Financial Services Eligibility Specialist and Billing Professional
Resume:
Yavonne McCants-Lino
*********@*****.*** Laplace, LA 70068
Summary
Civil/Medical Services Account/Patient Services Administration Expertise
Dynamic civil debt collection specialist offers over 7 years of successful collections,
specialist expertise with a strong financial litigation background; delivering high quality work; emphasizing excellence in customer negotiation and escalation as meticulous employee and supervisor. Word, Patient Scheduling, and Follow-up Payment
Work experience
Administration Coordinator
Consumer Direct Care Network - Federal Way, WA November 2021 to July 2022
Authorized Appropriate Medicaid services for clients choosing qualified providers for in-home or residential long-term care.
We provide financial support services, such as completing applications and verifying eligibility for HCS, NGMA, and Medicaid programs (RSW, COPES, MPC, CFC, Fast Track).
Authorize appropriate services for Medicaid clients using qualified providers if the client chooses to receive their long-term care services in a residential setting or an in-home setting.
Authorized food benefits for support for low-income seniors, people with disabilities living on fixed incomes, and other individuals and families with low incomes.
Provided excellent customer service to internal and external clients.
Oversaw inbound/outbound phone calls, providing accurate answers to queries and concerns.De-escalated situations involving dissatisfied customers, offering assistance and support.
Provided administrative and clerical support including mailing, scanning, faxing, and data entry tasks.
Processed forms and documents in relevant systems
Supported accounts receivable efforts by auditing service authorizations for accuracy and facilitating corrections from Managed Care Organization representatives.
Communicated effectively.
Complied with applicable legal requirements, standards, and policies, and procedures.
Maintained the necessary skills and knowledge to coordinate workflow.
Demonstrated effective problem-solving and decision-making skills.
Completed professional development and training activities.
Cashier
Total Wine & More - Federal Way, WA June 2018 to March 2020
Part-Time 25 hours per week
Directed customers to and through checkout lanes to minimize register lines.
Processed transactions efficiently, including unloading carts, placing products on the belt, and bagging/boxing/loading packages.
Verified customer identification and adhered to all minor policies.
Accurately managed cash, checks, credit cards, travelers' checks, gift cards, and coupons.
Proactively approached customers to identify their needs, providing recommendations that connect them to the right product.
Financial Services Specialist 2
Department of Social and Health Services, Home, and Community Services November 2012 to April 2015
Conducted functional assessment using the department’s Comprehensive Assessment Reporting & Evaluation (CARE) computerized tool to determine level of care and eligibility for Community First Choice (CFC) Community Options Program Entry System (COPES), Medical Personal Care (MPC), Residential Support Waiver (RS) and other programs administered by Home and Community Services
Developed appropriate ongoing, individualized service plans with clients and/or representatives to meet the needs of the client.
Authorized Appropriate Medicaid services for clients choosing qualified providers for in-home or residential long-term care.
We provide financial support services, such as completing applications and verifying eligibility for HCS, NGMA, and Medicaid programs (RSW, COPES, MPC, CFC, Fast Track).
Authorized appropriate services for Medicaid clients using qualified providers if the client wants to receive their long-term care services in a residential setting or an in-home setting.
Authorized food benefits for support for low-income seniors, people with disabilities living on fixed incomes, and other individuals and families with low incomes.
Financial Litigation Agent
Department of Justice, United States Attorney’s Office - Seattle, WA July 2002 to July 2009
Processed each month over five hundred difficult and complex civil debt collection claims referred from agencies and emanating from criminal judgment and commitment (J&C) orders.
Efficiently, each month, researching over 1,000 hidden assets of debtors for debt payment.
Proficiently provided each month with over 1,000 pieces of legal research and documentation for debt collection litigation for civil and criminal crimes.
Actively maintained over five comprehensive databases of all necessary information on debtor’s owing money to the Federal Government.
Recommended and prepared changes to letters sent to defendants.
Collected over $4,000,000 from one company.
Honored five cash awards for outstanding collection.
Medical Billing and Collection Specialist
Madigan Army Medical Center (MAMC) - Fort Lewis, WA January 2000 to July 2002
Responsibilities included processing over three hundred varied claims, with billing and collection for emergency civilians.
Efficiently verifying patient eligibility, appropriate service charges, and complete billing documentation.
Actively served as a liaison with the DSHS, the State of Washington Department of
Labor & Industry, and private insurance carriers, providing information on new billing methods and rules.
Ensured accurate data input through proper coding.
Processed over one hundred daily and 1,000 monthly invoices and receipts attached to supplemental documents and kept informational notes.
Honored two cash awards for outstanding customer service.
Patient Service Representative
Madigan Army Medical Center Adult Primary Care Clinic - Fort Lewis, WA May 1998 to January 2000
Greeted /registered and checked-in patients upon arrival courteously and respectfully.
Performed various clerical duties including making phones, mailing, logging, copying, retrieving information, faxing, and operating standard office equipment.
Scheduled Appointment for ten providers (on computer)
Checked patients in and out.
Obtained co-payment and collecting payments.
Verifying insurance benefits and determining patient responsibility
Contact this candidate