Chelsea Clifton
Milford
Summary
Detail-oriented and certified CRCR and CHAA health informational professional with over 10 years of experience in patient access, insurance authorizations, and revenue cycle management. Demonstrated expertise in medical coding, streamlining processes, enhancing efficiency, and improving patient financial experiences. Proven problem-solving skills, strong communication abilities, and exceptional organizational management. Excited to contribute to a dynamic healthcare team.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Administrative Associate
CubeBeGone, LLC
01.2023 - Current
- Managed inventory tracking and system updates
- Maintained administrative records and documentation
- Assisted with employee onboarding and payroll processing
Insurance Authorization Specialist
Beebe Healthcare / Ensemble Health Partners
05.2014 - Current
- Coordinate surgical and outpatient diagnostic authorizations
- Verify insurance benefits and determine patient financial obligations
- Collect patient payments and provide financial assistance options
Denials Management Specialist
Beebe Healthcare
06.2023 - 03.2024
- Investigated insurance denials, identified root causes, and filed appeals
- Developed strategies to prevent claim denials and improve approval rates
- Analyzed and reported denial trends to senior management
Scheduling Specialist
Beebe Healthcare
09.2022 - 06.2023
- Scheduling and pre-registering patients
- Obtaining & updating demographic information
- Managed order indexing for efficient documentation
Office Scheduler
Beebe Medical Group
04.2021 - 09.2022
- Managed patient scheduling using Athena Health
Central Registration Registrar
Beebe Healthcare
04.2018 - 04.2021
- Processed outpatient test orders in EMR (Cerner PowerChart)
- Collected and verified patient demographic and insurance information
Insurance Authorization Specialist
Beebe Healthcare
06.2017 - 04.2018
Emergency Room Registrar
Beebe Healthcare
05.2014 - 06.2017
- Admitted patients, completed admission paperwork, and collaborated with Capacity Management
Education
Associate of Science - Health Information Technology
Rasmussen College
09.2018
Skills
- Prior authorization
- ICD-10 Coding Proficiency
- CPT Coding Knowledge
- Clear Verbal Communication
- Insurance verification expertise
- HIPAA Regulation Adherence
- Engaged Listening
- Records management
Certification
- Certified Healthcare Access Associate (CHAA), NAHAM, 2016
- Certified Revenue Cycle Representative (CRCR), HFMA, 2025
Timeline
Denials Management Specialist
Beebe Healthcare
06.2023 - 03.2024
Administrative Associate
CubeBeGone, LLC
01.2023 - Current
Scheduling Specialist
Beebe Healthcare
09.2022 - 06.2023
Office Scheduler
Beebe Medical Group
04.2021 - 09.2022
Central Registration Registrar
Beebe Healthcare
04.2018 - 04.2021
Insurance Authorization Specialist
Beebe Healthcare
06.2017 - 04.2018
Insurance Authorization Specialist
Beebe Healthcare / Ensemble Health Partners
05.2014 - Current
Emergency Room Registrar
Beebe Healthcare
05.2014 - 06.2017
Associate of Science - Health Information Technology
Rasmussen College
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