Work Preference
Summary
Overview
Work History
Education
Skills
Certification
Timeline
Open To Work
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Angela Trively

Chandler,AZ

Work Preference

Job Search Status

Open to work

Work Type

Full Time

Location Preference

Remote

Summary

Dynamic Medical Billing Specialist skilled in managing revenue cycle processes and optimizing authorization workflows. Proven track record in team training, patient advocacy, and effective communication across clinical and administrative teams. Committed to leveraging expertise in process improvement and operational efficiency within revenue cycle management.

Overview

1
1
Certification
12
12
years of professional experience

Work History

Senior Authorization Specialist

Alabama Cancer Care
Remote
12.2024 - 06.2026
  • Obtained authorizations from payers using resources like Medicare, Medicaid, and Availity.
  • Completed medical oncology treatment plans as ordered, conducting thorough insurance coverage investigations.
  • Verified daily patient schedules, ensuring timely treatment plans and accurate insurance authorizations.
  • Discussed treatment costs with patients, facilitating financial assistance applications to improve access to care.
  • Communicated effectively with clinic and office staff via Microsoft Teams to address inquiries.
  • Created and maintained a drug library spreadsheet categorizing preferred and non-preferred drugs by payer, enhancing prescription accuracy.
  • Participated in monthly performance reviews with direct supervisor to assess progress toward goals.
  • Maintained CPC certification by completing 36 continuing education units every two years.

Medical Billing Office Manager

Hematology and Oncology Consultants, PC
Omaha, NE
01.2022 - 09.2024
  • Hired, trained, and managed 16 billing office and front desk employees, ensuring consistent operations across four clinic locations.
  • Developed and implemented patient accounts receivable and collections workflows using Power BI reports to monitor progress.
  • Created, assigned, and monitored employee workflows, including coverage verification, scheduling and patient intake, charge entry, authorizations, and accounts receivable.
  • Facilitated communication between billing office/front desk staff and clinical staff, improving operational coordination and workflow efficiency.
  • Conducted weekly meetings with practice administrator to address revenue cycle management strategies.
  • Performed annual internal office visit coding audits, providing individualized education based on audit findings.
  • Managed staffing needs by proactively filling positions during employee absences to maintain service continuity.
  • Maintained CPC certification by completing 36 continuing education units biennially.

Billing Specialist

Hematology and Oncology Consultants, PC
Omaha, NE
06.2015 - 12.2021
  • Obtained pre-authorization for patient treatments from various insurance carriers, ensuring timely access to necessary care.
  • Discussed treatment costs with patients, facilitating understanding of financial responsibilities and identifying appropriate financial assistance options.
  • Assisted accounts receivable by contacting insurance carriers, drafting reconsiderations and appeal letters to resolve billing disputes.
  • Verified patient information updates, including insurance carrier and out-of-pocket expenses.
  • Processed charges by correlating data from drug inventory and electronic medical records.
  • Audited and coded office visit and inpatient hospital notes.
  • Handled patient phone calls, addressing all billing-related inquiries promptly.
  • Maintained CPC certification through completion of 36 continuing education units biennially.

Medical Bill Analyst

Berkshire Hathaway Homestate Companies
Omaha, NE
04.2014 - 06.2015
  • Compared CPT and ICD procedure codes for billed services against documentation.
  • Resolved inconsistencies and addressed missing information to ensure accurate billing.
  • Analyzed workers' compensation laws and regulations to verify compliance with policy contracts.

Education

Some College (No Degree) - Medical Coding And Billing

Metropolitan Community College, Omaha, NE

Skills

  • Insurance authorization
  • ICD-10 coding and revenue cycle management
  • Accounts receivable
  • Appointment scheduling
  • Microsoft office
  • Problem resolution
  • Multitasking
  • Time management
  • Stress management
  • Adaptability
  • Patient advocacy
  • HIPAA compliance
  • Interpersonal communication
  • Training development
  • Clear communication

Certification

Certified Professional Coder (CPC), 05/01/15, American Academy of Professional Coders (AAPC)

Timeline

Senior Authorization Specialist - Alabama Cancer Care
12.2024 - 06.2026
Medical Billing Office Manager - Hematology and Oncology Consultants, PC
01.2022 - 09.2024
Billing Specialist - Hematology and Oncology Consultants, PC
06.2015 - 12.2021
Medical Bill Analyst - Berkshire Hathaway Homestate Companies
04.2014 - 06.2015
Metropolitan Community College - Some College (No Degree), Medical Coding And Billing
Angela Trively