Temporary Remote position)

Member Advocate Nov. 2023 - Mar. 2023

-Serve as the main point of contact for members, responding to inquiries via phone, email, or other communication channels.

-Provide prompt and professional assistance to members by addressing their questions, concerns, and requests effectively and efficiently.

-Ensure excellent member satisfaction through active listening, empathy, and problem- solving.

-Maintain a thorough understanding of the organization's products, services, benefits, and programs in order to provide accurate information to members.

-Process member requests, such as enrollment, claims, billing, and eligibility changes, in accordance with established procedures and guidelines.

-Collaborate with internal teams, such as claims, billing, and enrollment, to resolve member issues and ensure timely resolution.

-Document and maintain accurate records of member interactions, inquiries, and resolutions in the organization's database or customer relationship management (CRM) system.

-Identify and escalate complex or unresolved member issues to the appropriate team or supervisor for further investigation and resolution.

-Stay updated on industry trends, regulations, and best practices related to member services in order to provide informed and up-to-date assistance to members.

-Participate in training sessions and ongoing professional development activities to enhance knowledge and skills related to member service and support. Powell Health Solutions

Patient Care Coordinator Mar. 2017 – March 2020

- Helped patients enroll in various insurance plans

- Checked in and checked out patients

- Collected copays

- Contacted patients to confirm appointments

- Performed insurance verifications and pre-qualifications by using a specific software program and contacting insurance companies

- Checked voicemails and faxes periodically throughout shift VITAS Healthcare

Admissions Coordinator Mar. 2012 - Mar. 2017

- Answered questions regarding admissions criteria, hospice services, and referral requests

- Received admission referrals and recorded information accurately on referral forms and tracking sheets

- Contacted physician offices for authorization and approvals when needed

- Contacted patients/family/significant others/POA/HCP and made appointments for admission evaluations with Nurses via Appointment Everywhere

- Performed insurance checks and pre-qualifications checks by contacting insurance companies

Jackson Memorial Hospital

Patient Finance Associate Jun. 2006 - Mar. 2012

- Registered and admitted patients to the Jackson Health System

- Verified insurance coverage and obtained authorization for outpatient/inpatient services

- Enforced department policies and procedures concerning financial responsibilities

- Placed outbound calls to Medicaid and Medicare providers to collect payments

- Updated the data files and folders with recent transactions and processed payments from patients via cash or credit

- Placed outbound calls to Medicare & Medicaid providers to collect payments

- Other duties included cash posting, applying insurance payments and adjustments

- Answered phones, helped schedule appointments, faxed, made copies, and performed other clerical duties

Education:

Continental Academy High School/Diploma

BLS Certified

Contact this candidate