BRITTANY PAULY
Jacksonville,FL
Summary
Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
12
12
years of professional experience
Work History
PRODUCT SUPPORT SPECIALIST II
Fidelity Information Services
Jacksonville, FL
05.2018 - 09.2024
- Handled customer inquiries and resolved support issues, such as address changes, processing orders, warranty, or billing and payment.
- Provided in-depth product support and researched client issues.
- Troubleshooted problems with equipment or software applications and recommended correct action.
- Documented customer information and recurring technical issues to support product quality programs and product development.
Patient Relations Specialist
Elite Home Health
Jacksonville, FL
02.2017 - 04.2018
- Served as intake specialist for new and exisiting patients for start of care,resumption of care and continuity of care.
- Obtained and verified patient demographics and medical coverage.
- Processed and scheduled patient appointments in collaboration with physicians and care faciities to provide medically necesssary plans of treatment.
- Maintained appropriate data entry and distribtuion following HIPPA guidelines and policy procedure for CMS compliance.
- Acted as Liasion between medical providers, medical facilties and patients for optimal outcomes to ensure proper treatment, durable medical equipment and appropriate plan of care executed.
Authorization and Referral Specialist
Cancer Specialists of North Florida
Jacksonville, Florida
12.2015 - 06.2016
- Obtained and recorded all drug/radiation authorizations into EMR systems.
- Responsible for obtaining imaging,special procedures and office visit referrals by insurance verifcation and medical records retrieval pertinent to meet the designated needs of the patient and Medical provider.
- Scheduled all outpatient appointments, hospital admissions, and testing in a timely manner.
- Answered phones and electronic communications in a high call volume environment, providing "One Call Resolution."
Insurance Authorization Specialist
Florida Physicians Specialist
Jacksonville, FL
04.2012 - 09.2015
- Ensured accurate data entry of patient demographics, insurance details, and authorization numbers
- Evaluated requests for services against insurance coverage guidelines.
- Reviewed medical records to ensure accuracy of diagnosis codes prior to submitting claims.
- Acted as a liaison between providers and payers to facilitate timely authorization of services.
- Maintained up-to-date knowledge of all changes in insurance plans, regulations, and procedures.
- Managed daily workflow related to obtaining authorizations from various health plans including Medicare and Medicaid and commercial carriers.
Education
Associate of Science - Medical Billing and Coding
Florida State College At Jacksonville
Jacksonville, FLSkills
- Escalation management
- Incident Management
- Call Management
- Service desk support
- Excellent Communication
- Collaborative Team Player
- Adaptability
Timeline
PRODUCT SUPPORT SPECIALIST II
Fidelity Information Services
05.2018 - 09.2024
Patient Relations Specialist
Elite Home Health
02.2017 - 04.2018
Authorization and Referral Specialist
Cancer Specialists of North Florida
12.2015 - 06.2016
Insurance Authorization Specialist
Florida Physicians Specialist
04.2012 - 09.2015
Associate of Science - Medical Billing and Coding
Florida State College At Jacksonville
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