Case Manager, Patient Svc Rep, Data Entry, Eligibility Specialist

Mona lafosse

Cherry hill, new jersey 215-***-****

***********@*****.***

Health & human services specialist human resources assistant

Proficiencies

MS office suite ICD-10 HRIS medical insurance mortgage/title admin billing & account management leadership analysis intake/reception marketing interpersonal skills excellent verbal/written communication

Technology

Operating systems: windows, mac hardware: HP, dell, mac PC/laptop

Software: microsoft office windows 10, outlook, word, PP, excel; internet explorer, epic medical software/ penn chart, EMI, navinet; data entry: typing: 40 wpm

Education

Thomas edison university-current exp. Grad. 5/23 liberal arts degree

Harcum college honors graduate 12/2013, associates degree

Lafayette HS graduate 06/89, business diploma

Professional experience

Robert half technologies-contract employment 01/2016-present

HR generalist-apis SERVICES/robert half staffing - new jersey 12/21-3/22

HR generalist-temporary contract onboarding new hire document review, notify applicants of document status and next steps, run reports and update current employee files, create spreadsheets in MS excel, employee screening & contact tracing for covid-19, assist with compliance updating. File conversion, audit analysis, document scanning, file merging, compensation & benefits review, employee status updates, compile reports, appointment setting, customer service and administrative support

HR coordinator provide administrative and onboarding support for programs representing at risk youth and adult disabilities. Assist in hiring qualified staff for various positions. Work closely with director of HR, hiring managers, recruiters and business partners to ensure a successful onboarding, orientation and overall new hire process. Responsibilities: enter new hire data, audit, track, and conduct, follow up on new hire paperwork via HRIS system; paylocity, clear, MS excel spreadsheets administer e-verify program, review and complete I-9 reference resume and applications, ensure background release forms are completed and clear (new jersey central adult registry/child registry) policy acknowledgements / staff sign off monitor weekly new hire orientation via conference compliance: track and follow up on all corrective action notices, termination reports, and supporting documentation

Penn hospice at rittenhouse/university of penn

Financial counselor/patient services representative

Primarily oversee the billing process for hospice private pay status, assist and counsel patients and families with financial consent forms, patient transfer/placement, maintain daily workflow of data entry, obtain signatures and verification ensuring all documentation is properly signed and submitted, ensure all documentation is presented in a timely manner, legal verbiage is comprehensive, process billing payments via credit card and check, schedule meetings with patients and families to establish designated healthcare proxy and power of attorney to conduct financial business on patients behalf, verify patient demographics, insurance, obtain authorization for hmo, federal fep coverage, veterans, assist social worker with long term placement, discharges, transports, dme orders, bereavement outreach, patient admission/discharge planning, community resources, funeral services hardware/software: epic medical software, penn chart, trust commerce, ms word/excel/outlook, card reader ingenico isc touch 250

University of pennsylvania hospital

Patient service representative

Assisted the otorhinolaryngology department with patient registration check out during departure of medical appointments: patient scheduling, coordination of appointments, contact associated departments to coordinate patient appointments, outbound calls for patient prescreen for covid-19, administrative assistance for the access center for patient scheduling, file retrieval

Contemporary staffing 3/2021-10/21

Weichert title- settlement scheduler/administrative assistant

Assist title/settlement agents with appointment setting via scheduling in outlook, route and process mortgage packages and title insurance emails, data entry, copy settlement documents, scan, forward to settlement officers

Vsa prospecting- HR assistant/trainer

Screen agency staff for prospecting positions via zoom, interview and train employees weekly following onboarding, ensure trainees have an overview of training expectations and guidelines, conduct training exercises and mock phone calls in preparation for call center environment, review daily software navigation of call center project software, analyze candidates that may need additional assistance, provide one on one training, attend management meetings/training modules, calendar management in outlook, appointment management in excel,

Nthrive-eligibility specialist

Jefferson university hospital - cherry hill, NJ

November 2019 to march 2020

Responsible for screening and interviewing self-pay patients for eligibility of health insurance assistance. Screening is performed in person in the trauma unit, psychiatric unit, inpatient unit, or via phone. My goal is to advocate on behalf of the client to ensure services for financial assistance is offered and processed in a timely manner. Facilitate HIPAA compliance throughout the billing and patient interaction process conduct verification of patient insurance status and eligibility for assistance programs.

Utilize epic enterprise billing & registration, corcis management, MS excel, navi net daily updating of patient demographics, diagnosis, financial calculations/income, status process and forward to state medicaid program if quailed or process in house approvals following up with discharged patients to discuss billing and program assistance epic enterprise billing submission physician's orders and patient status to complete billing

Swift completion of eobs

Answering insurance inquiries, corresponding with insurance companies on payment discrepancies

Identifying any secondary insurances for billing

Following up on unpaid claims

Appeals

Prior authorizations

Daily follow-ups on outstanding receivables (aging)

Management of assigned a

Crozer keystone health system-chester

Charge entry billing specialist-contract/temp

Medical billing for neonatal, pediatric & geriatric patients, responsible for patient registration, create billing encounters, enter patient charges, verify insurance and corresponding physicians, manage heavy workflow of data entry. Software: cpm cerner practice management, emi, e-care, ms outlook/excel/word.

BLUE CROSS & BLUE SHIELD/HEALTHNOW Buffalo, NY 6/98 -2000

Business unit analyst

Conduct testing and implement software conversion plan, manage developers/configuration teams test plan process, troubleshoot system errors generated during test claims process, process/review test production claims, referrals, preauthorization, train agency staff and supervise process of data entry and routing

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