Dana Hinton
ChristianaCare Neurology Specialists
Newark
1
Certification
26
years of professional experience
Versatile healthcare professional with cross‑functional expertise. Ensure accurate, compliant authorization decisions while maintaining strong workflow efficiency. Ensure all patient data is handled in full compliance with privacy and confidentiality regulations. Ability to analyze data and exercise independent judgement.
Work History
Access Coordinator
3 Years 11 Months- Validate insurance coverage, eligibility, and benefits for office visits, and procedures.
- Initiate medical authorizations for procedures, specialty drugs, and diagnostic testing using multiple software and insurance websites.
- Review up to 50 or more cases daily, providing clinical documentation to the insurance companies utilizing management professionals to obtain authorization requirements and facilitate care.
Patient Access Representative
4 Years 1 Month- Maintained confidentiality, verified patient demographics, insurance eligibility, benefits, and financial responsibility.
- Processed up to 60 cases per day and communicated effectively, timely and professionally in writing and verbally.
- Ensured timely notification and request for referrals and authorizations were handled in accordance with departmental policy and payor requirements.
Patient Care Associate
9 Years 10 Months- Greeted and demonstrated excellent, empathetic and knowledgeable customer service skills to internal and external customers by way of patient registration.
- Validated and revised patient's demographic and insurance information into electronic health record, confirmed pre-admission information, and obtained signatures for legal consent and insurance forms.
- Calculated and communicated patient cost estimates, and ensured copay requirements and approvals were completed before services rendered.
Patient Service Representative
7 Years 5 Months- Checked up to 100 patients in the emergency medical facility, validated patient identification, verified insurance coverage, and updated demographic information.
- Discussed financial responsibilities with all signatures obtained to consent for treatment and services according to state and federal guidelines.
- Assigned beds for observation and admission stay and offered patients financial counseling upon admission.
- Communicated effectively with physicians and nurses regarding patient's needs and care.
- Additional duties included general administrative tasks such as answering and transferring inbound telephone calls, faxing, copying, and preparing medical charts for nurses and physicians to review.
Education
Associate of Science Degree - Billing And Coding
- Medical terminology, medical billing and coding, claims processing, medical office procedures, insurance verification, accounts receivable, collections, co-pays, and deductibles.
- Electronic health records systems and healthcare claims preparation and submission processes.
- Coding for diseases, surgeries, and medical procedures using ICD-10, CPT, and HCPCS coding systems.
- Organizing, analyzing, and examining health insurance claims for reimbursement and resubmitting rejected claims.
- HIPAA rules and regulations related to patient information privacy and security.
- Dean's List [All Semesters of 2024]
- 3.95 GPA
Skills
Cross-functional collaborator
Customer service expertise
HIPAA compliance
Exceptional organization
Adaptable mindset
Detail-oriented approach
Certification
- High Academic Honors Recognition / Honor Roll.
- Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Timeline
Access Coordinator
ChristianaCare Neurology Specialists
08.2022 - CurrentRead More
Patient Access Representative
Penn Presbyterian Medical Center
06.2018 - 07.2022Read More
Patient Care Associate
Penn Presbyterian Medical Center
07.2008 - 05.2018Read More
Patient Service Representative
The Children's Hospital of Philadelphia
06.2000 - 11.2007Read More
Ultimate Medical Academy
Associate of Science Degree from Billing And Coding
Read More