Angela Newby
Fort Smith,AR
Summary
Demonstrated to solve problems independently and perform at an optimal level. Excellent communicator and dependable team player with strong understanding of insurance industry. Adept at building relationships with clients, brokers and other stakeholders while delivering outstanding service. Highly organized and detail-oriented with strong ability to identify potential risks and develop solutions.
Overview
16
16
years of professional experience
Work History
Insurance Specialist
Ensemble Health Partners
11.2020 - Current
- Maintained high standards of customer service by building relationships with clients.
- Processed eligibility and benefits verification and authorization requests.
- Maintained confidentiality of patient finances, records, and health statuses.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Communicated effectively with members of operations, finance and clinical departments.
Health Insurance Specialist
Arkansas Shared Services Center
11.2019 - 11.2020
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Answered inbound calls from existing and future policyholders to answer inquiries and discuss insurance options.
- Contacted insurance companies to discuss and resolve unpaid claims and incorrectly paid claims.
- Used various software systems to process benefit transactions.
- Provided comprehensive customer service to drive client satisfaction.
- Developed relationships with providers and networks to achieve favorable client coverage.
Customer Service Representative
Lincare Holdings, Inc
02.2017 - 11.2019
- Handled customer inquiries and suggestions courteously and professionally.
- Placed order for medical equipment devices
- Gathered and obtained required documentation for medical equipment for Medicare billing qualification guidelines.
- Responded to customer requests for products, services, and company information.
Administrative Medical Support Representative
AFMC
11.2016 - 01.2017
- Verified patient insurance eligibility and entered patient information into system.
- Processed Arkansas Medicaid requests for prior authorizations
- Handled gathering needed records for claims to meet qualification guidelines for medical procedure/insurance coverage.
- Processed referrals for physician office.
HR Admin Specialist 2
Golden Living Centers
04.2016 - 11.2016
- Created and updated records and files to maintain document compliance.
- Delivered top-notch administrative support for new hire onboarding in various states.
- Verified drug screen & background results to ensure candidates were eligible for hire.
- Verified and completed I9 documentation.
- Assisted new hires with completing required state and federal forms for employment.
- Resolved Executive Director concerns efficiently to promote satisfaction and loyalty.
Arkansas Shared Services Center
Inpatient Benefits Specialist
12.2011 - 04.2016
- Processed insurance authorizations for inpatient hospital treatment and outpatient services.
- Attended to phones to support customer requests.
- Analyzed and audited data to comply with government regulations and specific insurance plan rules.
- Partnered with other departments to assist with claim denials.
Executive Administrative Assistant
Golden Living Centers
04.2007 - 10.2011
- Handled scheduling for executive's calendar and prepared meeting agenda and materials.
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Coordinated and booked airfare, hotel and ground transportation and prepared itinerary to facilitate successful trips.
- Produced accurate office files, updated spreadsheets, and crafted presentations to support executives and boost team productivity.
- Prepared presentations for meetings.
- Documented and distributed meeting notes to identify, analyze, and improve workflows.
- Handled confidential and sensitive information with discretion and tact.
Education
Bachelor of Arts - Business Administration
Northeastern State University
Tahlequah, OK05.1989
Skills
- Insurance Practices
- Insurance Knowledge
- Maintaining Compliance
- Documentation Skills
- Insurance Claims Management
- Claims Information Gathering
Timeline
Insurance Specialist
Ensemble Health Partners
11.2020 - Current
Health Insurance Specialist
Arkansas Shared Services Center
11.2019 - 11.2020
Customer Service Representative
Lincare Holdings, Inc
02.2017 - 11.2019
Administrative Medical Support Representative
AFMC
11.2016 - 01.2017
HR Admin Specialist 2
Golden Living Centers
04.2016 - 11.2016
Arkansas Shared Services Center
Inpatient Benefits Specialist
12.2011 - 04.2016
Executive Administrative Assistant
Golden Living Centers
04.2007 - 10.2011
Bachelor of Arts - Business Administration
Northeastern State University