Summary
Overview
Work History
Education
Skills
Timeline
Generic

christina welton

Fairview

Summary

Detail-oriented professional with strong customer service skills. Experienced in HIPAA compliance and insurance verification, ensuring accurate record maintenance and effective issue resolution.

Overview

35
35
years of professional experience

Work History

Patient Services Representative

Cognizant Technology
Fairview, TX
01.2025 - Current

Confirm patient eligibility, benefits, and coverage requirements for upcoming services across commercial, Medicare, and Medicaid plans.

Submit prior authorization requests to insurance payers using clinical documentation, diagnosis codes and procedure codes.

Communicate with assigned sales representative to obtain necessary medical records, chart notes and justification for services.

Follow up with insurance companies to track status, resolve issues and appeal denials when appropriate.

Maintain accurate records of all authorization requests, approvals, denials and correspondence.

Adhere to HIPAA regulations and payer specific rules.

Quality Documentation Specialist

Nuance Communications / Microsoft
Fairview, TX
09.2021 - 09.2024

Supported healthcare providers by documenting medical encounters with the help of artificial intelligence technology, Dragon Ambient eXperience (DAX).

Provided clinical documentation in the following specialties: Family Medicine, INternal Medicine, Orthopedics, Psychiatry, Cardiology, Gastroenterology, Rheumatology, Oncology, Pediatrics, OBGYN, ENT, Dermatology, Pain Management and Hematology.

Maintained a minimum of 98% document accuracy which included grammar, punctuation, sentence structure and met and exceeded month audio hours required.

Excellent listening skills and the ability to understand diverse accents and dialects of physicians, their staff and patients.

Experience with EHR's, specifically EPIC.

Medical Billing

Dr. Elisa Yoo / Dr. Michael Kim
Los Alamitos, CA
04.2006 - 06.2021

Prepared up to 50 charts daily prior to upcoming weeks schedule.

Independently requested any prior authorization that were required and verified patient's eligibility.

Updated Patient demographics including addresses, phone numbers, names, birthdates and insurance information.

Corrected any coding discrepancies prior to submitting a claim for reimbursement.

Completed payment processing of patient co-pays and deductible accordingly.

Specialized in filing accurate medical insurance claims.

Processed medical claims for inpatient, outpatient, surgical, in-office procedures, office visits and consultations.

Branch Manager

AmeriCredit Financial Services
Irvine, CA
03.1998 - 03.2000

Responsible for all hiring, training goal setting and the procurement of credit applications from local new and used car dealerships.

Contacted and secured new business accounts and cultivated new business relationships.

Originated automotive loans within the South Orange County region in California.

Consistently met and exceeded monthly financial objectives.

Branch Manager

Triad Financial Services Inc.
Huntington Beach, CA
03.1995 - 03.1998

Responsible for cultivating relationships in assigned territories to increase revenue in the automotive industry.

Youngest Branch Manager in the company.

Met and exceeded monthly and quarterly goals.

Responsible for training new loan officers within the branch.

Approved or declined credit applications that were submitted for financing from automotive dealerships in my assigned territories.

Loan Officer

Fireside Thrift and Loan
Anaheim, CA
03.1994 - 03.1995

Approved and declined credit applications submitted for auto financing from local new and used car dealerships.

Assisted with any issues in regard to the funding of the loans.

Loan Officer

Western Financial Services
Irvine, CA
03.1991 - 03.1994

Held several positions within the company over the years.

Started out as a Data Entry Specialist entering auto loan applications from local automotive dealerships.

Promoted after 3 months to a Dealer Reserve Clerk and was responsible for the tracking and collection of dealer reserves owed to Western Financial.

Promoted after 1 year as a Dealer Reserve Clerk to Loan Officer in the Direct Loan Department where I approved or declined applications for equity loans, new auto loans and personal loans.

Efficiently engaged in customer service with the loan applicants ensuring the appropriate loan papers were signed along.

Knowledge of forms required by the Department of Motor Vehicles required for the selling and purchasing of automotives.

Education

High School Diploma -

Villa Park HIgh School
Villa Park
06-1988

Skills

  • Customer service
  • HIPAA compliance
  • Insurance verification
  • Ability to interpret clinical documentation
  • Detail oriented
  • Able to meet and exceed daily, weekly or monthly goals that are required
  • Self-starter mentality
  • Able to work unsupervised while working remotely
  • Team collaboration
  • Willing to always go the extra mile

Timeline

Patient Services Representative

Cognizant Technology
01.2025 - Current

Quality Documentation Specialist

Nuance Communications / Microsoft
09.2021 - 09.2024

Medical Billing

Dr. Elisa Yoo / Dr. Michael Kim
04.2006 - 06.2021

Branch Manager

AmeriCredit Financial Services
03.1998 - 03.2000

Branch Manager

Triad Financial Services Inc.
03.1995 - 03.1998

Loan Officer

Fireside Thrift and Loan
03.1994 - 03.1995

Loan Officer

Western Financial Services
03.1991 - 03.1994

High School Diploma -

Villa Park HIgh School