Summary
Overview
Work History
Education
Skills
Skillsexperience
Timeline
Generic

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
Alysha Chanthanavong