Alana Herring
Ovilla,Texas
Overview
3
3
years of professional experience
Work History
Commercial Office Supervisor
Texas State Optical Midlothian
Midlothian, Texas
12.2021 - Current
- Supervised, trained and mentored staff members in the use of office equipment and procedures.
- Resolved customer complaints regarding products or services offered by the company.
- Assisted with recruitment processes including interviewing potential candidates.
- Provided technical support to staff members using computers or other electronic devices.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Performed daily audits of submitted claims to ensure compliance with industry standards and regulations.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
Transplant Financial Coordinator
Baylor University Medical Center
Dallas, Texas
06.2021 - 02.2022
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered, including transplant procedures.
- Maintained accurate records of all donations received.
- Assisted in the coordination of organ donor and recipient matching processes.
- Collaborated with other healthcare professionals to ensure successful outcomes for patients undergoing transplants.
- Coordinated transportation arrangements for specimens requiring specialized care or equipment during transport.
Education
BBA - Management
Lamar University
Beaumont, TX08-2024
Skills
- Scheduling and calendar management
- Document management
- Data retrieval systems
- Account reconciliation
- Documentation and control
- Office administration
- Training and coaching
- Database administration
- Insurance benefits verification
- Medical insurance knowledge
- File insurance claims
- Reception oversight
- Customer service
- HIPAA compliance
- Revenue cycle management
- EPIC and other EHR/EMR systems
About Me
- I am passionate about assisting others
- Team Collaboration Enthusiast with a Strong Ability to Learn Quickly
- Adept at thriving in dynamic environments that demand effective multi-tasking and meticulous attention to detail
Timeline
Commercial Office Supervisor
Texas State Optical Midlothian
12.2021 - Current
Transplant Financial Coordinator
Baylor University Medical Center
06.2021 - 02.2022
BBA - Management
Lamar University