Casey Abilez
Baytown,TX
Summary
Proven Authorization Specialist with a track record of optimizing workflow processes at Touchstone Medical Imaging and enhancing patient satisfaction at Richard Kobylar, DPM. Demonstrates medical terminology expertise and exceptional claims management skills. Achieved consistent productivity targets, showcasing strong communication and negotiation abilities.
Overview
22
22
years of professional experience
Work History
Authorization Specialist
Touchstone Medical Imaging
07.2011 - Current
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
Authorization Specialist
Houston Methodist
01.2010 - 06.2011
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
Medical Billing Manager
Richard Kobylar, DPM
06.2008 - 12.2009
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
Medical Biller and Coder
Moore Foot And Ankle Clinic
09.2007 - 05.2008
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Medical Biller and Coder
Blue Water Eye Care Associates
05.2003 - 08.2007
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
Education
Associate of Applied Science - Medical Office Administration
St. Clair County Community College
Port Huron, MI07-2005
High School Diploma -
Port Huron High School
Port Huron, MI06-2003
Skills
- Medical terminology expertise
- Claims management
- Insurance verification
- Data entry proficiency
Timeline
Authorization Specialist
Touchstone Medical Imaging
07.2011 - Current
Authorization Specialist
Houston Methodist
01.2010 - 06.2011
Medical Billing Manager
Richard Kobylar, DPM
06.2008 - 12.2009
Medical Biller and Coder
Moore Foot And Ankle Clinic
09.2007 - 05.2008
Medical Biller and Coder
Blue Water Eye Care Associates
05.2003 - 08.2007
Associate of Applied Science - Medical Office Administration
St. Clair County Community College
High School Diploma -
Port Huron High School
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