Cassandra Brown
Raleigh,NC
Summary
Experienced healthcare operations professional with a strong background in staff management, insurance authorizations, and workflow optimization. Skilled in policy implementation, continuous improvement, and leveraging data to drive organizational efficiency. Ready to bring proven expertise to a new role, supporting team success and enhancing operational performance.
Overview
13
13
years of professional experience
Work History
Prior Authorization Specialist
ECPC Pain Specialists
Holly Springs, NC
10.2022 - 04.2025
- Notified ordering providers of denied authorizations.
- Utilized medical coding knowledge to accurately process and document authorization requests.
- Clarified patient inquiries and questions to update patient account information in computer system.
- Processed appeals in a timely manner as per policy guidelines.
- Maintained positive working relationship with fellow staff and management.
- Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
- Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.
- Reviewed and processed prior authorization requests for medical procedures and medications according to established guidelines.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Ensured compliance with industry regulations and company policies.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
- Implemented process improvements, resultingin an increase in operational efficiency.
- Recruited and trained new employees to meet job requirements.
Radiologist Authorizations Specialist
UNC Health Cary Orthopaedics
Cary, NC
04.2017 - 10.2022
- Company Overview: EPIC trained, EMR trained and Clinix trained
- Checked documentation for accuracy and validity on updated systems.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Verified client information by analyzing existing evidence on file.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Posted payments to accounts and maintained records.
- Maintained confidentiality of patient finances, records and health statuses.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Collected premiums and issued accurate receipts.
- Accomplished multiple tasks within established timeframes.
- Bringing 10 years of medical experience in fast paced environments, while problem solving.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
- EPIC trained, EMR trained and Clinix trained
Chiropractic Assistant
Osborne Chiropractic Clinic
Raleigh, NC
02.2012 - 04.2017
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Performed electric muscle stimulation, massage and mechanical traction.
- Sanitized, restocked and organized exam rooms and medical equipment.
- Scheduled patient appointments for busy chiropractic practice with revenues of thousands annually.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Contacted insurance carriers to determine patients' coverage and sent invoices for services rendered.
- Inputted patient data into office's computer system using EMR and checked all information for accuracy.
Education
GED -
Wake Technical Community College
NC09.2007
Skills
- Prior authorization
- Medical coding
- Insurance verification
- Appeals processing
- Patient relations
- Employee training
- Time management
- Detail orientation
- Problem solving
- Customer service
- Medical office procedures
- CPT coding
Timeline
Prior Authorization Specialist
ECPC Pain Specialists
10.2022 - 04.2025
Radiologist Authorizations Specialist
UNC Health Cary Orthopaedics
04.2017 - 10.2022
Chiropractic Assistant
Osborne Chiropractic Clinic
02.2012 - 04.2017
GED -
Wake Technical Community College
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