Chantrey L. Griffin
Lewisburg,P.A
Summary
Healthcare Administrator with exemplary level of healthcare service. Coordinate and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.
Overview
16
16
years of professional experience
Work History
Correctional Account Coordinator
Seven Corners Correctional Health
01.2023 - Current
- Schedule inmate care for Bureau of Prisons via Correctional Account Coordinator Team
- Coordinated meetings, calls and demos for 7-person account management team.
- Communicate with prisons HSA for urgent care inmates
- Coordinate transfers for additional medical care from one facility to another for inmates
- Facilitated weekly status reports, project documentation and client billing.
- Managed time efficiently in order to complete all tasks within deadlines
- Proven ability to learn quickly and adapt to new situations
- Adaptable and proficient in learning new concepts quickly and efficiently
Billing Department Lead
09.2021 - 11.2022
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Demonstrated respect, friendliness and willingness to help wherever needed
Insurance Verifier/ Referral Coordinator
Allergy Asthma Specialist
08.2019 - 09.2021
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process
- Interact with patients to explain any insurance issue for services rendered or requested if needed
- Reviewed 200 patient cases and insurance coverage information per week
- Complied with HIPAA guidelines and regulations for confidential patient data
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations
- Established and maintained relationships with insurance providers for productive communications
- Posted payments to accounts and maintained records
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Generated reports to track insurance verifications and claim progress
Verifier/ Referral Coordinator
Fertility Center of Orlando
08.2019 - 09.2021
- Submit claims via IEVF EMR program
- Assist with recruiting, hiring, training of new hires
- Appeal claims, request authorizations and provide records per insurance request
- Insurance and patient payment posting
- Claim and patient account reconciliation
- Utilize insurance portal and/or telephone to verify patient eligibility and insurance benefits
- Assist patient and insurance company with accounts questions and/or billing errors
- Responsible for a team of 5
- Provide day and month end reports
- Insurance
Office Manager
Neuro Wellness
12.2018 - 04.2019
- Completed payroll and perform scheduling
- Claims sent out daily, billing, collections and appeals, account receivables
- Followed up for timely reimbursement
- Responded to insurance companies and patients
- Handled copayments, ordered supplies and restocked office supplies
- Posted payments, reconciled accounts
- Requested prior authorizations and prepared and gathered documentation for procedures and drugs
- Checked charts for accuracy and completeness
- Arranged weekly office meetings and biweekly staff meetings
- Handled all front office duties, rent, repairs, filing
- Provided referrals and loaded authorizations
- Provided new hire packets and training schedules
Senior Medical Biller
Shiel Medical Laboratory
09.2016 - 01.2018
- Trained new hires, assigned ques , created workflows
- Billed claims, appealed claims and followed up with insurance companies, Medicare A and B included
- Processed, posted and collected payments from insurance vendors and patients
- Processed refunds
- Reconciled account receivables and set payment plans for patients
- Resolved customer complaints or concerns
- Performed quality audits to ensure accuracy
- Scheduled and led team meetings
Operational Support Specialist
Hospital Billing Collection Services
01.2013 - 07.2016
- Gathered revenue cycle billing, corrected and formatted weekly and monthly meetings
- Quality audits of phone representatives phone calls for accuracy
- Processing accounts for charity care, misapplied payments and contractual adjustments
- Reviewed accounts via crystal report
Collections Specialist
Bio-Scrip Infusion Services
09.2011 - 01.2013
- Managed inquires for providers, patients and insurance companies via computerized patients records (C.P.R)
- Created a rapport with insurance companies and patients to collect payment for outstanding balances
- Maintained, updated and/or closed 50+ patients records daily on the database
- Billed, tracked, appealed claims with dedicated vendor United Health Care system
- Handled all aspects of correspondence for dedicated vender, mail, email and phone
Appeals Coordinator
Horizon Blue Cross Blue Shield
09.2007 - 04.2011
- Successfully resolved appeal filed by DOBI (Department of Banking and Insurance)
- Provided and verified benefits, claim history review and claim determination
- Reprocessed claim denials for accurate payments, negotiated payment with non participating providers
- Reported and assisted with system issues
Education
Bachelor of Science - Health Care Administration
Kaplan University
Davenport, IA06.2014
Licensed Pharmacy Technician -
Passaic County Community College
Paterson, NJ2018
Skills
- Microsoft Office
- Generate Reports
- Insurance Verification
- Set Organizational Policies
- Specialist Referrals
- Accounts Payable and Accounts Receivable
- Data Integrity
- Patient Scheduling
- Pre-Authorizations
- CPT Coding
- Medical Information Collection
- Referral Verification
Timeline
Correctional Account Coordinator
Seven Corners Correctional Health
01.2023 - Current
Billing Department Lead
09.2021 - 11.2022
Insurance Verifier/ Referral Coordinator
Allergy Asthma Specialist
08.2019 - 09.2021
Verifier/ Referral Coordinator
Fertility Center of Orlando
08.2019 - 09.2021
Office Manager
Neuro Wellness
12.2018 - 04.2019
Senior Medical Biller
Shiel Medical Laboratory
09.2016 - 01.2018
Operational Support Specialist
Hospital Billing Collection Services
01.2013 - 07.2016
Collections Specialist
Bio-Scrip Infusion Services
09.2011 - 01.2013
Appeals Coordinator
Horizon Blue Cross Blue Shield
09.2007 - 04.2011
Bachelor of Science - Health Care Administration
Kaplan University
Licensed Pharmacy Technician -
Passaic County Community College
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