N A C

*

LAURA AHRENS

F I N A N C I A L H E A L T H C A R E P R O F E S S I O N A L

***-** ****, ****** *****, NY 11414 ************@*****.*** 718-***-****

[Address] [Phone] [Email]

E D U C A T I O N

—

E X P E R I E N C E

T h e C o l l e g e o f S t a t e n I s l a n d

S t a t e n I s l a n d, N Y

L i b e r a l A r t s s t u d i e s

C E R T I F I C A T I O N S

—

E P I C

K E Y COMPETENCIES

—

F i n a n c i a l P l a n n i n g a n d

A n a l y s i s

N e g o t i a t i o n

R e s e a r c h a n d A n a l y s i s

C o m p l i a n c e

M e d i c a l T e r m i n o l o g y

E m p a t h y a n d C o m p a s s i o n

R e c o r d - K e e p i n g a n d

D o c u m e n t a t i o n

T i m e - M a n a g e m e n t

C r i t i c a l P r o b l e m - S o l v e r

C u s t o m e r S e r v i c e

S OFTWARE

P R O F I C I E N C Y

—

E l e c t r o n i c m e d i c a l r e c o r d s

( EMR)

E a g l e G o l d, A l t h e a,

S o a r i a n A l l S c r i p t s

I C D - 9 C M a n d I C D 1 0

C P T C o d i n g

PROFESSIONAL SUMMARY

Highly experienced and dedicated financial coordinator with 20+ years of expertise in financial clearance for both inpatient and outpatient insurance plus verification within healthcare settings. Proficient in managing on and off-label oncology therapy treatments, as well as oral oncology medications. Skilled in financially assisting patients facing challenging circumstances, proactively researching and securing grants to alleviate insurance copayments and targeting drug therapies with available financial aid. In-depth understanding of the Cancer Service Program and third-party reimbursement, including contracting and non-contracting aspects, as well as eligibility requirements for Federal and State subsidy programs. Leverages strategic thinking, complex problem-solving and superior communication skills to build trusting relations with patients and families. Highly adaptable in working in a team structure as a leader and collaborating with senior leadership to create optimizations across department. Eager to apply my skills and experience in roles to address inequalities and challenges in the healthcare community through activism, leadership, and organizing.

NEW YORK-PRESBYTERIAN, QUEENS, NY

Financial Coordinator Jun 2018 – Present

Responsible for assisting patients with understanding their medical bills, explaining insurance coverage, and helping them navigate financial assistance programs.

• Obtain and manage radiology authorizations, ensuring seamless access to essential diagnostic services for patients.

• Proactively reviewed new patient insurance policies, navigating authorization and referral requirements to streamline the onboarding process.

• Spearhead comprehensive support for oncology patients, facilitating a clear understanding of their insurance coverage for treatments and related expenses.

• Provide expert guidance on the billing process, identifying financial aid or grant opportunities from external sources, and assisting patients in accessing crucial financial resources.

• Conduct thorough financial screenings prior to initial oncology treatment, advising patients on potential costs and devising personalized financial plans.

• Demonstrate proficiency in insurance eligibility verification, accurately assessing patients' coverage and identifying insurance authorization prerequisites.

2

A d o b e A c r o b a t

M i c r o s o f t O f f i c e S u i t e

( W o r d, E x c e l, P o w e r P o i n t,

O u t l o o k, T e a m s )

Zoom

W e b e x

H O B B I E S

—

C o o k i n g

B a k i n g

G a r d e n i n g

• Secure pre-authorizations and pre-certifications, meticulously documenting all pertinent details to ensure seamless payment processing and treatment scheduling.

• Comprehensive knowledge of commercial and Medicare insurance benefit coverage, community services, and available programs to provide exceptional customer service to diverse populations and effectively resolve conflicts. NYU LANGONE LAURA & ISAAC PERIMUTTER CANCER CENTER, NEW YORK, NY

Financial Counselor Dec 2011 – Jun 2018

Provided guidance, advice, and support to patients or families in managing their healthcare bill payments.

• Keenly screened patients for financial assistance applications, guiding them through the process of applying for copay assistance, financial aid, or disease-specific foundations to cover essential chemotherapy medications.

• Leveraged the Epic Estimate tool to accurately calculate patients estimated financial responsibility for hospital services, ensuring transparency and informed decision- making.

• Effectively communicated patients estimated out-of-pocket financial responsibility for scheduled or prospective services, using tools like the Epic Estimator or International Calculator.

• Proactively managed and efficiently handled cases from the Epic Work Queues/DAR, ensuring timely resolution and optimal patient care.

• Delivered exceptional customer service to internal and external stakeholders, adeptly addressing their needs and facilitating effective communication between Revenue Cycle Operations (RCO) and patients regarding financial matters.

• Conducted thorough insurance benefits verification to confirm eligibility for scheduled or potential services, ensuring seamless processing and minimal disruptions.

• Demonstrated keen attention to detail during coordination of benefits, promptly identifying discrepancies and resolving them prior to clearance.

• Expertly handled oncology authorizations for both on-label and off-label drugs, ensuring patients received necessary treatments without delay.

• Consistently met and exceeded monthly target goals based on service and payer performance measures, showcasing a commitment to excellence in financial management.

• Demonstrated exceptional organizational and caseload management skills, effectively prioritizing assignments to meet deadlines, even under pressure from changing

workloads and competitive requirements.

Contact this candidate