Celestine Corbett
Hillsborough
Summary
Seeking employment with a company where I can use my talent, to succeed in a stimulating and challenging environment and excel in the field with hard work perseverance and dedication where I can serve and establish an enjoyable career for myself. Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently
Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Able to understand and comply with policies and procedures.
Overview
12
12
years of professional experience
Work History
Financial Care Counselor/ Cash Manager
Duke Integrative Medicine
Durham
08.2024 - Current
- Analyze insurance coverage and benefits for service to ensure timely Obtain authorizations based payment.
- Provides assistance to visitors and patients.
- Explain policies and Calculate and according to PRMO credit and collection policies.
- Implement appropriate on insurance plan contracts and guidelines.
- Document billing system Explain bills departmental coverage as requested.
- Collect cash payments appropriately for all patients.
- Reconcile daily necessity of third party sponsorship and process patients in accordance reimbursement.
- Obtain all Prior Authorization Certification and/or authorizations as appropriate.
- Facilitate payment sources for uninsured patients.
- Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment.
- Admit, register and pre-register patients with accurate patient demographic and financial data.
- Resolve insurance claim rejections/denials and remedy expediently.
- Cash deposit.
- Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
- Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
- Compile departmental statistics for budgetary and reporting purposes.
- Collection actions and assist financially responsible persons in arranging payment.
- Make referral for financial counseling.
- Determine with policy and procedure.
- Examine insurance policies and other third party sponsorship materials for sources of payment.
- Inform attending physician of patient financial hardship.
- Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level.
- Update the billing system to reflect the insurance status of the patient.
- Refer patients to the Manufacturer Drug program as needed for medications.
- Greet and support proper handling of inquiries and complaints.
- Assist with procedures, and resolves problems.
- Gathers necessary documentation to
Financial Care Counselor
Duke Health
Durham
07.2013 - Current
- Analyze insurance coverage and benefits for service to ensure timely reimbursement.
- Obtain all Prior Authorization Certification and/or authorizations as appropriate.
- Facilitate payment sources for uninsured patients. #Determine if a patient’s condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment.
- Admit, register and pre-register patients with accurate patient demographic and financial data.
- Resolve insurance claim rejections/denials and remedy expediently.
- Calculate and collect cash payments appropriately for all patients.
- Reconcile daily cash deposit. #evaluates diagnoses to ensure compliance with the Local Medicare Review Policy.
- Reconciliation daily report
- Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
- Compile departmental statistics for budgetary and reporting purposes.
- Explain bills according to PRMO credit and collection policies.
- Implement appropriate collection actions and assist financially responsible people in arranging payment.
- Make a referral for financial counseling.
- Determine the necessity of third-party sponsorship and process patients in accordance with policy and procedure.
Financial Care Counselor/ Cash Management
Duke Urology Clinic
Durham
06.2017 - 02.2024
- Analyze insurance coverage and benefits for service to ensure timely Obtain authorizations based payment.
- Provides assistance to visitors and patients.
- Explain policies and Calculate and according to PRMO credit and collection policies.
- Implement appropriate on insurance plan contracts and guidelines.
- Document billing system Explain bills departmental coverage as requested.
- Collect cash payments appropriately for all patients.
- Reconcile daily necessity of third party sponsorship and process patients in accordance reimbursement.
- Obtain all Prior Authorization Certification and/or authorizations as appropriate.
- Facilitate payment sources for uninsured patients.
- Determine if patient's condition is the result of an accident and perform complete research to determine the appropriate source of liability/payment.
- Admit, register and pre-register patients with accurate patient demographic and financial data.
- Resolve insurance claim rejections/denials and remedy expediently.
- Cash deposit.
- Evaluate diagnoses to ensure compliance with the Local Medicare Review Policy.
- Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
- Compile departmental statistics for budgetary and reporting purposes.
- Collection actions and assist financially responsible persons in arranging payment.
- Make referral for financial counseling.
- Determine with policy and procedure.
- Examine insurance policies and other third party sponsorship materials for sources of payment.
- Inform attending physician of patient financial hardship.
- Complete the managed care waiver form for patients considered out of network and receiving services at a reduced benefit level.
- Update the billing system to reflect the insurance status of the patient.
- Refer patients to the Manufacturer Drug program as needed for medications.
- Greet and support proper handling of inquiries and complaints.
- Assist with procedures, and resolves problems.
- Gathers necessary documentation to according to policy and procedure.
- Enter and update referrals as required.
- Communicate with insurance carriers regarding clinical information requested and to resolve issues relating to coverage
Education
Certification - Nursing Assistant
Durham Tech Community College
Durham, North Carolina01.2000
High School -
Orange High School
Hillsborough, North Carolina01.1993
Skills
- Insurance verification
- Prior authorization
- Patient registration
- Claims resolution
- Financial counseling
- Billing documentation
- Cash handling
- Customer service
- Statistical reporting
- Payment facilitation
- Conflict resolution
- Policy compliance
- Attention to detail
- Effective communication
- Problem solving
- Debt management
- Cost analysis
- Revenue forecasting
References
Available Upon Request
Timeline
Financial Care Counselor/ Cash Manager
Duke Integrative Medicine
08.2024 - Current
Financial Care Counselor/ Cash Management
Duke Urology Clinic
06.2017 - 02.2024
Financial Care Counselor
Duke Health
07.2013 - Current
Certification - Nursing Assistant
Durham Tech Community College
High School -
Orange High School
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