Candi Galbreath
Medford,Oregon
Summary
Focused on providing professional service and support to every office visitor. Diligent about scheduling appointments, managing packages and routing mail to recipients. Positive nature with excellent people skills. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
Appointment Scheduling Specialist
Radian
Me , OR
2023.10 - 2024.01
- Maintained accurate records of all scheduled appointments utilizing a database system.
- Responded to inquiries from customers regarding available timeslots for appointments.
- Ensured that scheduling conflicts were resolved in a timely manner.
- Processed cancellations and rescheduling requests promptly while maintaining accurate records of changes.
- Scheduled and confirmed appointments.
- Entered information into system to update status reports.
Imaging Specialist
Medford Radiology Group
Medford , OR
2018.10 - 2023.09
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Understood and followed oral and written directions.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Planned and completed group projects, working smoothly with others.
- Assisted with customer requests and answered questions to improve satisfaction.
- Maintained updated knowledge through continuing education and advanced training.
- Leveraged PACS system skills to input and compile data gathered from various sources.
- Recognized by management for providing exceptional customer service.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
Medical Claims Analyst
Regence Blue Cross Blue Shield
Medford , OR
2008.07 - 2016.02
- Reviewed patient medical records for accuracy and completeness of claims information.
- Analyzed claim denials to identify underlying causes and develop resolution strategies.
- Researched and resolved billing discrepancies, coding issues, and other payment problems.
- Prepared reports summarizing the progress of claims submitted to insurance companies.
- Interpreted complex medical policies and procedures to determine coverage eligibility.
- Collaborated with healthcare providers to resolve outstanding claims issues.
- Assisted in developing internal processes for efficient handling of medical claims.
- Performed data entry into multiple computer systems related to health insurance benefits and claims processing.
- Evaluated provider contracts for accuracy in accordance with payer regulations.
- Maintained current knowledge on Medicare and Medicaid guidelines as well as private insurance plans.
- Processed manual adjustments including voids, write-offs, refunds.
- Reconciled account transactions utilizing various payment systems such as ERA'sand EOB’s.
- Trained new staff members on proper claim submission methods, documentation requirements, coding practices.
- Enforced compliance with HIPAA privacy laws when dealing with sensitive information.
- Accurately processed large volume of medical claims every shift.
- Inputted data into the system, maintaining accuracy of provider coding information and reported services.
Education
High School Diploma -
Medford Senior High School
Medford, OR1980-06
Some College (No Degree) - Music/Bible
Multnomah University
Portland, ORSome College (No Degree) - Nursing Education
Southern Oregon University
Ashland, ORSome College (No Degree) - Computer Skills
Rogue Community College
Medford, ORSkills
- Appointment Coordination
- Calendar Management
- Call Schedule Distribution
- Computer Skills
- Telephone Etiquette
- Document Management
- Attention to Detail
- Patient Scheduling
- Teamwork and Collaboration
- Effective Multitasking
- Documentation Proficiency
References
References available upon request.
Timeline
Appointment Scheduling Specialist
Radian
2023.10 - 2024.01
Imaging Specialist
Medford Radiology Group
2018.10 - 2023.09
Medical Claims Analyst
Regence Blue Cross Blue Shield
2008.07 - 2016.02
High School Diploma -
Medford Senior High School
Some College (No Degree) - Music/Bible
Multnomah University
Some College (No Degree) - Nursing Education
Southern Oregon University
Some College (No Degree) - Computer Skills
Rogue Community College
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