Brandi Walker
Birmingham
Summary
Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.
Overview
11
11
years of professional experience
Work History
Care Management Support Assistant III
Humana
Birmingham
05.2023 - Current
- Assisted in member needs assessment and resource identification to facilitate care access.
- Provided non-clinical support and evaluated member needs to complete wellness assessments.
- Demonstrated independent initiative in decision-making processes.
- Managed multiple projects simultaneously, ensuring timely completion and adherence to guidelines.
Prior Authorization Specialist/ Pre-Registration
R1 RCM
Birmingham
04.2018 - 05.2023
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Verified eligibility and ensured compliance with authorization requirements for service providers to uphold quality standards.
- Maintained accurate records of authorization requests, organizing documentation and tracking status updates to support efficient processing.
- Conducted follow-up calls to facilitate timely processing of authorization requests, reducing delays in patient care.
Patient Registration Representative
Children's of Alabama Hospital
Birmingham
02.2015 - 01.2018
- Registered patients for medical appointments by collecting and verifying demographic and insurance information to ensure accurate billing.
- Collected payments and co-pays from customers using a large variety of insurance programs, adjusting amounts based on specific plan directives.
- Educated patients on financial responsibilities, payment options, and collection procedures to ensure clear understanding and compliance.
- Enhanced interdepartmental communication by notifying staff of schedule changes and cancellations, facilitating smoother workflow.
Education
Bachelor of Science - Public Health, Concentration Health Professions (HES)
The University of Alabama
Tuscaloosa, AL05.2026
Associate of Applied Science - Medical Support Specialist, Advanced Certificate, Medical Office Specialist
Jefferson States Community College
Birmingham, AL05.2015
Skills
- Prior authorization process
- Insurance verification
- Claim processing
- Medical terminology
- Electronic health records
- HIPAA compliance
- Patient confidentiality compliance
- Workflow management
- Health communication
- Adaptability
- Communication skills
- Teamwork
Timeline
Care Management Support Assistant III
Humana
05.2023 - Current
Prior Authorization Specialist/ Pre-Registration
R1 RCM
04.2018 - 05.2023
Patient Registration Representative
Children's of Alabama Hospital
02.2015 - 01.2018
Bachelor of Science - Public Health, Concentration Health Professions (HES)
The University of Alabama
Associate of Applied Science - Medical Support Specialist, Advanced Certificate, Medical Office Specialist
Jefferson States Community College