ALEXIS SIMMONS
Milwaukee
Summary
Dedicated and highly organized individual with considerable experience in providing administrative and clerical support to medical staff. Skilled in managing patient records, scheduling appointments, and providing excellent customer service. Proven record of accurately collecting patient payments and billing information.
Overview
6
6
years of professional experience
Work History
Authorization Specialist II
A- Line Staffing/ Centene
06.2021 - Current
- Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for Inpatient and Outpatient services
- Entered confidential patient information and updated electronic records in database
- Managed and obtained insurance authorizations for patient referrals from physicians
- Aided clinical team to support administrative needs for clinical referrals
- Gathered and verified insurance requirements to meet payer requirements
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines
- Tracked referral request progress and resolved issues to maintain smooth processing
- Data enters authorizations into the system.
Patient Coordinator
Forest View Dental
08.2018 - 08.2020
- Managed front office, , appointment management, billing and administration tasks to streamline workflow
- Scheduled and confirmed patient appointments and consultations
- Performed comprehensive patient assessments and interviewed patients to compile medical histories
- Attended educational workshops and classes to increase professional knowledge and expertise
- Passionately focused on providing care and assistance to patients during times of illness or injury
- Coordinated office operations to secure team compliance to optimal patient protections and administrative requirements
- Prepared timely office reports covering metrics such as expenses, patient loads and billing
- Handled office phone calls, correspondence and packages to keep hygienists and dentists free to focus on patients
- Adhered to HIPAA requirements to safeguard patient confidentiality
- Completed relevant insurance and other claim forms
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
Education
No Degree - Healthcare Administration
University of Wisconsin-Milwaukee
High School Diploma -
Washington Park High School
06.2014
Skills
- Anatomy and Physiology Terms Managing Medical Practices
- Medical Terminology MS Office Expertise
- Critical Thinking
- Telephone Etiquette
- Program Knowledge
- HIPAA Regulations
- Referral Verification Patient Scheduling
- Referral Tracking HIPAA Regulations
- Reviewing Patient Information Online Systems
- Medical Information Collection OSHA Regulations
- Administrative Duties Quality Patient Care
Timeline
Authorization Specialist II
A- Line Staffing/ Centene
06.2021 - Current
Patient Coordinator
Forest View Dental
08.2018 - 08.2020
No Degree - Healthcare Administration
University of Wisconsin-Milwaukee
High School Diploma -
Washington Park High School
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