Government Affairs Representative

MONA THOMAS-BARKER

Government Affairs Representative

PROFILE

Authorized to work in the US for any employer

Experienced remote worker

Seeking 100% remote employment

RECENT EMPLOYMENT HISTORY

PATIENT ACCESS

WESTCHESTER MEDICAL CENTER/ALLISON MADISON STAFFING

27 SKYLINE DRIVE HAWTHORNE NY/WHITE PLAINS NY 11/2021-3/2023

Responsibilities:

Financially cleared all patient accounts by verifying insurance coverage and necessary authorizations for all OP patient procedures.

Applied extensive knowledge working with straight Medicare/Medicaid/Medicare/Medicaid HMO plans/Humana Medicare/Blue Cross NYSHIP split plans/UHC/NYC split plans/GHI/Aetna/Cigna/CGW/MagnaCare/MeritainHealth/

UMR/1199/CDPHP/all commercial other/Essential and Exchange plans/ Military Tricare-Retired/Tricare East -Active plans/Workers Compensation/No-Fault carriers/OVAG plans.

Worked closely with physician offices/schedulers /managers/utilization management/case management/patient scheduling to finalize accounts

Accessed all insurance portals/My Ability/Availability/Change/Connex

Navinet/RadMD/Evicore/MedSolutions/UHC/Emblem Health

Department Accomplishments:

Cost and Denial Reduction/ Revenue Growth/Patient Satisfaction/Patient Retention

FINANCIAL CLEARANCE-HYBRID REMOTE/PRE & ER REGISTRATION REP/PATIENT SCHEDULING/CALL CENTER

HEALTH-QUEST/NUVANCE HEALTH

POUGHKEEPSIE & LAGRANGEVILLE NY & DANBURY CT- 3/2006-6/2021

Accomplishments:

Experienced HealthCare Rep/16 years + combined call center/pre-registration/patient scheduling/and financial clearance

Initiated clear/concise and detailed information on all patient accounts by verifying coverage/obtaining authorization for the facility and verify patient responsibility before time of service

Notated all accounts for clear interpretation/easy review and application of patient information

Greatly reduced instances of patient denial due to extreme detail-oriented approach to clearance with multiple verification process

Pre -registered all IP/OP/SDS/Cardiac Cath/Cardiothoracic/OP radiology/maternity OP/ER admits for Health-Quest

ER Registration/regular and eversion/Patient Scheduling for EMT/EMS training/Car Seat inspection/installation/maternity and delivery tours

Paged out Cardiothoracic and Cath Lab teams emergency activation/Paged out Putnam/Ulster/Kingston Hospice Physician Nurse teams/Maternity and Oncology teams after hours

EDUCATION

BA-SKIDMORE COLLEGE-SARATOGA SPRINGS NY

Sociology/Government

SUNY WESTCHESTER COMMUNITY COLLEGE-YONKERS NY

Certificate Program: Office Skills

PERSONAL DETAILS

Poughkeepsie, NY 12601

M: 914-***-****

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PROFESSIONAL SKILLS

Proficiencies::

MS Office

Cerner/Experian

Scheduling/Icd10-cpt code compatibility/ABN/Connex

Documentation Review/Medical Terminology/HIPAA Compliance/Strong Communication Skills/Reliability/

Independent Worker & Team Player

Respectful/empathic

CERTIFICATE COURSES:

HealthQuest/Nuvance Health 3/06-6/2021

Active Shooter Response

Safety Security and Emergency Response

Privacy Awareness

Patient Experience

Patient Abuse and Neglect

Workplace Harassment Training

Workplace Violence

Corporate Compliance

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