Angela D Powell
Philadelphia,PA
Summary
Have experience in inpatient and Outpatient service, Medical records, and administrative assistance experience. Charting and order. Medical services, teaching proper hygiene, providing meals on wheels and other services such as health and wellness, and providing help with the client’s activities. Billing Inpatient and Outpatient claims, Medicare and Medicaid claim Payment Posting Batch Report. 1500 Claim Edit, Claim adjustment. Scheduling and Rescheduling patient appointments. Verification and per authorized the patient's health insurance. Submitting and retrieving referrals; Outpatient billing. Epic and IDX scheduling experience; Physician billing; ICD 9 and 10 awareness; CMS 1500; Insurance verification such as Medicaid and Medicare; CPT; HCPC, OSHA. Knowledge of HIPPA. Experience in Patient admission and discharge. Medical Terminology, Problem Solving skills. Microsoft Word, PowerPoint, Excel, and Cisco phone systems. HBHC Software
Overview
20
20
years of professional experience
1
1
Certification
2
2
License
Work History
Scheduler
Holy Redeemer Home Care
12.2022 - Current
- Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
Utilization Review Coordinator
Molina Healthcare
03.2022 - 07.2022
- My duties are to accurately and effectively ensure that providers' and participants'/subscribers' benefits are eligible and that all calls are documents
- And they are ensuring that all assigned cases are authorized or completed within a date.
Utilization Review Coordinator
AmeriHealth Caritas/Keystone First
09.2020 - 03.2021
- A UM Supervisor supervises the Clinical Care Reviewer and is responsible for evaluating a member's clinical condition through the review of medical records (including medical history and treatment records) to determine the medical necessity for inpatient and outpatient services based on independent analysis of those medical records and application of appropriate medical necessity criteria
Patient Access Specialist
Thomas Jefferson Hospital
10.2019 - 09.2020
- With ten years of customer service experience working as a patient representative responsible for obtaining prior authorization through a multitude of Health insurance providers such as Health partner, AmeriHealth’s, Horizon BCBS, Aetna, Medicare, Keystone First, etc
- Also verification of health insurance and benefits and eligibility by providing procedure codes and diagnosis codes to perform test and procedures, etc
- Within a fast and professional manner
- Handled large volume of inbound calls from customers regarding Insurance.
Patient Access Navigator 2
Cooper University Hospital
06.2015 - 10.2019
- Responsibilities for scheduling and facilitating patient access to various departments throughout Cooper Hospital in a professional and timely manner
- Such as; Gastroenterology, Cardiology, Endocrinology, Neurology, Neurosurgery; Orthopedic and Podiatry, Physical Medicine & Rehabilitation, Pulmonology and OBGYN while problem-solving.
Assistant Coordinator
ADL Services
07.2013 - 04.2014
- Responsibilities to provide resources for clients who are disabled and elderly so they may stay in their homes
- These include transportation, medical services, teaching proper hygiene, providing meals on wheels, and other services such as health and wellness and providing help with the client’s activities
- In addition, maintain personal files and budget for the year and perform a yearly evaluation.
The Patient Account Technician
New Hanover Regional Medical Center
11.2012 - 06.2013
- The Patient Account Technician performs various work activities associated with one or more functional areas within the Patient account department
- Billing inpatient and outpatient claims, Medicare and Medicaid claims, and payment posting batch reports
- 1500 Claim Edit, Claim Adjustment Handle an average of 100+ inbound calls daily
- Receive, research, and resolve member grievances
Clerk Five /Orthopedic And Physical Therapy
Temple University Hospital
06.2004 - 11.2012
- Responsibilities include medical records and triage phone messages for all physicians and staff
- Scheduling and Rescheduling patient appointments
- Verify and authorize the patient's health insurance
- Submitting and retrieving referrals
- Out-patient billing
- Schedules Orthopedic
- Internal Medicine, Physical Therapy.
Education
GED -
Connelly Skill Learning Center
Pittsburgh, PABachelor of Science - Health Management
University of Phoenix
Tempe, AZ01.2024
Master of Science - Health Administration
University of Phoenix
01.2025
Skills
- Computer Skills
- Attention to Detail
- Data Entry
- Strong Work Ethic
- Customer Service
- Critical Thinking
- Teamwork and Collaboration
- Effective Multitasking
- Schedule Coordination
- Schedule Management
- Problem-Solving
- Telephone Etiquette
- Medical Terminology
- Workflow Optimization
- HCHB Home Care Software
Certification
- Medical Assistance, Bradford Business School, 09/1993
- Health Life Insurance Agent License 2018
Interviewavailability
Available for an interview with 48 hours prior notice
Timeline
Scheduler
Holy Redeemer Home Care
12.2022 - Current
Utilization Review Coordinator
Molina Healthcare
03.2022 - 07.2022
Utilization Review Coordinator
AmeriHealth Caritas/Keystone First
09.2020 - 03.2021
Patient Access Specialist
Thomas Jefferson Hospital
10.2019 - 09.2020
Patient Access Navigator 2
Cooper University Hospital
06.2015 - 10.2019
Assistant Coordinator
ADL Services
07.2013 - 04.2014
The Patient Account Technician
New Hanover Regional Medical Center
11.2012 - 06.2013
Clerk Five /Orthopedic And Physical Therapy
Temple University Hospital
06.2004 - 11.2012
GED -
Connelly Skill Learning Center
Bachelor of Science - Health Management
University of Phoenix
Master of Science - Health Administration
University of Phoenix
- Medical Assistance, Bradford Business School, 09/1993
- Health Life Insurance Agent License 2018
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