Chiquita Burkley
Maumelle,AR
Summary
Dedicated Administrative Professional with successful experience in fast-paced medical office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
7
7
years of professional experience
Work History
Referral Specialist
Centene Cooperation
11.2022 - Current
- Responsible for obtaining pre-certifications and pre-authorizations for procedures and medications
- Processing Medical Records from patients, doctors and other health care professionals for Prior Authorization approval.
- Outbound calls to determine Discharge Dates for Prior Auth Approvals
- Outbound calls to insurance companies to get precertification and other benefits information on behalf of patients.
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Answer telephone calls to offer office information, answer questions, and direct calls to staff.
Experienced Program Specialist
Labcorp Drug Development
10.2021 - 10.2022
- Quickly and efficiently responded to incoming calls and faxes, identify how best to assist
- Document calls in appropriate tracking systems, and handle/escalate calls per established procedures
- Conduct insurance verifications to understand if patient's prescribed therapy is eligible for coverage
- Calling Insurance and Pharmaceutical Companies to verify patient demographics for various Medications such as Ozurdex and Botox
- Faxing Verified Insurance information to medical facilities on behalf of Providers
Medical Receptionist
First Staffing Corp-Arkansas Heart Clinic
07.2019 - 11.2019
- Filing Medical Records and pulling Patient Health Charts for Patient Appointments and Scanning Medical Records for availability for Patient Appointments
- Answering and transferring phone calls
- Coordinated patient scheduling, check-in, check-out and payments for billing
Medical Receptionist
Williams Chiropractic Care
11.2018 - 04.2019
- Answering and transferring phone calls, verifying the patient's insurance and checking status of claims
- Filing Medical Records and pulling Patient Health Charts for Patient appointments
- Scanning Medical Records for availability for Patient Appointments
- Medical Assistance with the patients, scheduling appointments, payroll and taking payments also assistance with patient therapy
Care Coordinator
Sonexus Healthcare,LLC
09.2017 - 03.2019
- Check to ensure that appropriate changes were made to resolve customers' problems and Keeping records of customer interactions or transactions in data base, recording details of inquiries, complaints, comments, and actions taken
- Resolving customers' service issues by performing activities such as Updating Doctors information and adjusting Insurance details
- Providing Email addresses, Fax numbers so customers can complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers
- Create and complete accurate referrals and applications with updates on policy or procedural changes
- Process all patient applications in accordance to set policy, procedures and PHI compliance and maintain quality while providing an empathetic and supportive experience to the patient by controlling the patient conversation and educating the caller and also responsible for handling approximately 25 - 40 inbound calls per day with ability to determine needs and manage accordingly
Account Manager
TeleTech
04.2017 - 08.2017
- Calling on warm leads from existing account holders
- Learning more about our customers and how their business ticks
- Helping them save time, money and providing peace of mind
- Finding satisfaction in developing the best solution
- Achieving goals, while delivering a gratifying customer experience
Care Coordinator
Sonexus Healthcare,LLC
09.2016 - 03.2017
- Check to ensure that appropriate changes were made to resolve customers' problems and Keeping records of customer interactions or transactions in data base, recording details of inquiries, complaints, comments, and actions taken
- Resolving customers' service issues by performing activities such as Updating Doctors information and adjusting Insurance details
- Providing Email addresses, Fax numbers so customers can complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers
- Create and complete accurate referrals and applications with updates on policy or procedural changes
- Place outbound phone calls for patient follow ups or confirmations
- Process all patient applications in accordance to set policy, procedures and PHI compliance and maintain quality while providing an empathetic and supportive experience to the patient by controlling the patient conversation and educating the caller and also responsible for handling approximately 25 - 40 inbound calls per day with ability to determine needs and manage accordingly
Education
Bachelor of Science - Healthcare Administration
University of Phoenix
Tempe, AZ01.2023
Associate of Arts - Healthcare Administration, Health/Health Care Administration/Management
University of Phoenix
Tempe, AZ12.2018
Skills
- Maintaining Client Records
- Clerical Support
- Scheduling and Appointment Setting
- Electronic Medical Record Software
- Patient Scheduling
- Administrative Duties
- Medical Terminology
- Medical Information Collection
- EHR Software
- HIPAA Regulations
- Office Administration
Timeline
Referral Specialist
Centene Cooperation
11.2022 - Current
Experienced Program Specialist
Labcorp Drug Development
10.2021 - 10.2022
Medical Receptionist
First Staffing Corp-Arkansas Heart Clinic
07.2019 - 11.2019
Medical Receptionist
Williams Chiropractic Care
11.2018 - 04.2019
Care Coordinator
Sonexus Healthcare,LLC
09.2017 - 03.2019
Account Manager
TeleTech
04.2017 - 08.2017
Care Coordinator
Sonexus Healthcare,LLC
09.2016 - 03.2017
Bachelor of Science - Healthcare Administration
University of Phoenix
Associate of Arts - Healthcare Administration, Health/Health Care Administration/Management
University of Phoenix
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