Nashay Liles
Philadelphia
Summary
Detail-oriented Healthcare Financial Services Professional with 8 years in patient financial services, insurance verification, and billing support. Expertise in reviewing insurance benefits, coordinating pre-certification, resolving account issues, and ensuring regulatory compliance. Proficient in Epic EMR and ICD-10 coding, currently pursuing a Bachelor of Science in Healthcare Administration and Leadership.
Overview
10
10
years of professional experience
Work History
Financial Counselor
Temple Hospital
Philadelphia, PA
08.2021 - Current
- Verified and resolved a minimum of 60 patient accounts daily across three work queues, consistently exceeding productivity expectations by completing 70-80 accounts while maintaining accuracy and compliance
- Educated patients on financial options and insurance benefits to enhance understanding of coverage.
- Analyzed patient accounts to identify billing discrepancies and resolve issues promptly.
- Trained new staff on financial counseling best practices and software systems, fostering team knowledge sharing.
- Contacted insurance providers to verify eligibility , benefits , authorization requirements and coverage details , ensuring accurate account documentation and timely claim processing.
- Cross-trained in Emergency Department admissions, verifying insurance coverage reviewing ICD-10 diagnosis to determine authorization requirements, and obtaining payer approvals for inpatient admissions.
Patient Care Assistant
The Childrens Hospital of Philadelphia
Philadelphia, PA
08.2018 - 08.2021
- Registered over 60-patients in EPIC, placed identification wristbands, and collaborated with Triage Nurse to assess patient care needs based on illness/injury symptoms.
- Sent out all trauma, resuscitations, and disaster/decon pages to appropriate ED teams.
- Acknowledged and addressed immediate patient and family needs by providing timely support and attention.
- Documented patient care, hospital actions, and activities to ensure accurate medical records and continuity of care.
Medical Receptionist
Wills Eye Hospital
Philadelphia, PA
09.2016 - 08.2018
- Coordinated provider schedules and patient appointments to enhance clinic efficiency and improve patient access.
- Verified insurance eligibility, benefits, and demographic information to ensure accuracy of patient records and account documentation.
- Utilized ICD-10 diagnosis codes to support pre-certification, authorization, and billing related processes.
- Maintained accurate patient information and documentation for reimbursement and claims processing to support billing activities.
Education
Bachelor’s - Healthcare Administration And Leadership
Capella University
Minneapolis, MN01-2027
Associate of Applied Science - Science Education
Community College of Philadelphia
Philadelphia, PA05-2015
Skills
- Patient Financial Services
- Insurance Verification
- Eligibility verification
- Billing and Collections
- Claims Support
- Revenue Cycle Operations
- Epic Certified
- Medical coding
- Financial guidance
- Cash flow management
- Financial assessments
- Stakeholder communication
Timeline
Financial Counselor
Temple Hospital
08.2021 - Current
Patient Care Assistant
The Childrens Hospital of Philadelphia
08.2018 - 08.2021
Medical Receptionist
Wills Eye Hospital
09.2016 - 08.2018
Associate of Applied Science - Science Education
Community College of Philadelphia
Bachelor’s - Healthcare Administration And Leadership
Capella University