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
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
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
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
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
Similar Profiles
Cesario PalaciosCesario Palacios
Sr. OR Tech/Materials Management at Kelsey-SeyboldSr. OR Tech/Materials Management at Kelsey-Seybold
Jerica ScottJerica Scott
Medical Assistant at Kelsey-SeyboldMedical Assistant at Kelsey-Seybold
Jocelyn FazenbakerJocelyn Fazenbaker
Certified Pharmacy Technician at Kelsey-SeyboldCertified Pharmacy Technician at Kelsey-Seybold
CHARLENE WEBERCHARLENE WEBER
Surgical Coordinator at Kelsey SeyboldSurgical Coordinator at Kelsey Seybold
Henry LamHenry Lam
Warehouse Associate at UPSWarehouse Associate at UPS