Manija Essar
Reston
Summary
To obtain a challenging position that allows me to expand and utilize my knowledge in Medical, business development, Information Technology Client Support Professional and customer service skills with a progressive environment. Team oriented problem solver, making consistent contributions and surpassing corporate expectations. Multilingual with proficiency in Farsi, Dari, English, Pashto and Urdu.
Overview
21
21
years of professional experience
Work History
PFS Enterprise Insurance Verification
INOVA
- Current
- Update insurance information for existing patients
- Call to obtain pre-authorization for recommended services and procedures
- Explain to patients what their financial responsibilities will be
- Inform relevant clinical staff about denials
- Answer questions related to billing and insurance Communicate with patients to confirm patient demographics.
- Assisting in collecting payments, and establishing payment arrangements
- Review patients insurances for qualification and eligibilities
- Investigating patient balances, and engaging other Revenue Cycle areas as needed
- Answer calls from Insurance Companies and assist with claims/charges/EOB
- Meeting quality and performance standards
- Assisting callers from Doctors and Insurance offices regarding patients accounts
- Explaining EOB to patients/providing information and explanations on Copay/Deductible/Coinsurance
- Explaining charges and CPT Codes/Revenue Codes and Diagnostic codes to patients.
- work on 40 to 50 Surgery and Radiology accounts per day
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided exceptional customer service during interactions with clients, addressing concerns or questions promptly and professionally.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Collaborated with healthcare providers to obtain required patient information for accurate insurance verification.
- Supported billing department by verifying coverage details to ensure correct invoicing of clients and prompt payment from insurers.
- Ensured timely referrals for specialty care or diagnostic tests by verifying coverage and obtaining necessary preauthorizations.
- Strengthened relationships between insurers, clients, and healthcare providers through clear communication and timely resolution of disputes or inquiries.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Established and maintained relationships with insurance providers for productive communications.
- Performed various administrative tasks by filing, copying and faxing documents.
- Contributed to company''s growth through consistent achievement of performance metrics related to accuracy, speed, and customer satisfaction ratings.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Updated patient records with accurate, current insurance policy information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Increased accuracy in claim submissions with thorough review of documentation prior to submission to insurers.
- Enhanced client satisfaction by accurately verifying insurance coverage and processing claims in a timely manner.
- Safeguarded client privacy by adhering to stringent HIPAA regulations in all aspects of work responsibilities.
- Expedited claim processing by promptly obtaining necessary pre-authorizations for medical procedures.
- Reduced claim denials by diligently researching and resolving discrepancies in policy information.
- Demonstrated expertise in various insurance plans, including HMOs, PPOs, and government-sponsored programs, ensuring accurate verification for diverse client populations.
- Learned and adapted quickly to new technology and software applications.
- Proven ability to develop and implement creative solutions to complex problems.
- Resolved problems, improved operations and provided exceptional service.
Patient Service Coordinator
My Eye Doctor
05.2017 - 04.2020
- Greet and process all incoming/outgoing patients
- Review patients insurances for qualification and eligibilities
- Collect money in form of Co pay /Deductible
- Review any add on patients for next day appointment.
- Handled customer service inquiries in person, via telephone and through email.
- Established strong relationships with referring physicians'' offices by maintaining open lines of communication for seamless coordination of care across providers.
- Provided excellent customer service to patients and medical staff.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Resolved customer complaints using established follow-up procedures.
- Investigated insurance claims denials and appeals.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Enhanced patient satisfaction by efficiently scheduling appointments and handling registration tasks.
- Inputted accurate patient insurance, billing and payment information in the system.
- Managed patient registration process, confirming data accuracy and completeness.
- Conducted personal interviews to obtain required financial information.
- Engaged with patients to provide critical information.
- Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
- Greeted and assisted patients with check-in procedures.
- Respected patients by recognizing rights and maintaining confidentiality.
- Drove proactive patient outreach activities to schedule appointments and follow-up on care and health maintenance.
- Resolved billing inquiries and disputes in timely fashion.
- Entered patient demographic and insurance data into electronic medical record system.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Organized administrative workflows within the office space to improve overall efficiency among team members while minimizing disruptions during busy periods.
- Maintained accurate patient records by diligently updating information in the electronic health record system.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Answered incoming calls, scheduled appointments and filed medical records.
- Oversaw monthly inventory orders to guarantee properly stocked office.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
- Delivered support to medical staff in completion of patient paperwork.
- Collected patient co-pay and issued receipt to confirm payment.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified patient's insurance eligibility and benefits coverage.
- Reduced wait times for patients through effective coordination of appointment schedules with providers.
- Took copayments and compiled daily financial records.
Patient Access /Scheduler
Reston Hospital
10.2012 - 11.2015
- Communicate with patients to confirm surgery dates
- Responsible for Anesthesia Consult appointments
- Review patients insurances for qualification and eligibilities
- Fax orders to Lab Corp and Quest Diagnostic
- Communicate with Doctors if surgeries required any changes
- Schedule between 30 to 40 patients on daily basis
- Answer multiple phone lines from Patients, Doctors, Nurses and Insurances
- Verify medication with patients
- Review any add on patients for next day surgeries.
- Obtained payments from patients and scanned identification and insurance cards.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Improved patient scheduling efficiency by streamlining appointment booking processes.
- Maintained strict adherence to HIPAA regulations when handling sensitive patient information during the scheduling process.
- Conducted patient intake interviews, recording and documenting relevant information.
- Boosted overall operational efficiency by maintaining up-to-date knowledge of insurance requirements, billing practices, and medical terminology.
- Ensured seamless communication with external parties such as referring physicians'' offices or diagnostic centers while coordinating complex multi-disciplinary appointments for patients.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Collaborated with medical professionals to schedule procedures, tests, and follow-up appointments according to clinical guidelines.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
Customer Support Specialist
American Cadastre, LLC
03.2009 - 10.2012
- Conduct webinars and draft test scenarios to educate clients on new software functionality
- Interact directly with clients to troubleshoot software functionality issues
- Draft and revise test procedures to locate and correct program operating errors following installation
- Review documentation, diagrams, and flow charts to ensure that the software will perform as designed
- Evaluate and test new or modified software development to ensure product functionality and quality
- Review computer operating logs to identify program-processing errors
- Identify differences between established standards and user applications
- Create software design mockups, user cases and scenarios to demonstrate software functionality
- Draft requirements and system design documents to develop applications and automate business processes
- Worked on drafting/editing requirement documentation for Technical Proposals and Software Package Deliveries
- Supported the configuration, customization and delivery of software packages to meet customer requirements
- Provided day-to-day customer support for counties using e-filing, land records and court case management software.
Banking Branch Supervisor
TD Bank
08.2005 - 02.2009
- Ensured daily opening/closing operational procedures were enforced
- Interacted daily with customers to resolve banking issues
- Established quick rapport with customers to develop new business
- Assist’s customers with Loans and Mortgages on a daily basis.
- Motivated, trained and disciplined employees to meet performance benchmarks.
- Monitored front areas so that questions could be promptly addressed.
- Optimized staffing schedules to maximize productivity during peak hours while minimizing labor costs during slower periods.
- Boosted customer satisfaction with attentive service and prompt resolution of issues.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Handled escalated customer complaints professionally while working towards swift resolutions that maintained client satisfaction levels.
- Led team meetings to share updates, discuss performance metrics, and set goals for improvement.
Customer Service and Sales Associate
Chevy Chase Bank
05.2003 - 08.2005
- Responsible for meeting monthly sales goals
- Provided loan product information to customers
- Sales calls made daily to contact customers and introduce new products and services
- Assist’s customers with Loans and Mortgages on a daily basis.
- Engaged in friendly conversation with customer to better uncover individual needs.
- Managed efficient cash register operations.
- Maximized profitability with strategic upselling techniques during one-on-one interactions with clients at the point of purchase.
- Educated clients on current promotional offerings and products using persuasive selling tactics.
- Engaged with customers to effectively build rapport and lasting relationships.
- Developed new client relationships by actively engaging with potential customers and highlighting the benefits of our product offerings.
- Developed strong rapport with customers and created positive impression of business.
- Maintained up-to-date knowledge of store sales, payment policies and security standards.
- Achieved monthly sales targets consistently by implementing effective sales strategies and maintaining a high level of product knowledge.
- Built relationships with customers to encourage repeat business.
- Worked to meet or exceed special targets for credit card applications, special donations and specific product promotions.
- Listened to customer needs and desires to identify and recommend optimal products.
- Provided positive first impressions to welcome existing, new, and potential customers.
- Monitored customers for signs of security concerns and escalated issues to management.
- Minimized wait times for customers during peak hours, maintaining a high level of customer satisfaction.
- Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
- Solved customer challenges by offering relevant products and services.
- Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
Education
Associate of Science - Criminal Justice
Gibbs College
Vienna, VA06.2004
Skills
- Configuration/Integration
- Verbal & Written Communication Skills
- Quality Control
- Multi-lingual (5 languages)
- Customer Service
- Problem Management
- Microsoft Office
- Client Relationship Building
- Certified AiCMS
- Customer Retention
Academic Accomplishments
Gibbs College, Vienna, VA, Associate of occupational Science, Criminal Justice, 3.9
Timeline
Patient Service Coordinator
My Eye Doctor
05.2017 - 04.2020
Patient Access /Scheduler
Reston Hospital
10.2012 - 11.2015
Customer Support Specialist
American Cadastre, LLC
03.2009 - 10.2012
Banking Branch Supervisor
TD Bank
08.2005 - 02.2009
Customer Service and Sales Associate
Chevy Chase Bank
05.2003 - 08.2005
PFS Enterprise Insurance Verification
INOVA
- Current
Associate of Science - Criminal Justice
Gibbs College
Similar Profiles
Timothy GriffinTimothy Griffin
Registered Respiratory Therapist at INOVARegistered Respiratory Therapist at INOVA
Mason HeberleMason Heberle
Primary Care Nurse at INOVAPrimary Care Nurse at INOVA
Mauda MartellMauda Martell
Patient Financial Services Representative at InovaPatient Financial Services Representative at Inova