Alysha Chanthanavong
Champlin,MN
Summary
To secure employment with an organization with stability and room for growth that values customer experience.
Overview
6
6
years of professional experience
Work History
Clinic Office Assistant
North Memorial St. Anthony
01.2016
- Greet/Assisting customers with any concerns or needs
- Gather and enter insurance information
- Set appointments
- Handle transactions
- Responsible for registration and insurance claim edit work queues
- Handle Medical Records
- Answering phone calls and directing to appropriate staff
- Upholding HIPPAA and maintaining a clean and safe work environment.
Insurance Specialists
Allina Health
01.2021 - Current
- View insurance claims and update status within epic
- Apply insurance write offs if needed
- Verifying claims are billed correctly and to the correct insurance
- Completing no follow-up work queues and correspondence queues and sending medical records as needed
- Sending in claim reconsiderations and appeals to insurance when necessary
- Communicating with team about any insurance issues related to billed CPTs.
Prior Authorization Specialist
Fairview Health Services
Minneapolis , MN
08.2023 - 08.2024
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Prior Authorization Specialist
Twin Cities Orthopedics
01.2019 - 01.2021
- Gather CPT/ DX information for Auths
- Organize Surgery/Auth Dates
- Submit authorizations in timely manner
- Provide insurance companies with adequate clinical info
- Submit authorizations for Injections and medications
- Work with insurance on appeals
- Verify insurance.
Education
Heartland Masters Commission
North Central University
01.2015
Owatonna Senior High School
01.2011
Skills
- Front Desk Operations
- HIPAA Compliance Understanding
- Active listening abilities
- Patient Confidentiality Maintenance
- Microsoft Office Suite proficiency
- Medical Billing Familiarity
Skillsexperience
- Leadership role
- Finance Reports
- Receptionist
- Communication Specialist
- Proficiency with Microsoft Office Product
- Well Child Check lead
- Promotions Coordinator
- Sales
- Discussion Facilitator
- Data Entry
Timeline
Prior Authorization Specialist
Fairview Health Services
08.2023 - 08.2024
Insurance Specialists
Allina Health
01.2021 - Current
Prior Authorization Specialist
Twin Cities Orthopedics
01.2019 - 01.2021
Clinic Office Assistant
North Memorial St. Anthony
01.2016
Heartland Masters Commission
North Central University
Owatonna Senior High School