•Secures and obtains accurate patient data for complete financial clearance of admission of various admission types and locations.•Interviews patients to determine accurate funding source information.•Determines benefit level, coordination of benefits, coinsurance amounts for hospital and clinic services using knowledge of insurance verification.•Performs pre-certification, referral coordination, and financial counseling.•Communicates with pay patients about service charges and assists patient with payment arrangements.•Collects copays, coinsurance and other monies that may be owed by patient.•Ensures proper financial clearance for timely and correct reimbursement for services rendered at UHS.

Hospital Contracts Coordinator in Network Development•Monitored hospital contract submission process and audited provider information systems for consistency and accuracy•Created spreadsheets to collect, track, prepare, compile and distribute statistical data for daily/monthly reports.•Managed the Corporate-wide data verification process for contracted providers and updated contract organizations databases•Collaborated with the credentialing staff to ensure all Health Plan data systems are congruent

Front office and back office medical assistant •Coordinated patient intake and triage by assessing patients, performed standard vital checks, including but not limited to blood pressure, blood sugar, heart rate, urinalyses, and throat cultures •Coordinated with physicians and nursing staff while assisting with diagnostic procedures including obtaining specimens, taking vital signs and electrocardiograms• Trained new employees on daily tasks and the clinic’s standard operating procedures•Answered the phone lines, updated medical records, scheduled appointments for patients •Took inventory and manage medical equipment and tools•Authorized drug refills and provide prescription information to pharmacies •Assisted with insurance, coding, and billing paperwork