Anna Brown
Dallas,Texas
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
Work History
Benefits Verification Specialist
Amgen
03.2023 - Current
- Verifying benefits for each assigned patient case, detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements as applicable
- Enhanced customer satisfaction by addressing reported issues promptly and providing effective solutions.
- Reduced errors in benefit verification tasks by conducting thorough audits and rectifying discrepancies.
- Maintained up-to-date knowledge on industry regulations, ensuring compliance throughout all benefit verification processes.
Patient Care Coordinator/ QAS
Talkiatry
09.2022 - Current
- Support clinicians via Microsoft Teams Chat, schedule patient follow-up appointments, insurance verification of benefits, calling and initiating prior authorizations for prescriptions, addressing and discussing issues and proposed solutions with superiors, make outbound phone calls to patients, pharmacies, or insurance companies, ensured the efficiency of inspections through hands-on guidance, ensures data integrity and accuracy
- Streamlined the documentation process, ensuring adherence to industry standards and regulatory requirements.
- Optimized workflow efficiency by introducing automation tools into the QA process where appropriate.
Clinical Administrative Coordinator
UnitedHealth Group
12.2021 - 04.2022
- Manage administrative intake of members, worked with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers, processed incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
- Assisted the clinical staff with setting up documents/triage cases for Clinical Coverage Review, handled resolution/inquiries from members and/or providers
- Prepared patient data surveys, detailing care outcomes, billing metrics and other factors
Medical Records and Billing Specialist
Dallas Neurosurgical and Spine
06.2017 - 03.2021
- Submission of medical claims, interpretation of explanation of benefits for appropriate follow-up action
- Pre- and post-surgical care
- Trained all new employees on records management system, reviewed and sent medical records to other physicians upon request
- Reviewed and researched denied claims, submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments, reviewed patient records, identified the medical codes and created invoices for billing purposes
- Posted surgical charges for seven doctors in a private practice
Medical Assistant Technician
Methodist Hospital Dallas
03.2015 - 01.2017
- Accurately assigned ICD and CPT codes to patient medical records
- Reviewed patient charts and identified discrepancies in the medical documentation, interpreted medical terminology, promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment, taught patients about medications, procedures and care plan instructions, completed clinical procedures and gathered patient data for interpretation by physician
Patient Care Coordinator
High Pointe
06.2010 - 05.2014
- Managed prescriptions by sending electronic requests for new medications and refills
- Maintained confidentiality of patient data and condition to safeguard health information, acted as the main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication
- Cross-trained to support other medical staff with an emphasis on establishing patient rapport and developing relationships with external partners
Medical Assistant
Medical City Hospital
08.2005 - 01.2009
- Directed patients to exam rooms, fielded questions and prepared for physician examinations, assisted with routine checks and diagnostic testing by collecting and processing specimens, performed clerical duties, such as word processing, data entry, answering phones, and filing, prepared initial patient charts for admission, obtained client medical history, medication information, symptoms, and allergies, documented vital signs and health history for patients in clinic and hospital environments
Education
Associate of Applied Science - Health Administration
Mountain View College
Dallas, TX08.2024
Skills
- Excel
- Medical terminology
- ICD 10 Coding
- Time management
- Data entry
- Verification Authorizations
- Word
- Salesforce
- EMR systems
- Insurance verification
- Customer service
- Records management
- Accounts Receivable
- Medical coding
- Communication Skill
- Quality assurance
Timeline
Benefits Verification Specialist
Amgen
03.2023 - Current
Patient Care Coordinator/ QAS
Talkiatry
09.2022 - Current
Clinical Administrative Coordinator
UnitedHealth Group
12.2021 - 04.2022
Medical Records and Billing Specialist
Dallas Neurosurgical and Spine
06.2017 - 03.2021
Medical Assistant Technician
Methodist Hospital Dallas
03.2015 - 01.2017
Patient Care Coordinator
High Pointe
06.2010 - 05.2014
Medical Assistant
Medical City Hospital
08.2005 - 01.2009
Associate of Applied Science - Health Administration
Mountain View College