Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
12
12
years of professional experience
Work History
Authorization Specialist/Financial Counselor
Valley Health Interventional Pain Specialist
Winchester
11.2016 - Current
Ensured patient insurance eligibility, including verification, assessment of financial requirements, and counseling patients on financial responsibility.
Document the financial counseling process, including an explanation of financial obligations, billing practices, and establishing payment arrangements.
Understanding EOBs, reviewing claim errors, submitting appeals, reconsiderations, and claims.
Processed patient authorization requests for interventional pain management services.
Maintained accurate records of authorization requests and outcomes in the system.
Collaborated with billing department to ensure compliance with insurance regulations.
Maintained current knowledge of applicable regulations, laws, and standards.
Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
Recommended resources such as local non-profit organizations or government assistance programs where applicable.
Medical Receptionist
Family Medical Associates
Martinsburg
06.2013 - 11.2016
Greeted patients and visitors warmly to create a welcoming environment.
Managed appointment scheduling using electronic health record systems efficiently.
Collected patient information and verified insurance details accurately.
Answered multi-line phones, addressing inquiries and directing calls appropriately.
Checked patients in and out for appointments and collected co-payments.
Protected patients by observing strict HIPAA guidelines.