Audreaya Cole
Houston,TX
Summary
Managed patient scheduling, eligibility verification, and claim resolution processes to ensure efficient revenue cycle operations and exceptional service delivery to patients and providers.
Overview
7
7
years of professional experience
Work History
Patient Account Team Lead
R-1
Houston, TX
07.2022 - Current
- Directed team of billing specialists in precise processing of Medicare, Medicaid, and commercial claims.
- Oversaw daily billing operations, including claims submission, follow-up, and payer communication.
- Facilitated collaboration between clinical and intake departments to address documentation discrepancies and ensure compliance with payer guidelines.
- Established performance metrics and optimized workflows to enhance team productivity.
Insurance Process Agent
Tata Consultancy Services (TCS)
Tampa, FL
01.2021 - 12.2021
- Conducted comprehensive reviews of insurance eligibility benefits and authorizations for commercial and government payers, ensuring precision in coverage determinations.
- Managed interactions with patients and insurance entities to address billing issues, ensuring timely submission of necessary documentation.
- Executed data entry and claim status monitoring to uphold compliance with payer guidelines and company policies, enhancing operational efficiency and record accuracy.
Appointment Scheduler
VES Veteran Evaluation Services
Houston, TX
09.2018 - 02.2021
- Facilitated appointment scheduling for veterans, adhering to VA guidelines and optimizing provider availability to enhance patient care.
- Ensured compliance with insurance protocols and verified patient eligibility to minimize cancellations.
- Facilitated seamless care transitions by coordinating with providers and clinics while ensuring veteran concerns were prioritized and resolved.
Education
High School Diploma -
Hightower High School
Skills
- Patient confidentiality
- Staff training and development
- Insurance verification
- Task delegation
- Medical billing
Timeline
Patient Account Team Lead
R-1
07.2022 - Current
Insurance Process Agent
Tata Consultancy Services (TCS)
01.2021 - 12.2021
Appointment Scheduler
VES Veteran Evaluation Services
09.2018 - 02.2021
High School Diploma -
Hightower High School