Iikkia Hardison
Greensboro
Summary
Excellent communication skills, both written and verbal, with the ability to effectively interact with patients, healthcare professionals and staff members. Seeking a challenging position in a reputable healthcare organization where my expertise can contribute to the smooth and efficient operation of the facility.
Overview
10
10
years of professional experience
Work History
Patient Access Advocate II
Conehealth Center For Children
04.2024 - Current
- Deliver excellent customer service to patients in the registration process by verifying personal and insurance details, ensuring accurate payment processing and insurance billing.
- Explains policy and application procedures to patients, assisting them in completing financial assistance application forms.
- Interview and investigate benefit recipients to gather information pertinent to their cases.
- Completes mandatory training and ongoing education in patient access advocacy.
- Obtained required precertification, manage referrals, and coordinate follow-up measures with the pre-cert coordinator.
- Maintains and organize all manuals and policy materials, ensuring they are up-to-date and accessible for patients.
- Work in cooperation and coordination with other county staff, local state and federal agencies, service provider or vendors to provide patient services.
- Address and resolve concerns raised by patients and healthcare providers; inform patient of their appeal rights and the appeal process.
- Engage with upset or confrontational individuals, utilizing de-escalation skills to provide support to those in emotional distress.
- Efficiently plans and organize tasks to meet deadlines.
- Document intricate situations accurately and concisely.
- Demonstrates initiative and the ability to work independently.
Clinical Pharmacist Assistant
Upstream Pharmacy
08.2020 - 12.2022
- Prepared patients' primary and secondary pharmacy insurance, clearly delineating any narrow network or other cost barriers.
- Managed a monthly caseload of 400 patients, effectively coordinating and overseeing their care. Initiated procedures to grant, modify, and deny assistance or refer applicants to other agencies for assistance.
- Obtained, complete accurately, and timely submitted enrollment applications and related documents.
- Documented interventions and care plans in the practice EMR.
- Worked with internal billing team, credentialing team, and patients to share approvals and work through denials and appeal process.
- Utilized all methods available to verify status of enrollment, enrollment instructions and processes, and enrollment applications via outbound calls (primary method), web portal access and email communication. Maintenance of scheduled follow-up appointments, and therapeutic goal record for Chronic Care patients.
- Maintains confidentiality of all information; adheres to all HIPAA guidelines/regulations
Pre-certification Specialist
Bethany Medical Center
07.2019 - 08.2020
- Processed physician and outpatient referrals.
- Ensured patient compliance with medical policy guidelines by reviewing chart documentation and responding to clinic inquiries.
- Obtained authorization number for Echocardiogram and Nuclear stress test via payer website or by phone.
- Prioritized authorization request upon urgency and followed up regularly on pended cases. Initiated appeals for denied authorization.
Medical Office Assistant
Friendly Urgent & Family Care
10.2014 - 07.2019
- Verified patient's eligibility by using NC Tracks, Blue E, UHC, and other online insurance websites.
- Contacted Medicare, Blue Cross Blue Shield, and United Healthcare to research and resolve claim issues.
- Assisted the physician and patient with completing FMLA forms and treatment plans.
- Collaborated with Workers' Comp adjusters to secure claim and payment information.
- Used Allscripts Professional Practice Management to enter patient demographics, processed payments, and medical referrals.
Education
Associate of Applied Science - Medical Assisting
ECPI University
05-2012
Skills
- Medical Billing/Coding
- Worker's Compensation
- Centers for Medicare and Medicaid
- Health Benefits and Insurance Verification
- NC Tracks
- HIPAA Compliance
- Microsoft Word/Excel
- Appointment Scheduling
- Patient Relations
- Exceptional Customer Service
Timeline
Patient Access Advocate II
Conehealth Center For Children
04.2024 - Current
Clinical Pharmacist Assistant
Upstream Pharmacy
08.2020 - 12.2022
Pre-certification Specialist
Bethany Medical Center
07.2019 - 08.2020
Medical Office Assistant
Friendly Urgent & Family Care
10.2014 - 07.2019
Associate of Applied Science - Medical Assisting
ECPI University
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