Aliyah Hawthorne
San Antonio,TX
Summary
Detail oriented, reliable, and cross-trained medical coordinator with 4+ years of experience in obtaining authorizations and verifying insurances for medical services. Proven ability to start the utilization process and contribute to improved patient care and operational efficiency.
Overview
8
8
years of professional experience
Work History
Insurance Billing Order Specialist
Natera
09.2023 - Current
- Maintained 100% accuracy on all insurance processing audits
- Prepared source data for computer entry by compiling information, establishing entry priorities
- Verified and acknowledged the requirements of over 50 different insurances, including Medicaid's, Medicare, IPA's, and TPA's.
- Resolved discrepancies by 40% in insurance payments by collaborating with carriers.
Medical Intake Coordinator
Highmark Health
02.2022 - 09.2023
- Trained over 25 employees on utilization management though faxes and the phone
- Managed and maintained a large database of customer information, ensuring 100% data accuracy and confidentiality
- Conducted thorough reviews of medical records to determine the necessity and eligibility of requested medical services
- Interacted with healthcare providers and patients to gather information and resolve any discrepancies.
UM Administration Coordinator
Triple Impact Connections
11.2020 - 02.2022
- Processed and documented all prior authorization outpatient and inpatient data and communication (ie faxes, portal, phones)
- Processed the required data into database with a 98% daily completion rate and high degree of accuracy
- Verified insurance coverage and eligibility.
Sales Associate/ Manager
Orangetheory Fitness Kapolei
11.2016 - 10.2020
- Lead staff meetings to discuss customer service and sales goals, operational problems, and procedural changes
- Sold over $3500 in gym memberships monthly
- Got promoted to manage the gym after two years of consistently meeting metrics and monthly goals.
- Maintained accurate records of all transactions, inventory movements, customer interactions allowing for data-driven decision-making and improved operational efficiency.
- Increased sales revenue by implementing effective sales strategies and building strong customer relationships.
Education
BS Exercise Science -
American Military University
Pennsburg, PA10.2019
High school diploma -
Samuel Clemens Highschool
San Antonio, TX01.2013
Skills
- Medical Terminology & Coding (ICD-10/CPT)
- Customer Service
- Critical Thinking
- Health Care Insurance Eligibility
- Patient Database Entry
- Written and Verbal Communication
- Prior Authorization
- Proficient in Using Healthcare Software
- Utilization Management
Timeline
Insurance Billing Order Specialist
Natera
09.2023 - Current
Medical Intake Coordinator
Highmark Health
02.2022 - 09.2023
UM Administration Coordinator
Triple Impact Connections
11.2020 - 02.2022
Sales Associate/ Manager
Orangetheory Fitness Kapolei
11.2016 - 10.2020
BS Exercise Science -
American Military University
High school diploma -
Samuel Clemens Highschool