Data Entry Patient Coordinator
Resume:
Patrice Hunte
Brooklyn, New York
Cell: 347-***-**** E-mail: **********@***.***
EXPERIENCE HEALTHCARE PATIENT COORDINATOR
A driven, focused healthcare administrator professional with a hands-on, people centric approach to experienced in caring for patients for over 10 years in the healthcare industry. Strategic thinker specialized in empathetic patient care delivering timely optimal customer care. Driven and ambitious change manager dedicated to continuous process improvement focused on enhancing patient onboarding financial processes
CORE COMPETENCIES
Patient/Provider Relations
HIPPAA Compliance
Knowledge of HMOs, Medicare and Medicaid
Patient Onboarding Process Improvement
Medical Coding: CPT, ICD-9
Coding: CPT, ICD
Team Coordination and Leadership
Patient Financial Analysis
Patient Account Management
Insurance Billing Governance
PROFESSIONAL EXPERIENCE
MEMORIAL SLOAN KETTERING CANCER CENTER New York, NY
Patient Financial Services/ PFS 2020-Present
Sr. Patient Financial Specialist
Dedicatedly obtain precertification for scheduled services requiring insurance OON authorization
Work closely with PCAP RN CMs, IdentifiesSplunk Group Leaders,PACs and Clinical Team and provide high quality financial services
Attentivily prioritize RNs cases and knowledgeable with medical language and codes
Work estimated, under PCAP Program average of 100 cases weekly.
Prepare and initate Add On precertifications after a comprehensive review of patient’s history clinical and authorization information on file
Action orientated with proven success working with Out of Network carriers to persuade them to approve services.
Able to Identify opportunities of improvementon the authorization process and offer suggestions to management
MOUNT SINAI HOSPITAL New York, NY
Patient Financial Services/Financial Analyst 2013-2020
Senior Team Lead in Patient Financial Services area of the hospital
Performed registration processes which included performing data entry activities, providing patients with appropriate intake information
Verified insurance eligibility benefits for services rendered to ensure proper coordination and reimbursement of benefits
Explained and provided financial policies and resources for alternative payment arrangements to patients
Developed and built Patient tracker which manages the insurance verification process ensuring a seamless accurate patient account management of Patient Account Receivables
Implemented new procedures to aid in the correspondence between hospital and insurance provider companies
Business Associate A 2009-2013
Billing Associate in the Clinical Lab Billing Department
Implemented new procedures to aid in the correspondence between hospital and insurance providers
Manage to optimize a standardized workflow across the billing process while maintaining satisfactory patient care
Administered daily billing functions, which included medical coding, charge entry, claims, payment postings, and reimbursement management
PATRICE HUNTE Page 2
HEALTH FIRST New York, NY
Quality Improvement Coordinator 2007-2008
Team Lead in the Clinical Retrieval department
Supervised day to day operations of onsite visits of team members
Reviewed retrieved clinical documentation for Nursing Staff review
Supervised and trained new colleagues and a team of three temporary workers at on-site visits
Scheduled on-site visits to hospitals or private medical offices
Reviewed records from out/in patient for service billing
Corresponded with network providers to request patients’ documents
Entered medical codes into planned data management (PDM)
EDUCATION
City University of New York- Hunter College, New York,
Bachelor of Arts- Psychology
APPLICATIONS
Microsoft Office Suite (Word, Excel and PowerPoint), Medisoft, Access Anyware, Centrix, Antrim, Epic, Eagle, SCC, and IDX systems
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