Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maretta Jenkins

Clarksdale

Summary

Compassionate Client Care Counselor with extensive experience in insurance verification and patient management. Known for effective communication and strong organizational skills, contributing to optimized clinic operations and improved patient satisfaction.

Overview

31
31
years of professional experience

Work History

Client Care Counselor

AEH Children's Clinic
Clarksdale
10.2022 - Current
  • Registered and scheduled patient appointments efficiently to optimize clinic operations.
  • Obtained authorizations for tests ordered by providers to ensure timely care delivery.
  • Managed phone communications, relaying messages from patients to providers promptly.
  • Verified and updated insurance information to maintain accurate patient records.
  • Generated end-of-the-day finance reports to facilitate financial tracking and accountability.

Registration Receptionist

The Children's Clinic of Clarksdale
Clarksdale
06.2021 - 10.2022
  • Greeted and registered patients upon arrival at the healthcare facility.
  • Verified patient information and insurance details efficiently.
  • Assisted patients with completing necessary paperwork and forms.
  • Coordinated with medical staff to ensure smooth patient flow.
  • Addressed patient inquiries and provided information about services offered.
  • Maintained a clean and organized reception area for optimal patient experience.
  • Handled phone calls and directed them to appropriate departments promptly.
  • Maintained patient confidentiality in accordance with HIPAA regulations.
  • Greeted and welcomed patients in a friendly and professional manner.
  • Ordered office supplies as needed to maintain adequate inventory levels.
  • Ensured compliance with HIPAA regulations by maintaining confidentiality of all patient information.
  • Scheduled appointments for both new and existing patients, answered phone calls and emails from patients.
  • Maintained an organized filing system for all paperwork related to patient registrations.
  • Resolved customer service issues in a timely manner while maintaining a positive attitude.
  • Verified patient demographic information and updated records accordingly.
  • Greeted and registered patients, verified insurance information, collected copayments and deductibles.
  • Explained various payment options to patients such as cash payments or credit card payments and assisted them in selecting a payment option that best suits their needs.
  • Answered questions about health plan coverage policies and procedures.
  • Performed eligibility checks on patients to ensure they are eligible for services provided by the practice or facility.
  • Processed insurance authorizations, referrals, pre-certifications and prior authorizations as required by payers.
  • Provided support to clinical staff with regards to registration related tasks.
  • Facilitated smooth workflow by communicating any delays or issues to appropriate personnel.
  • Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
  • Monitored reception area to provide consistently safe, hazard-free environment for customers.
  • Maintained client accounts by obtaining, recording and updating personal and financial information.
  • Supplied callers with office address and directions, employee email addresses and phone extensions.
  • Transmitted information or documents to customers through email, mailings or facsimile machine.
  • Coordinated pick-up and delivery of express mail services.

Precertification Specialist

Northwest MS Medical Center
Clarksdale
06.1994 - 06.2021
  • Reviewed and verified precertification requests for medical services.
  • Communicated with healthcare providers to gather necessary patient information.
  • Coordinated with insurance companies to obtain authorizations for procedures.
  • Maintained accurate records of precertification requests and approvals.
  • Educated patients about the precertification process and requirements.
  • Assisted in resolving discrepancies in insurance claims and authorizations.
  • Collaborated with clinical staff to ensure compliance with insurance guidelines.
  • Streamlined communication between departments regarding patient precertification needs.
  • Verified insurance eligibility, coverage levels, and benefit parameters prior to submission of precertification requests.
  • Assisted with answering provider inquiries regarding preauthorization requirements and processes.
  • Collaborated with other departments within the organization as needed to resolve issues or obtain additional information.
  • Compiled and submitted precertification requests for review by payers in accordance with established timelines.
  • Reviewed patient medical records to determine medical necessity for requested services and procedures.
  • Analyzed trends in denials or rejections of claims due to lack of proper authorization.
  • Maintained detailed documentation of all activities related to the precertification process.
  • Adhered to applicable laws, regulations, policies, and procedures governing the healthcare industry.
  • Participated in training sessions conducted by insurers concerning changes in policies, procedures, guidelines.
  • Processed appeals when necessary following denial or rejection of claims due to lack of proper authorization.
  • Researched current payer policies related to specific services or diagnoses as needed.
  • Ensured compliance with all HIPAA regulations pertaining to protected health information.
  • Resolved any discrepancies identified during the precertification process.
  • Identified opportunities for improvement within the precertification process and recommended solutions accordingly.
  • Explained reasons behind application denials and recommended further action.
  • Entered client information and files into databases for further review and tracking.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Responded to client inquiries and concerns and escalated complex problems to department supervisors.
  • Gathered financial information from clients regarding income, assets and debts.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Communicated with patients with compassion while keeping medical information private.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Scheduled and confirmed patient appointments and consultations.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Ordered and maintained supply inventory for medical office.

Education

High School Diploma -

Coahoma County High School
Clarksdale, MS
05-1988

Some College (No Degree) - General Studies

Delta State University
Cleveland, MS

Skills

  • Appointment scheduling
  • Medical records management
  • Insurance verification
  • Precertification processes
  • Financial reporting
  • Patient communication

Timeline

Client Care Counselor

AEH Children's Clinic
10.2022 - Current

Registration Receptionist

The Children's Clinic of Clarksdale
06.2021 - 10.2022

Precertification Specialist

Northwest MS Medical Center
06.1994 - 06.2021

High School Diploma -

Coahoma County High School

Some College (No Degree) - General Studies

Delta State University

Similar Profiles

CREATE PROFILE
Maretta Jenkins