Open to opportunities

Steph Emerson

@stephemerson

Message

Patient-focused healthcare operations specialist with strong customer service.

United States

Message

What I'm looking for

I seek a patient-focused role in a collaborative healthcare setting where I can use my eligibility, claims, and customer-service skills to improve patient experiences and operational efficiency.

I am a self-starter and people-oriented healthcare operations specialist with extensive experience handling high volumes of patient and provider inquiries, verifying eligibility, explaining benefits, and resolving claims and appeals. I consistently apply discretion, strong organizational skills, and attention to detail while following HIPAA and compliance requirements to deliver accurate, professional service.

My background includes roles in member services, patient services, contract analysis, and team leadership where I improved scheduling efficiency, supported eligibility and billing processes, trained and led teams, and designed tracking spreadsheets and forms to streamline office workflows. I bring reliability, problem-solving ability, and a commitment to excellent patient and provider experiences.

Experience

Work history, roles, and key accomplishments

Current

Provider and Patient Services

Current

Moda Health

Feb 2022 - Present (3 years 8 months)

Handle high-volume inbound calls on claims, benefits, premiums, and eligibility for employer groups, OHP and Individual products; verify eligibility, explain coverage, and resolve complaints while maintaining HIPAA compliance.

Customer Service Claims Processing HIPAA Benefits Administration Problem Solving

Current

Patient Services Representative

Current

Siskiyou Community Health Center

Aug 2019 - Present (6 years 2 months)

Managed patient check-in, insurance eligibility for dental procedures, appointment scheduling, and maintained full clinic schedules while delivering professional patient support.

Patient Registration Scheduling Customer Service Medical Documentation Organization Communication

Contract Analyst

Community Living Case Management

Oct 2018 - Oct 2018 (0 months)

Supported onboarding and qualification of Personal Support Workers, entered Plans of Care into eXPRS, completed criminal background checks via CRIMS, and managed spreadsheets and invoicing for office operations.

ExPRS CRIMS Data Entry Spreadsheets Invoicing Compliance Support Administrative Support Problem Solving

Recovery Specialist Lead

Performant RecoverInc

Feb 2011 - Oct 2017 (6 years 8 months)

Led an 8-person team to qualify borrowers into affordable student loan payments, maintained regulatory compliance, and consistently achieved top performance awards in a high-pressure environment.

Team Leadership Student Loan Servicing Compliance Performance Coaching Problem Solving