Insurance Verification & Patient Advocacy Specialist

ROSALINDA SANCHEZ, FCC/Business

Houston, Texas, United States, 713-***-****, *****************@*****.*** PROFILE Dynamic FCC/Business professional with extensive experience in insurance verification and patient advocacy. Streamlined processes enhancing efficiency, resulting in reduced wait times and improved claim resolution rates. Expertise in facilitating communication between patients and healthcare providers, ensuring understanding of financial obligations. Passionate about delivering exceptional service and optimizing operational workflows for enhanced patient satisfaction. EMPLOYMENT HISTORY

Oct 2016 — Apr 2023 FCC/Business, MD ANDERSON

Verify insurance through health plan calls or online portals. Handle inbound and outbound calls. Obtain authorizations for medical procedures. Counsel patients on billing, deductibles, coinsurance, and co-pays. Advocate for patients, families, doctors, and hospital staff.

• Streamlined insurance verification process, enhancing efficiency.

• Improved patient understanding of financial obligations through effective counselling.

• Facilitated communication between patients and healthcare providers. Feb 2016 — Sept 2016 FCC/Business Office, Medix/MD Anderson Verify insurance for new patients and ensure financial clearance. Enter missing data to maintain accurate records.

• Confirm insurance eligibility for incoming patients.

• Facilitate financial approval processes.

• Update patient information in the system as needed. Jun 2015 — Sept 2015 Medical Scheduler, The Rose

Manage appointment scheduling for patients and doctor offices via phone and email. Coordinate incoming calls and process orders received by fax. Scan and maintain patient documents efficiently.

• Scheduled appointments for over 50 patients weekly.

• Improved appointment confirmation rate by 30% through proactive follow-ups.

• Streamlined document management system, reducing processing time by 15%. Oct 2013 — Feb 2015 Front Desk Coordinator, Ehrlich and Associates Coordinate front desk operations, managing patient check-ins and check-outs. Answer phones and schedule appointments efficiently. Collect coinsurance and maintain accurate patient records. Scan and attach documents to accounts.

• Streamlined appointment scheduling, enhancing patient flow.

• Improved record accuracy by implementing a document scanning system.

• Facilitated seamless communication between patients and staff. Jun 2008 — Oct 2012 Patient Access III, Memorial Hermann Manage front desk operations, overseeing patient check-in and check-out processes. Collect co-pays and process credit card payments. Generate reports and retrieve records from archives. Schedule appointments and verify insurance information. Secure authorizations and handle clinical requests. - Streamlined patient check-in process, reducing wait times by 20%. - Improved accuracy in insurance verification, decreasing claim denials by 15%. - Enhanced record retrieval efficiency, expediting access to patient information. - Trained new staff on front desk procedures, enhancing team performance. Feb 1994 — Jun 2008 Collection Specialist, Anesthesia Specialist of Houston Manage patient account receivables and post payments. Execute credit card transactions and refile claims and appeals. Ensure timely resolution of outstanding balances, enhancing cash flow efficiency.

• Handled over 200 accounts monthly.

• Improved claim resolution time by 30%.

• Processed payments with 99% accuracy.

SKILLS Insurance Verification Expert

Patient Advocacy Expert

Financial Counselling Expert

Appointment Scheduling Expert

Data Management Expert

Communication Skills Expert

Process Improvement Expert Team Collaboration Expert

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