1. Mary Ellen OBrien
Relocating to St Petersburg/Tampa, FL in 09/2016 C: 2672406029 / Meobrien8883@gmal.com
Summary
PreCert Specialistand InsuranceVerifier with over ten years of experience with a health system whose mission is
“To Provideexceptional patient care and customer serviceto members of the communities served by the
Hospitals,and to recognize a patient’s right to considerateand respectful care, regardless of ability to pay”.
Highlights
 MS OfficeSuite
 Navinet (as well as all Insuranceweb sites)
 Cerner Schedulingand InsuranceVerification Systems
 HDX InsuranceVerification System
 Huron Schedulingand TrackingSystem
 GroupWiseMail System
Education
1980 General Equivalency Diploma
Philadelphia,PA
1982 Philadelphia School of Office Training, Receptionist Certification
WorkExperience
09/2015 to Current Lead – Surgical PreCert Specialist for 3B Orthopedic Surgeons
ARIA HEALTH SYSTEMS – Langhorne, PA
 Review medical records to insurepatient conditions meet guidelines and insurancemedical
policies for Inpatientand Outpatient scheduled surgeries.
 Surgical PreCertSpecialistcommunicates with insurancecompanies and patients to update
information obtain referrals and/ or pre-certifications asneeded.
 Copay Specialist,compilepatientfinancial obligationsbased on insurancecoverageand
communicates this information to the patient to secure payment.
 Identify trends in variationsof data entry that may resultin potential billingissues and make
relevant suggestions for the improvement of data collection.
 Review and update various reports for patient management related issues.
 Maintains status viadaily status updatefor all scheduled Inpatientand Outpatient surgeries.
04/2014 to 09/2015 Inpatient Insurance Verifier / Co-pay Specialist / PAT Surgical Scheduler
ARIA HEALTH SYSTEMS – Philadelphia,PA
 Performs and review activities within theguidelines,policies and procedures of the Business
Office.
 Review and verify insurances and patientinformation for ED admissionsand directadmissions.
 PreCert Specialistcommunicates with insurancecompanies and patients to update information,
obtain referrals and/ or pre-certifications as needed.
 PAT Specialist,schedules patients for elective surgical inpatientand outpatient procedures
 Copay Specialist,compilepatientfinancial obligationsbased on insurancecoverageand
communicates this information to the patient to secure payment.
 Identify trends in variationsof data entry that may resultin potential billingissues and make
relevant suggestions for the improvement of data collection.
 Review and update various reports for patient management related issues.

2. Mary Ellen OBrien
Relocating to St Petersburg/Tampa, FL in 09/2016 C: 2672406029 / Meobrien8883@gmal.com
04/2001 to 04/2014 Outpatient Insurance Verifier
ARIA HEALTH SYSTEMS – Philadelphia,PA
 Perform and review activities within theguidelines,policies and procedures of the Pre-Encounter
Unit.
 Review and verify insurances and patient information for scheduled outpatient testing and
services.
 PreCert Specialistcommunicates with insurancecompanies,physician offices and patients to
update information obtain referrals and/ or pre-certificationsas needed.
 Communicates with insurancecompanies and physician offices to obtain retro pre-certifications
and/or referrals to insurepayment of studies performed.
 Compile patient financial obligationsbased on insurancecoverageand communicate this
information to the patient to securepayment.
 Identify trends in variationsof data entry that may resultin potential billingissues and make
relevant suggestions for the improvement of data collection.
 Review and update various reports for patient management related issues.
 Started as Registrar,promoted to Outpatient InsuranceVerifier.
 Assistin identifyingthe educational needs of the staff within assigned parameters and the
development of interdepartmental solutions.
 Provideassessments of findings from review activities.
 Act as liaison with other departments who do SMS Invision data entry with the patient
management system.
 Productivity consistently exceeds 135%.
11/2015 to Current Community Service
Ascend Hospice Agency - Volunteer
 Serves the patient and family/caregiver under guidanceof Volunteer Coordinator and registered
nurse (CaseManager) or as part of the administrative team.
 Serves as a companion in the home offering socialization activities thatthe volunteer has been
prepared for and has agreed to perform. The volunteer may do homemaker chores,run errands,
and provide much needed respite careas well.
 Documents as educated and instructed maintainingconfidentiality.
 Meets all health requirements set by Family HospiceCare.
 Provides availability on a regular basis and/or keepingwith the patient and family/caregiver
needs.
 Participates in volunteer supportgroups and/or educational in-services.
 Maintains open communication and reports regularly to the Volunteer Coordinator.
 Assignment of other duties (as needed) directed by the Volunteer Coordinator.