AMANDA BANKS
Summary
Reliable individual bringing ten years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Scheduling Representative
Grady Memorial Hospital
02.2023 - Current
- Managed daily scheduling conflicts to reduce operational backlogs and support full shift-coverage.
- Communicated scheduling changes to staff members, implementing proof-of-receipt to reduce errors.
- Developed strong working relationships with management and executive team through effective scheduling and communication skills.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Remained solutions-oriented in face of complex problems to assist management and overall business direction.
Utilization Review Specialist
Northside Hospital Atlanta
01.2017 - 02.2023
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Performed prior authorization review of services requiring notification.
- Supervised and maintained all utilization review documentation through Centrix software.
Financial Counselor Team Lead
Atlanta Gastroenterology Associates LLC
05.2008 - 01.2017
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Documented details regarding contact with patients, providers and other individuals in system.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
Skills
- Medical records management
- Medical terminology expert
- Proficiency in Microsoft Edge, Excel, Cerner, Epic
- Medical claims submission
- Medicare and Medicaid process
- Prior authorization processing
- Insurance coverage verification
- ICD-10 and CPT 4 coding
- Insurance claims analysis
Certification
HFMA Georgia chapter – CFC 2014
Ultrasound Diagnostic School – Medical Assistant 2002
Timeline
Scheduling Representative
Grady Memorial Hospital
02.2023 - Current
Utilization Review Specialist
Northside Hospital Atlanta
01.2017 - 02.2023
Financial Counselor Team Lead
Atlanta Gastroenterology Associates LLC
05.2008 - 01.2017