Candy A May
Show Low,AZ
Summary
Been in Medical field for 33 years. Licensed Nursing Assistant. Certified Phlebotomists. Done scheduling for outpatient surgical center. Billing a coding and very good at bringing in old claims and getting them approved and processed. Authorized to work in the US for any employer
Overview
21
21
years of professional experience
1
1
Certification
Work History
Billing and Enrollment Specialist
Changepoint
- Current
- Less then 6 months I brought in all AR
- Do all of inpatient hospitals billing, posting and appeals.
Prior Authorization Specialist
Ensemble
09.2021 - Current
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- POS calls and collections.
- Reduced outstanding receivables by consistently following up on overdue payments and negotiating payment arrangements.
- Streamlined the collections process for enhanced efficiency and accuracy in tracking delinquent accounts.
- Utilized advanced skip-tracing techniques to locate hard-to-find debtors, increasing the likelihood of successful collections efforts.
- Supported continuous improvement initiatives by actively contributing ideas for process enhancements that would drive better results in collections operations.
- Maintained strict confidentiality of sensitive customer information, adhering to company policies and industry regulations regarding data privacy.
- Proficiently managed a high-volume workload of inbound calls from customers seeking assistance with their past-due balances.
- Improved customer satisfaction by promptly addressing and resolving collection inquiries and concerns.
- Conducted thorough investigations of disputed charges, ensuring accurate billing information was provided to customers while maintaining strict adherence to company policies.
- Maximized recovery rates by implementing innovative collection techniques that balanced customer needs with company goals.
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Identified best practices within the scheduling function, sharing these insights across teams to drive continuous improvement efforts.
Billing, scheduling and pre op tech
Sunrise surgical center
02.2004 - 08.2019
- Billing, scheduling, and pre op tech
Education
College in Patient care tech, phlebotomy. medical billing -
05.1995
High school diploma in Medical -
05.1990
Skills
- Excell
- CPT Coding
- EMR Systems
- ICD-10
- Medical Billing
- Medical Coding
- Medical Records
- Patient Care
- Phlebotomy
- Anatomy Knowledge
- Medical Office Experience
- Medical Scheduling
- Medical Terminology
- Insurance Verification
- ICD-9
- Triage
- Clerical Experience
- HIPAA
- Data Entry
- Vital Signs
- Medical Receptionist
- Customer Service
- Microsoft Excel
- Supervising Experience
- English
- Phone Etiquette
- Quality Assurance
- Experience Administering Injections
- Laboratory Experience
- Managed care
Alternateemail
mamabearmay1971@gmail.com
Certification
CRCR- CERTIFIED REVENUE CYCLE REPRESENTATIVE
CSPR- CERTIFIED SPECIALIST PAYMENT AND REIMBURSEMENT
CSBI- CERTIFIED SPECIALIST BUSINESS INTELLIGENCE
CHFP- CERTIFIED HEALTHCARE FINANCIAL PROFESSIONAL
Timeline
Prior Authorization Specialist - Ensemble
09.2021 - Current
Billing, scheduling and pre op tech - Sunrise surgical center
02.2004 - 08.2019
Billing and Enrollment Specialist - Changepoint
- Current
GateWay Community College - College in Patient care tech, phlebotomy. medical billing,
Cactus/Pennfoster - High school diploma in Medical,
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