CHEYEANNA HARRIS
Louisville,GA
Summary
Detail-oriented Authorization Specialist with extensive experience in managing authorizations and verifying insurance benefits. Focused on enhancing patient satisfaction through effective collaboration with clinical teams and precise documentation. Proven ability to cultivate positive relationships with patients while ensuring compliance with payer requirements.
Overview
25
25
years of professional experience
Work History
Patient Connect Auth Associate I
Piedmont Augusta Hospital
Augusta, GA
01.2023 - Current
- Coordinated patient authorization requests with healthcare providers and insurance companies to ensure timely processing.
- Reviewed and verified patient insurance information to ensure accurate processing of claims.
- Communicated effectively with patients to explain authorization processes and address inquiries.
- Tracked and documented authorization statuses in patient management system to facilitate follow-up and reporting.
- Collaborated with clinical teams to obtain necessary medical documentation for authorization approvals.
- Verify Orders
- Created insurance estimates to deliver clear cost projections for patients.
Lead Access Coordinator
University Hospital - University Health System
Augusta, GA
10.2015 - 12.2022
- Performed procedure authorizations to ensure compliance with insurance guidelines.
- Verify insurance benefits
- Applied knowledge of payer requirements and utilized online eligibility systems to verify patient coverage and policy limitations.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to the schedule.
- Collaborated with clinical and administrative staff to meet patient needs.
- Coordinated patient referrals with healthcare providers, facilitating timely access to necessary services.
- Developed and maintained positive relationships with patients to enhance their experience. with patients to help the facility meet satisfaction scores and patients obtain best possible care.
- Oversaw employee scheduling and vacation requests, ensuring optimal staffing levels for patient care.
- Manage up to 30 employees
Medical Billing & Coding Specialist & Office Manager
A R Medical
Louisville, GA
01.2007 - 10.2015
- Managed team of 15 to 20 employees to ensure efficient billing operations and team performance.
- Reworking Insurance Claims
- Submitted appeals using provider portals and phone communication.
- Completed and submitted appeals for denied claims.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Coordinated communications among patients, billing personnel, and insurance carriers to streamline claims processing.
- Reviewed account information to verify accuracy and completeness of patient and insurance details.
- Entered data into databases to maintain accurate records.
- Account Receivables
- Provided customer service support to address inquiries and resolve issues.
- Applied HIPAA privacy and security regulations while handling patient information.
- Distributed or posted financial data to appropriate accounts and prepared simple reconciliations.
Insurance Billing & Coding Specialist
Palmetto Ambulance
Augusta, GA
01.2007 - 01.2007
- Billed and coded insurance claims, achieving a 98% accuracy rate in processing.
- Reworked insurance claims, decreasing denial rates by 25%.
- Managed account receivables, ensuring timely collections and improved cash flow.
- Posted payments, resulting in improved financial reporting.
- Executed data entry tasks, streamlining operations and enhancing accuracy.
- Provided quality customer services, enhancing client satisfaction and retention.
Night Auditor
Hampton Inn & Suite
Augusta, GA
01.2004 - 01.2007
- Handled night audit paperwork, verification of daily room occupancy and hotel revenue reviews.
- Audited and balanced cash and credit transactions daily and reset register for next day's operations.
- Reconciled cash drop and credit card transactions to identify and resolve auditing discrepancies.
- Ran end-of-day computer functions and closed out reports, submitting details to [Job title] for review.
- Compiled daily reports on hotel operations and financial summaries to support management decision-making.
- Managed accounts receivable by processing payments and tracking balances, ensuring accuracy in financial records.
- Provided customer service by addressing inquiries and resolving issues.
Night Manager/Auditor
Wadley Inn
Wadley, GA
01.2003 - 01.2004
- Documented wake-up requests and set up automatic calls in the system, improving call accuracy by 30%.
- Provided exceptional customer service, resulting in a customer satisfaction rating of over 90%.
- Generated and analyzed daily reports to identify trends and enhance nightly operations.
- Managed account receivables, ensuring a 98% collection rate.
- Processed payroll for staff, ensuring timely and accurate payments.
- Answered customer inquiries and resolved complaints promptly to ensure guest satisfaction.
- Hired, trained, and developed staff, evaluating performance and progress to fulfill nightly operations.
Shift Manager
Wendy's
Jacksonville, FL
01.2002 - 01.2003
- Manage 8-13 people a shift
- Managed shift changes to ensure seamless transitions between staff.
- Coordinated with other shift managers to ensure seamless customer service continuity across shifts.
- Compiled daily operational reports to assess performance metrics and identify improvement areas.
- Coached employees on customer interactions to enhance service quality and satisfaction.
- Directed and led employees and team members on effective operations, methods and procedures.
- Upheld company standards and compliance requirements for operations.
- Provided customer service by addressing inquiries and resolving issues.
- Upheld company standards and compliance requirements for operations.
- Oversaw account receivables to ensure timely payments and collections.
- Coordinated shift workers for inventory receiving, auditing and restocking.
- Managed schedules, accepted time off requests and maintained coverage for shifts.
- Reported employee behavioral issues, losses and customer complaints to upper-level management.
Education
Associate of Science - Medical Insurance Billing
Savannah River College
Augusta, GA01-2006
High School Diploma -
Jefferson County High School
Louisville, GA05-2000
Skills
- Customer Service, Information Collection, Pre-Admission Requests, EMR Updating, Multitasking and Organization, Training Coordination, Phone and Email Etiquette, Medical Terminology, Team Leadership, Appointment Scheduling, Insurance Billing, Flexible Schedule, Problem-Solving, Scheduling Diagnostic Procedures, Insurance Verification, Patient Education, Team Collaboration, Verify Auth Requirements, Create Authorizations
- Insurance verification
- Authorization Management
- Patient authorization
- Claims processing
Personal Information
Title: AUTHORIZATION SPECIALIST
Timeline
Patient Connect Auth Associate I
Piedmont Augusta Hospital
01.2023 - Current
Lead Access Coordinator
University Hospital - University Health System
10.2015 - 12.2022
Medical Billing & Coding Specialist & Office Manager
A R Medical
01.2007 - 10.2015
Insurance Billing & Coding Specialist
Palmetto Ambulance
01.2007 - 01.2007
Night Auditor
Hampton Inn & Suite
01.2004 - 01.2007
Night Manager/Auditor
Wadley Inn
01.2003 - 01.2004
Shift Manager
Wendy's
01.2002 - 01.2003
Associate of Science - Medical Insurance Billing
Savannah River College
High School Diploma -
Jefferson County High School