Nakiya Llorens

• Assisted patients with self-administered medications.
• Assisted clients with daily living needs to maintain self-esteem and general wellness.
• Recognized and reported abnormalities or changes in patients' health status to case manager.
• Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
• Transported individuals to events and activities, medical appointments, and shopping trips.
• Changed dressings, bandages, and binders to maintain proper healing and sanitary measures.
• Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
• Monitored client vital signs, administered medications, and tracked behaviors to keep healthcare supervisor well-informed.
• Built strong relationships with clients to deliver emotional support and companionship.

• Operates databases and EMR software.
• Uses coded data to produce claim information.
• Enters information necessary for insurance claims such as patient, insurance ID, diagnoses and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate.
• Ensures claims have the appropriate modifier, diagnosis pointer, billing and rendering provider and selected fee schedule.
• Monitors claims for missing information and authorization/control numbers.
• Ensures all claims are submitted with a goal of zero errors.
• Submits claims through to the clearinghouse or individual insurance companies electronically or via paper CMS-1500 forms.
• Updates the claim the MVA or employment related information for Worker’s Compensation claims, ensures these claims are printed and applicable progress notes are attached and mailed.
• Works through front-end claim denials at the clearinghouse level that have not been accepted and/or rejected by the payor.
• Resubmits non-adjudicated claims to the appropriate payor.
• Processes past due invoices and failed billing.
• Reviews claims for appropriate billing when denial is received by the payor and the account reps within the Accounts Receivable department have sent the claim back for further review.
• Assists in reviewing billing from reference labs and other sources.

• Interviews patients in person or by phone to obtain all required information for hospital records and billing systems. Registers or Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
• Obtains patient’s and/or responsible party's signatures on registration and issues required information to patients/ responsible party concerning Advanced Directives, Privacy, Medicare and required other compliance or consent forms.
• Verifies insurance coverage and obtains authorization for all services requiring pre-certification. Takes appropriate steps following department guidelines when required authorization is not available
• Determines upfront payment or deposit based on the patient’s third party coverage and requests following department scripting for POS collections. Logs payment, produces receipt and prepares deposit records according to cash handling policy and procedure.
• Maintains an awareness of patient level of comfort during wait. Clinical staff if the patient is unable to wait.
• Promotes a positive image to patients, visitors and physicians by adhering to the MedAssets+precyse Core Values of Courage, Authenticity, Respect, Excellence, and Service.
• May prepares charts and paperwork for patient visits. Places identification wristband on patient and follows hospital patient safety procedures for patient identification at all times.
• Performs clerical functions as needed, including answering phones, taking messages, chart processing, filing, faxing, etc. Assists patients with questions regarding hospitals bills including taking payments at any registration location.
• Screens patient for Medicaid, Affordable care Act or hospital sponsored financial program and provide appropriate documentation and referral. Explains payment options to patient and enrolls in payment plan as appropriate. May provide bedside financial counseling services as appropriate to patient type and location. May provide collection support by telephone for patient balances after discharge.

• Work in an energetic call center environment answering inbound customer calls concerning inquiries about one or more Cox products.

• Trouble shoot the root cause of customer problems and identify the action required (using company databases, customer information, and collaboration with other departments) to resolve issue and schedule service appointments when necessary.

• Provide total customer service by asking questions and listening to customers in order to understand their needs, requests, or problems while identifying sales and up-selling opportunities that will drive additional revenue for the company.

• Build customer loyalty by placing follow-up calls to customers after receiving acknowledgment of action taken by other Cox departments.

• Keep customer informed about progress by checking the status of work orders in customer record system.

• Provide seamless customer experience through documenting call details and new account information into the computer system and completing any forms required to request action by other departments.