CARA FUQUA
Fort Worth,TX
Summary
2 Corinthians 4:18
So we don’t look at the troubles we can see now; rather, we fix our gaze on things that cannot be seen. For the things we see now will soon be gone, but the things we cannot see will last forever.
Overview
10
10
years of professional experience
Work History
Pre Access Specialist II, Team Lead
Texas Health Resources
08.2022 - Current
- Accurately gathers complete demographic and insurance information during the pre-registration process.
- Verifies insurance eligibility and benefits, including co-pays, co-insurance, and deductibles.
- Obtains necessary prior authorizations, pre-certifications, and referrals required by insurance payers.
- Calculates and documents patient out-of-pocket estimates and provides this information to the patient.
- Contacts patients and primary care providers as needed to secure required referrals and authorizations.
- Explains and secures necessary legal, ethical, and compliance documents such as Advance Directives and Consent for Treatment, ensuring proper signatures.
- Completes assigned registration and financial clearance activities.
- Works with clinical teams and insurance companies to resolve authorization-related delays or denials.
- Maintains accurate patient records and ensures confidentiality in accordance with HIPAA regulations.
- Answers patient inquiries and provides information regarding healthcare services and processes.
- Adheres to departmental and organizational policies and procedures, including those related to cash handling and regulatory compliance.
- May assist with scheduling and coordinating diagnostic procedures and post-discharge care.
- Utilizes and maintains proficiency with relevant systems and technologies, including the electronic medical record (EMR) system.
Insurance Verification Specialist
Texas Health Resources
08.2022 - 01.2025
- Responsible for effective and efficient verification of all patients’ benefits. Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage. Research eligibility information online with various insurance carriers. Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected. Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources. Responsible for obtaining all referrals and authorizations for procedures and services, as required. Initiates and carries out the process for single case agreements. Verifies network status for high-risk accounts/insurance plans. Notifies pre-registration of any coverages that will have to be redirected or quoted due to participation status.
Lead Behavior Health Technician
John Peter Smith Hospital
01.2018 - 12.2022
- Provided quality recovery. Assist patients with various behavioral problems including, substance abuse, eating disorders, mental instability and/or physical and emotional abuse. Treatment Team meetings with program manager, other BHT's, shift supervisors and psychiatrists to coordinate services. Observed and documented patient's behavior, reporting any changes in physical and mental states to medical staff. Routine checks and vitals on patients. Assisted patients with activities of daily living. Use of various computer software programs to admit patients, update files and upload attachments in a timely manner.
Office Administrator – Medical Records Coordinator
Stephens Law Firm
01.2022 - 08.2022
- Oversees the daily workflow of administrative staff, assigning responsibilities to ensure efficient administrative operations. Directs office activities and functions to maintain efficiency and compliance with company policies. Assists clerical and support staff with their assigned duties, particularly when more advanced, skilled, or sensitive work is required. Prepares agendas, makes travel arrangements, and maintains calendars for senior management. Oversees telephone services, email correspondence, and mail distribution. Maintains office supplies inventory. Maintains records, documentation, and files, particularly more complex or sensitive files such as employee files. Manage the overall health records. Guarantee that confidential patient data is filed appropriately. Oversee the processing of health information. Make certain that patient data is being compiled, updated, and organized accurately.
Customer Account Executive
Mouser Electronics
05.2017 - 01.2018
- Entering new account information; changing information on existing accounts; recording transactions; answering customer inquiries; receiving, classifying, consolidating and summarizing documents and information; completing reports and providing administrative support.
Clinical Secretary
Methodist Mansfield Medical Center
04.2015 - 05.2017
- Handled the complete operation of the office on the front and back end including; billing, filing, scheduling, assisted with patients concerns, writing letters, gaining authorizations for specialty medications, diagnostic testing and office visits, utilizes coding.
Education
Psychology
Stephen F. Austin State University
High School Diploma - undefined
Pantego Christian Academy
Skills
- Excellent verbal and written communication skills
- Excellent organizational skills and attention to detail
- Excellent time management skills with a proven ability to meet deadlines
- Strong supervisory and leadership skills
- Ability to prioritize tasks and to delegate them when appropriate
- Ability to function well in a high-paced and at times stressful environment
- Basic understanding of how to operate standard business equipment
- Proficient with Microsoft Office Suite or related software
- Project planning
Timeline
Pre Access Specialist II, Team Lead
Texas Health Resources
08.2022 - Current
Insurance Verification Specialist
Texas Health Resources
08.2022 - 01.2025
Office Administrator – Medical Records Coordinator
Stephens Law Firm
01.2022 - 08.2022
Lead Behavior Health Technician
John Peter Smith Hospital
01.2018 - 12.2022
Customer Account Executive
Mouser Electronics
05.2017 - 01.2018
Clinical Secretary
Methodist Mansfield Medical Center
04.2015 - 05.2017
High School Diploma - undefined
Pantego Christian Academy
Psychology
Stephen F. Austin State University
Similar Profiles
Pamela L. RundellPamela L. Rundell
Senior Regulatory Compliance Analyst at Texas Health Resources - Texas Health Physicians GroupSenior Regulatory Compliance Analyst at Texas Health Resources - Texas Health Physicians Group
Jennifer ThomasJennifer Thomas
Charge Registered Nurse Long-Term Acute Care at Texas Health Resources/Texas Specialty HospitalCharge Registered Nurse Long-Term Acute Care at Texas Health Resources/Texas Specialty Hospital
MONICA PARTRIDGEMONICA PARTRIDGE
PHARMACEUTICAL DELIVERY DRIVER at TEXAS HEALTHCARE PHARMACY, TEXAS HEALTH RESOURCESPHARMACEUTICAL DELIVERY DRIVER at TEXAS HEALTHCARE PHARMACY, TEXAS HEALTH RESOURCES
Shalunda ColemanShalunda Coleman
Certified Medical Assistant at Texas health Resources- Fort Worth Executive HealthCertified Medical Assistant at Texas health Resources- Fort Worth Executive Health
Dominic Kipkoech KigenDominic Kipkoech Kigen
Teacher at Windle International KenyaTeacher at Windle International Kenya