Falone Rodriguez Email & Phone Number

New York, United States

New York, New York, United States

Contacted insurance carriers to provide timely and efficient verification of insurance benefits, coordinated authorizations for mental health services and treatment, and documented verification of benefits, referral requirements, authorization status, and coordination of benefits updates.Provided excellent customer service by assisting patients with understanding personalized insurance coverage and benefits, answering questions, addressing concerns, and guiding patients through insurance-related issues.Assisted the billing department with revenue cycle management by clearing house daily, documenting insurance termination or changes, analyzing data to anticipate coverage gaps, processing and handling claims, ensuring all necessary documentation was submitted to insurance, and following up on any denied or rejected claims.Organized projects including generating reports to track unverified appointments, creating comprehensive guides to ensure thorough insurance verification, and compiling and updating spreadsheets detailing network participation for various states.Developed, collaborated on, and maintained workflow guides, serving as essential training and reference tools, while also assuming a pivotal role in the training initiatives.Developed and implemented project plans to ensure optimization of insurance processes in turn facilitating seamless operations within the company.Maintained strong knowledge of insurance regulations, coverage limitations, and treatment options for mental health conditions through ongoing education and training.

New York, New York, United States

Managed Geriatrics Department schedule for multiple practices with various locations and over 20 different providers by proactively identifying scheduling conflicts and developing quick solutions to promote efficiency.Scheduled new and follow up appointments while providing excellent customer service to ensure a positive experience for all patients.Confirmed and updated patient demographics, verified insurance coverage and communicated any coverage limitations, deductibles, and co-payments.Coordinated with front desk staff, nurse triage, and providers to report and escalate urgent situations as well as address patient questions and concerns.Collaborated with colleagues to develop comprehensive training manuals and delivered practical, hands on training to new team members.Answered over 200 calls a day while following HIPAA regulations and other governmental or state agency requirements regarding the appropriate handling of Personal Health Information.

New York, United States

Coordinated patient registration by collecting necessary demographics and documents, verifying patient eligibility, and addressing any patient inquiries about insurance.Directed patients to examination rooms, took and recorded vitals, and notified the clinical team of any rush backs to prioritize patients in need of immediate care.Organized discharge planning by providing visit summary, confirming treatment plan, scheduling STAT appointments with Specialist offices and obtaining authorizations for advanced diagnostic imaging as needed for continuation of care.Collaborate with the Aftercare Department to provide patients with work notes, lab results, radiology imaging results, and updated treatment options.Answered phone calls in a prompt and polite manner, handled cash and processed credit cards for co-payments accurately and responsibly, informed and updated patients of waiting room wait times and scanned and filed medical records and medical record requests.Contributed to the selection of resumes, facilitated the interview process, and played a key role in training new team members on company protocols and procedures while evaluating their skills and providing recommendations for improvement.