Helania Young
Triangle
Summary
Dedicated and professional healthcare professional with a client-focused approach. Known for flexibility, solution-driven mindset, self-motivation, and high energy. Highly accomplished team player and mentor with proven experience in insurance verification, billing processes, and patient financial counseling. Possesses a strong understanding of medical insurance matters and always willing to assist and train new employees.
Overview
8
8
years of professional experience
Work History
Financial Special Rep 1
Inova Neurology
08.2023 - Current
- Conduct comprehensive insurance benefit reviews and patient liability assessments to facilitate informed patient counseling sessions
- Implement payment collection protocols from patients, adhering to established guidelines and policies
- Provide training and education to patients and peers on insurance concepts, verification processes, and authorization procedures
- Maintain up-to-date expertise in insurance regulations, medical billing codes, and industry standards to support accurate account resolution and compliance
- Resolved pending claims within designated timeframes, providing appropriate follow-up and adhering to system guidelines
- Identified issues in payer rejections, providing feedback to management and improving revenue cycle processes
- Making sure claims are processed correctly and accurately, ensuring same-day submission adherence to departmental guidelines
- Ensure accurate documentation of account activity, handling correspondence, and Epic billing claims edits
- Collaborate across departments (e.g., Neurology, Cardiology, Primary Care) to improve service line financial performance
- Attended team meeting and participated in special projects related to claims and denials follow-up
- Maintained comprehensive knowledge of payer requirements, including 1500 standards, and effectively navigated payer portals
Patient Access Rep 3
Inova Neurology
06.2022 - 08.2023
- Managed patient registration, scheduling, and insurance verification processes, ensuring accuracy and efficiency in high-volume settings
- Provided exceptional customer service by addressing patient inquiries, resolving billing issues, and assisting with financial counseling
- Facilitated communication among patients, physicians, nurses, and external parties such as attorneys and workers' compensation representatives, while also processing patient payments
- Collaborated with clinical teams to streamline patient admissions and discharge processes, maintaining compliance with hospital polices and HIPAA regulations
- Utilized hospital information systems to accurately collect patient data and process insurance authorizations, reducing claim denials
Patient Access Rep 2
Inova Physical Therapy
07.2018 - 06.2022
- Coordinated patient appointment scheduling across multiple clinics and verified insurance information, ensuring accurate and timely access to services
- Updated patient demographic and contact information, enhancing the accuracy of clinic records and patient communication
- Facilitated language services by arranging interpreters for non-English speaking patients, promoting equitable care
- Contributed to team efficiency by providing as-needed support to various offices and assisting the supervisor with project completion
- Assisted in the new employee training program to ensure that the new employees were developed according to Inova standards
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Front Office Associate 2
Insight Imaging
07.2016 - 07.2018
- Managed patient check-in and registration, ensuring accurate entry of demographic information and processing of payments
- Facilitated communication between patients and technical staff, delivering messages and updates to enhance patient experience during wait times
- Maintained confidentiality and compliance by handling release of information requests in accordance with company protocols and HIPAA regulations
Education
BA of Science - HIM
Purdue University Global
12.2024
Medical Billing and Coding - Certification
Purdue University Global
08.2024
Diploma -
Old Mill Senior High School
05.1997
Skills
- Icd-10-Cm
- CPT
- Icd-10-PCS
- Epic
- SharePoint
- Leadership
- Microsoft Word
- PowerShare
- Administrative Duties
- Filing
- Data Entry
- Computer Proficiency
- Communication Skills
- People Skills
- Problem Solving Skills
- Analytical Skills
- Quantitative Skills
- Medical Reimbursements
- Insurance verification /education
- Collaboration and Teamwork
- Active Listening
- Effective Communication
- Creative and Critical Thinking
- Interpersonal Skills
Timeline
Financial Special Rep 1
Inova Neurology
08.2023 - Current
Patient Access Rep 3
Inova Neurology
06.2022 - 08.2023
Patient Access Rep 2
Inova Physical Therapy
07.2018 - 06.2022
Front Office Associate 2
Insight Imaging
07.2016 - 07.2018
Diploma -
Old Mill Senior High School
BA of Science - HIM
Purdue University Global
Medical Billing and Coding - Certification
Purdue University Global
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