
Dedicated and proactive healthcare management professional with a solid 2.3-year track record of facilitating efficient healthcare delivery and administrative processes. Skilled in data analysis, patient flow optimization, and implementing technology solutions to streamline operations. Recognized for exceptional organizational skills and a collaborative approach, contributing to team efforts and departmental goals. Holds a certification in Health Administration and is committed to lifelong learning and professional development. Seeking to leverage my experience and passion for healthcare improvement in a challenging management role.
Plastic and Microvascular Surgery Department
a) Patient Billing: Preparing and sending out accurate patient bills, including itemized statements for services rendered.
b) Insurance Verification: Verifying patients' insurance coverage, benefits, and eligibility prior to services being provided: -
c) Claims Processing: Submitting claims to insurance companies and following up on any issues to ensure timely payment.
d) Coding and Documentation: Ensuring that medical procedures are correctly coded for billing and compliance with insurance regulations.
e) Denial Management: Investigating and resolving denied claims by insurance companies, and appealing decisions when necessary.
f) Patient Advocacy: Assisting patients in understanding their insurance coverage and out-of-pocket costs, and helping them navigate the complexities of insurance billing.
g) Compliance: Maintaining knowledge of and compliance with insurance laws, regulations, and hospital policies.
h) Customer Service: Responding to inquiries from patients and insurance companies regarding billing and coverage.
i) Financial Counseling: Providing financial counseling for patients regarding payment plans, charity care, and other financial assistance programs.
j) Fraud Prevention: Implementing measures to prevent insurance fraud and ensure billing accuracy.
k) Liaison Work: Acting as a liaison between the hospital, patients, and insurance companies to resolve any issues that arise.