Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

ANGELICA ADKINS

Elkhorn City,KY

Summary

Dedicated healthcare administration professional with expertise in consumer access and medical billing. Skilled in reviewing denials, initiating and following up on authorizations, and maintaining provider communications. Committed to optimizing healthcare operations through effective utilization management and customer service excellence.

Overview

3
3
years of professional experience

Work History

Consumer Access Specialist

Advent Health
Daytona Beach, Florida
03.2023 - Current
  • Evaluated member and provider appeals to ensure policy provision accuracy.
  • Communicated authorization status and coverage changes with providers effectively.
  • Executed pre-authorization assessment for medical services and equipment.
  • Researched best practices in utilization management and implemented findings.
  • Reviewed denials and appeals from members and providers ensuring accuracy of decisions based on policy provisions.
  • Maintained communication with providers regarding authorization status, changes in coverage or other pertinent issues.
  • Assessed clinical information to determine appropriateness of requested care, taking into consideration the patient's medical history, diagnosis and current condition.
  • Researched professional literature regarding best practices pertaining to utilization management activities.
  • Demonstrated strong customer service skills when communicating with internal and external customers.
  • Performed pre-authorization reviews for medical services and equipment in accordance with established policies, procedures and criteria.

Office Assistant/Billing Specialist

Advent Health
Daytona Beach, Florida
05.2022 - 03.2023
  • Answered incoming calls promptly and professionally; took messages or transferred calls to appropriate personnel.
  • Performed data entry tasks with accuracy and speed utilizing MS Office applications such as Word, Excel, PowerPoint.
  • Organized and maintained filing systems to ensure efficient document retrieval.
  • Supported staff by performing data entry and completing administrative duties.
  • Interacted with clients to resolve issues or answer questions regarding services rendered by company.
  • Scheduled appointments, maintaining calendars for personnel.
  • Maintained accurate records of office supplies and placed orders as needed.
  • Prepared invoices for payment processing and tracked accounts receivable and payable activities.

Education

Bachelor of Science (B.S.) - Nursing

Union Christian College
Philippines
03-2010

Associates -

Medical Billing and Coding Specialis
Fort Collins, CO

Skills

  • Patient scheduling
  • Medical billing software
  • Denial management
  • Pre-authorization review and initiation
  • Consumer service excellence
  • Medical terminology
  • Insurance verification
  • Maintaining records
  • HIPAA compliance
  • Clinical documentation

References

References available upon request.

Timeline

Consumer Access Specialist

Advent Health
03.2023 - Current

Office Assistant/Billing Specialist

Advent Health
05.2022 - 03.2023

Bachelor of Science (B.S.) - Nursing

Union Christian College

Associates -

Medical Billing and Coding Specialis

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