Barbara Countee
Manvel,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Prior Authorization Specialist
Altus Biologics
Pearland, TX
04.2023 - Current
- Contact insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
- Effectively maintain, monitor, and update payer medical policy guidelines to manage authorization requirements.
- Request, review, and submit necessary patient documentation as needed.
- Prioritize incoming authorization requests according to urgency.
- Notify appropriate departments for approvals and denials
- Confirm accuracy of CPT and IDC-10 diagnoses in the procedure order
- Obtain authorization by fax, payer website or by the phone and follow up regularly on pending cases.
- Manages and resolves day-to-day issues pertaining to pre-authorization, as needed.
Insurance Verification Specialist
Preventice Services
Houston, TX
07.2020 - 04.2023
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
Medical Coder
Advanced Pain Care
10.2016 - 07.2020
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Education
MHHS-TMC - Medical Insurance Coding
DHS-Medical Coding And Billing
Houston, TX10.2013
Skills
- EMR Systems
- CPT Code Modifiers
- ICD-10 International Classification of Diseases
- Insurance Verifications
- CPT Coding
- Medical Coding
- Authorization
- Diagnostic Codes
- AIMS
- Dynamics
- Centricity
- Patient View
- Billing Tools
- Next Gen
- Excel
Timeline
Prior Authorization Specialist
Altus Biologics
04.2023 - Current
Insurance Verification Specialist
Preventice Services
07.2020 - 04.2023
Medical Coder
Advanced Pain Care
10.2016 - 07.2020
MHHS-TMC - Medical Insurance Coding
DHS-Medical Coding And Billing
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