Brittany Hixon
Sandy
Summary
Motivated and self-driven customer service representative with extensive experience in workers' compensation, medical billing services, and prior authorization processes in various medical specialties. Hardworking individual always eager to expand knowledge and achieve goals. Proficient in managing complex authorization processes, ensuring compliance, and improving efficiency. Utilizes strong problem-solving abilities to streamline workflows and enhance patient satisfaction. Possesses in-depth knowledge of industry standards and thrives in collaborative team environments, resulting in successful authorization management.
Overview
20
20
years of professional experience
Work History
Authorization Specialist
University of Utah Hospitals and Clinics
01.2016 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations and appeals.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
Revenue Cycle Specialist
Sutter Physician Services
12.2014 - 01.2016
- Reviewed patient accounts to ensure all services were billed to insurance correctly
- Contacted patients to attempt and collect on any outstanding balance
- Reviewed accounts and transferred to collections agencies when payments were not made
- Reviewed services to ensure they are being billed on the correct type of account
- Handled special account work queues such as Fertility, Returned Mail and Financial Clearance for upcoming appointments
- Make copies of correspondence or other printed material
- Train and assist co workers on new work queues and procedures
Customer Service Representative
Stoneriver Pharmacy Solutions
12.2007 - 12.2014
- Answered inbound calls and assisted pharmacies with processing prescription claims for workers compensation cases
- Researched, calmed and rapidly resolved client conflicts to prevent escalations and provide maximum amount of expected customer service
- Trained new employees on policies and procedures
- After 2 years I was moved home based and worked from home for the next 5 years
- Placed outgoing calls to insurance adjusters to obtain prior authorization on certain prescriptions
- Soft collections work with insurance companies
- Work multiple claims at once on a daily basis to achieve the maximum amount of work during my shift
- Assist team leads with extra claim work that needs customer attention as soon as possible
- Provide coverage outside the normal office hours in order to fit business needs along with working over time to compensate for missing co workers
Assistant Manager
Kneaders Bakery
08.2005 - 12.2007
Education
GED -
Sout Point High School
Sandy, UTSkills
- Active Listening Skills
- Judgment and Decision Making
- Time Management
- Sharp problem solver
- Multi-task management
- Negotiation
- HIPAA compliance
- Prior authorization processing
- Documentation and paperwork
- Effective communication skills
- Policy interpretation
- Telephone etiquette
Timeline
Authorization Specialist
University of Utah Hospitals and Clinics
01.2016 - Current
Revenue Cycle Specialist
Sutter Physician Services
12.2014 - 01.2016
Customer Service Representative
Stoneriver Pharmacy Solutions
12.2007 - 12.2014
Assistant Manager
Kneaders Bakery
08.2005 - 12.2007
GED -
Sout Point High School
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