CHRISTELL TAYLOR
Houston
Summary
Hands-on professional proudly offering more than 15 years of expertise in healthcare field. Well-rounded and personable Utilization Management Representative talented in reporting, records oversight and performance improvement.
Overview
18
18
years of professional experience
Work History
Utilization Management Representative
Kelsey Seybold
Pearland, TX
01.2020 - Current
- Promoted a culture of collaboration and teamwork, fostering an environment that encouraged open communication and shared learning among colleagues.Mentor and trained a team of 12 colleagues.
- Maintained up-to-date knowledge on relevant health policies, regulations, and industry best practices through ongoing professional development opportunities.
- Developed strong working relationships with healthcare providers to ensure seamless communication and coordination of services.
- Increased overall efficiency by streamlining authorization processes for medical procedures.
- Optimized the delivery of healthcare services by staying current on emerging trends and developments in the field of utilization management.
- Assist with medical denials by setting up Peer to Peer meetings between Physician and Medical Director.
- Handled Organization Determination requests for patients in EPIC.Created retro referral request for PMR/Claims department
Patient Account Representative
Baylor St. Luke's Medical Group
Houston, TX
03.2019 - 12.2019
- Gathered, verified, and processed referrals, authorizations, and pre-certifications
- Communicated detailed information and answered patients' questions regarding their health care plan
- Coordinated appointments and flow of information between medical clinic and referral authorization department.
Master Scheduler
UT Physicians
Houston, TX
06.2013 - 12.2017
- Provide medical administration for a multi-specialty clinic for various doctors
- Scheduled all medical appointments and non-invasive tests
- Managed high volume workload and effectively prioritized tasks.
Patient Representative/Front Desk Specialist
Fondren Orthopedic Group
Houston, TX
08.2006 - 06.2013
- Performed check-in/out, resolved patient concerns, and ensured efficient workflow
- Verified and documented services and requests according to provider rules & guidelines
- Confirmed billing and demo information accurately.
Education
Diploma - High School Diploma
Evan E Worthing High School
Houston, TX05.2002
Skills
- GE CENTRICITY
- EPIC
- MEDITECH
- ALLSCRIPTS
- Proficient in Microsoft Suite Applications
- Proficient in a variety of Electronic Medical Record Applications
- HIPAA Compliance Understanding
- Critical thinking abilities
- Professionalism and Ethics
- Documentation accuracy
- Conflict resolution techniques
- Time management mastery
Timeline
Utilization Management Representative
Kelsey Seybold
01.2020 - Current
Patient Account Representative
Baylor St. Luke's Medical Group
03.2019 - 12.2019
Master Scheduler
UT Physicians
06.2013 - 12.2017
Patient Representative/Front Desk Specialist
Fondren Orthopedic Group
08.2006 - 06.2013
Diploma - High School Diploma
Evan E Worthing High School