Adriana Whitley
Berry
Summary
Reliable employee offering excellent communication and judgment. Hardworking and passionate with strong organizational skills. Willingness to take on added responsibilities to meet team goals. Seeking to maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Oncology Authorization Representative II
Baptist Hospital of Miami
07.2023 - Current
- Managed high-volume workloads while maintaining a high level of accuracy on all submitted authorizations, showcasing strong attention to detail.
- Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
- Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
- Served as a knowledgeable resource for patients and healthcare providers on the nuances of various insurance policies, building trust and credibility in the role.
- Conducted thorough reviews of medical documentation for accuracy and compliance before submitting authorization requests.
- Streamlined the authorization process for faster response times and increased efficiency in the workplace.
- Reduced processing time for authorizations by implementing efficient workflows, decreasing wait times for patients seeking necessary treatments.
- Organized and maintained detailed records of all authorization activities, ensuring proper documentation for future reference.
- Provided exceptional customer service by answering questions, resolving issues, and guiding patients through the authorization process.
Medical Insurance Specialist
DCH Regional Medical Center
12.2021 - 07.2023
- Responded to correspondence from insurance companies.
- Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
- Reported policy changes and company conditions affecting customer satisfaction.
- Conducted annual reviews of existing policies to update information.
Receptionist
North River Surgical Center
02.2019 - 12.2021
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Kept reception area clean and neat to give visitors positive first impression.
- Confirmed appointments, communicated with clients and updated client records.
- Responded to inquiries from callers seeking information.
- Managed multiple tasks and met time-sensitive deadlines.
- Provided clerical support to company employees by copying, faxing and filing documents.
- Answered large volume of incoming calls daily to resolve customer issues and schedule appointments.
Customer Service
Coral Industries
11.2016 - 11.2018
- Engaged clients in person and over phone to answer questions and address complaints.
- Investigated and resolved customer inquiries and complaints quickly.
- Recommended products to customers, thoroughly explaining details.
- Maintained up-to-date knowledge of product and service changes.
- Answered calls, emails and faxes daily, addressing customer inquiries, solving problems and providing product information.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Managed timely and effective replacement of damaged or missing products.
K-2 Teacher
Fayette Christian Academy
04.2015 - 11.2016
- Delivered lesson plans, implemented school curriculum and used data to create, monitor and establish personalized learning plan for each student.
- Reported to parents and administration about student progress.
- Created, managed and participated in variety of learning environments and activities to support opportunities for students to develop full potential and achieve learning objectives.
- Played games with students to increase understanding of subjects.
- Taught lessons encompassing skill-building activities in speaking, writing, reading and listening.
- Kept classroom clean, organized, and safe for students and visitors.
- Organized classroom supplies and decorated walls to create fun, nurturing settings and meet learning needs.
Education
Associates - Pre-Nursing
Bevill State Community College
Fayette, ALAssociates - Business Administration
Bevill State Community College
Fayette, AL05.2015
Standard Diploma -
Fayette County High School
Fayette, AL05.2008
Skills
- Eligibility Checks
- Telephone Etiquette
- Clerical Support
- Diagnostic Codes
- Customer Service
- Health Insurance Industry Knowledge
- Insurance Coverage Verification
- Prior Authorization Processing
- Knowledge of HIPAA Regulations
- Medicare Compliance
- Medical Records and Documentation
- HIPAA
Timeline
Oncology Authorization Representative II
Baptist Hospital of Miami
07.2023 - Current
Medical Insurance Specialist
DCH Regional Medical Center
12.2021 - 07.2023
Receptionist
North River Surgical Center
02.2019 - 12.2021
Customer Service
Coral Industries
11.2016 - 11.2018
K-2 Teacher
Fayette Christian Academy
04.2015 - 11.2016
Associates - Pre-Nursing
Bevill State Community College
Associates - Business Administration
Bevill State Community College
Standard Diploma -
Fayette County High School
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