Carmen White
Cedartown,GA
Summary
Experienced healthcare revenue cycle and patient access specialist with over 15 years of experience in insurance verification, billing, and patient financial services. Proven ability to reduce claim denials, improve workflow efficiency, and ensure accurate insurance processing. Skilled in multiple EMR systems with strong attention to detail and patient-focused communication.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Northwest Georgia Orthopedic Surgery Center
05.2022 - Current
- Prepare accurate patient cost estimates for scheduled procedures
- Verify insurance benefits and communicate financial responsibility to patients
- Coordinate prior authorizations with insurance providers and clinical staff
- Ensure timely collection of copays, deductibles, and coinsurance
Patient Access Specialist
Wellstar Hospital
Marietta, GA
05.2020 - 05.2022
- Managed EPIC work queues to resolve claim and account issues efficiently
- Identified trends and reported findings to leadership to reduce denials
- Participated in billing and denial review meetings to improve workflow
- Conducted root cause analysis to address recurring claim issues
- Prepared monthly reports and presentations for leadership
Billing Specialist
Alliance Spine and Pain Center
Marietta, GA
02.2018 - 05.2020
- Verified insurance eligibility and benefits
- Submitted claims and followed up on unpaid accounts
- Managed billing for Medicare, Medicaid, and commercial insurance
- Resolved claim denials, EOB discrepancies, and payment issues
- Maintained A/R and ensured compliance with contract terms
Senior Patient Service Specialist
Vanderbilt MOHS, Dermatology, and Plastics Clinic
Nashville, TN
02.2016 - 02.2018
- Scheduled surgical procedures and coordinated pre/post-operative care
- Verified insurance and maintained knowledge of surgical coding
- Reviewed pathology reports and managed referrals
- Ensured efficient patient flow and scheduling accuracy
Office Manager
Private Psychiatry Practice
Rome, GA
06.2013 - 02.2016
- Supervised staff, managed payroll, and oversaw daily operations
- Developed and implemented business strategies with medical staff
- Conducted performance evaluations and staff meetings
- Maintained inventory and ensured operational efficiency
Billing Clerk II
Highland Rivers Community Service Board
Cartersville, GA
09.2005 - 05.2013
- Processed payments and resolved billing discrepancies
- Verified insurance and handled Medicare/Medicaid claims
- Managed collections and secondary billing
Service Specialist
Mayo Clinic
Jacksonville, FL
03.2000 - 08.2005
- Served as liaison between physicians and patients
- Triaged patients and entered physician orders
- Recognized with “Above and Beyond” Award for performance
Education
Psychology
Argosy University
Medical Terminology
Georgia Highlands
College Preparatory Diploma - undefined
Cedartown High School
Skills
- Insurance Verification & Authorization
- Revenue Cycle Management
- Medical Billing & Coding Support
- Claims Processing & Denial Resolution
- Patient Financial Counseling
- Root Cause Analysis (RCA)
- EMR Systems: Epic, eClinicalWorks, Meditech, Athena
- Accounts Receivable (A/R) Management
Certification
Certified Revenue Cycle Representative (CRCR), 2021
Timeline
Insurance Verification Specialist
Northwest Georgia Orthopedic Surgery Center
05.2022 - Current
Patient Access Specialist
Wellstar Hospital
05.2020 - 05.2022
Billing Specialist
Alliance Spine and Pain Center
02.2018 - 05.2020
Senior Patient Service Specialist
Vanderbilt MOHS, Dermatology, and Plastics Clinic
02.2016 - 02.2018
Office Manager
Private Psychiatry Practice
06.2013 - 02.2016
Billing Clerk II
Highland Rivers Community Service Board
09.2005 - 05.2013
Service Specialist
Mayo Clinic
03.2000 - 08.2005
Psychology
Argosy University
Medical Terminology
Georgia Highlands
College Preparatory Diploma - undefined
Cedartown High School