Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Overview
8
8
years of professional experience
4
4
Certifications
Work History
Authorization Specialist
Levine Cancer Institute
Charlotte, NC
11.2021 - Current
Educated patients on eligibility and affordability options by offering insightful information.
Reviewed over 40applications for different aid programs and determined which qualification criteria for individuals.
Managed processing of financial assistance and benefits applications.
Followed guidelines when reviewing applicant data to determine eligibility for authorization.
Good Interpersonal skills
Explained security measures in simple terminology to help users understand malware and phishing threats.
Healthcare Assistant
Atrium Health - Healthcare Care Tech/ C.N. A
Charlotte, NC
03.2017 - Current
Assisted over 20-25 patients on unit with mobility needs, including moving to and from beds, organizing wheelchairs and preparing assistive devices
Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms
Helped patients effectively manage routine bathing, grooming and other hygiene needs
Worked within applicable standards, policies and regulatory guidelines to promote safe working environment
Exceeded goals through effective task prioritization and great work ethic
Offered friendly and efficient service to customers, handled challenging situations with ease
Carried out day-to-day duties accurately and efficiently
Authorization Coordinator
Piedmont Medical Center
Rock Hill, SC
05.2021 - 12.2021
Established quality communication, patient support and service representation with patients and providers to establish equipment/procedures statuses and expedite orders
Review commercial, Medicare, and FDA guidelines for proper review for over 50 patients
Verify medical insurance, research denials, audit accounts and post payments/denials from EOB
Assisted with updating technical support best practices for use by team.
Maintain appropriate reports on Excel, Word, and Microsoft according to professional, state, and federal requirements.
Promoted efficiency among departments with prompt resolution of system issues.
Intake Specialist
Atrium Health
Charlotte, NC
11.2019 - 05.2021
Daily Educated over 25 patients with proper use of equipment and/or services offered
Verifies primary payers for coverage criteria and communicates any financial obligation to customer
Obtains initial per-certification or authorization for prescribes equipment and/or services as dictated by patient’s insurance
Research qualifying reimbursement data in efforts to create initial clean claims for third party payers
Responded to inquiries by phone, email and walk-up requests.
Oversaw installations of new technology and new personnel training.
Benefit Verification Specialist
Lash Group
Fort Mill, SC
08.2018 - 11.2018
Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts for over 50 patients
Promoted consistent accuracy of billing information by reconciling accounts daily
Reviewed charts and flag incomplete or inaccurate information
Communicated effectively with staff, patients and insurance companies by email and telephone.
Education
Bachelor of Science - Rehabilitation Studies, Psychology
Winston-Salem State University
05.2022 - 12.2019
Certificate: Medical Billing and Coding -
Brightwood College
Skills
BLS for Healthcare Providers certificationundefined
Certification
Coursework in ID-10, CPT, and Medical Terminology
Timeline
Bachelor of Science - Rehabilitation Studies, Psychology
Winston-Salem State University
05.2022 - 12.2019
Authorization Specialist
Levine Cancer Institute
11.2021 - Current
Authorization Coordinator
Piedmont Medical Center
05.2021 - 12.2021
Intake Specialist
Atrium Health
11.2019 - 05.2021
Benefit Verification Specialist
Lash Group
08.2018 - 11.2018
Healthcare Assistant
Atrium Health - Healthcare Care Tech/ C.N. A
03.2017 - Current
Certificate: Medical Billing and Coding -
Brightwood College
Coursework in ID-10, CPT, and Medical Terminology
Certifications
Certification in Basic Life Support (BLS)
CPR certified through American Heart Association
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