Denise Nelson
St Louis,MO
Summary
Dynamic healthcare professional with extensive experience as a Hospice Intake Coordinator at Accent Care Hospice. Proven expertise in insurance verification and strong communication skills, enhancing patient intake processes and reducing errors. Recognized for building relationships with referral sources, leading to increased service referrals and improved patient satisfaction.
Experienced with patient intake procedures and administrative coordination. Utilizes effective communication and organizational skills to enhance operational efficiency. Knowledge of healthcare documentation and patient service protocols, ensuring seamless processes and patient satisfaction.
Healthcare professional with extensive experience in managing patient intake processes and administrative functions. Known for strong focus on collaborative team efforts and achieving operational goals. Reliable and flexible in adapting to changing needs while applying effective communication and organizational skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Hospice Intake Coordinator
AccentCare Hospice
06.2025 - Current
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
- Completed intake assessment forms and filed clients' charts.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Expedited critical cases through close coordination with clinical teams, reducing wait times for essential services.
- Developed strong relationships with referral sources, resulting in increased referrals for services provided by the organization.
- Supported office staff and operational requirements with administrative tasks.
Prior Authorization Representative
Elevance Health
03.2024 - 04.2025
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Verified eligibility and compliance with authorization requirements for service providers.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Processed new medication and refill requests for authorization.
- Streamlined workflow for faster approval turnaround times, handling high volume of insurance verification tasks.
- Collaborated with healthcare providers to expedite the process of obtaining necessary medical documentation for approvals.
Patient Services Coordinator
Eversana Pharmaceuticals
08.2023 - 03.2024
- Managed sensitive patient data with strict adherence to HIPAA regulations, ensuring privacy and confidentiality at all times.
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Responded effectively to challenging situations involving distressed or dissatisfied patients while maintaining a calm demeanor and positive attitude.
- Collected patient co-pay and issued receipt to confirm payment.
- Coordinate deliveries for patients to VA hospitals or patients home
Appointment Scheduler
OptumHealth
02.2022 - 08.2023
- Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Consistently met deadlines by effectively allocating resources, tracking progress, and making necessary adjustments to schedules as needed.
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
- Provided excellent customer service through attentive listening, empathetic communication, and efficient problem-solving during the scheduling process.
- Answered phone calls and answered questions from potential customers.
Claims Adjuster
Farmers
05.2020 - 12.2021
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Patient Access Representative
Barnes Hospital
04.2019 - 03.2020
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Prescription Benefit Specialist
Express Scripts
08.2015 - 04.2019
- Addressed discrepancies between prescribed medications, alerting medical professionals when necessary to prevent adverse reactions or negative outcomes.
- Reduced average call response time by effectively triaging customer concerns and promptly resolving issues.
- Streamlined pharmacy workflow for improved efficiency by coordinating with healthcare providers on prescription authorizations.
- Safeguarded sensitive information through strict adherence to privacy policies and best practices for data security.
- Analyzed and evaluated existing compensation and benefits programs and recommended improvements.
Education
Certified Phlebotomy Technician - Phlebotomist
Massey School of Phlebotomy
St Louis, MO03-2025
Skills
- Insurance verification
- Follow-up skills
- Multi-line phone systems
- Appointment scheduling
- Time Management & Reliability
- Strong Communication & Conflict Resolution
- Record/Data Management
- Call center& Medical Terminology
- Microsoft Office
- Epic
- CPR Plus
- Homecare Homebase
Accomplishments
- I am a Certified Pharmacy Technician
- Resolved product issue through consumer testing.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Certification
- Pharmacy Tech Licensed
- HIPPA Trained
- CPR Certified
- Certified Phlebotomy Technician
- Medical Assistant
Timeline
Hospice Intake Coordinator
AccentCare Hospice
06.2025 - Current
Prior Authorization Representative
Elevance Health
03.2024 - 04.2025
Patient Services Coordinator
Eversana Pharmaceuticals
08.2023 - 03.2024
Appointment Scheduler
OptumHealth
02.2022 - 08.2023
Claims Adjuster
Farmers
05.2020 - 12.2021
Patient Access Representative
Barnes Hospital
04.2019 - 03.2020
Prescription Benefit Specialist
Express Scripts
08.2015 - 04.2019
Certified Phlebotomy Technician - Phlebotomist
Massey School of Phlebotomy
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