CHRISTINE FODNESS
Boyd,TX
Summary
Detail-oriented and quality-focused professional with extensive training in medical administrative support. Proven track record of effectively handling administrative and clerical requests. Skilled in accurate claims submission to third-party payers. Exceptional customer service abilities for seamless communication with customers, providers, and vendors. Strong critical thinking skills in managing day-to-day operations. Committed to upholding strict patient confidentiality standards. Proficient in Brightree software.
Overview
27
27
years of professional experience
Work History
Intake Specialist
Avera Home Medical Equipment
Sioux Falls, SD
03.2015 - 06.2024
- Maintains current knowledge base of all payer’s unique rules/regulations, coverage criteria, payer contracts and in-network providers
- Completes insurance eligibility and benefit verification, gathers medical necessity documentation, and negotiates pre-authorization as necessary
- Review documentation and determine medical necessity is met per specific payer requirements and completes ABN/waivers when appropriate
- Utilize workflow software to track all orders for performance productivity, responsiveness, and quality standards
- Ability to participate in continuous quality improvement efforts to streamline workflows
- Able to multitask multiple workloads during the day to achieve accuracy
- Receive customer calls, transfer to appropriate staff, scheduling appointments.
Centralized Scheduling Specialist
Avera McKennan Hospital
Sioux Falls, SD
10.2014 - 03.2015
- Answered incoming calls from physicians, registered nurses, or clinic staff to schedule specific tests
- Appropriate ICD-9 codes, medical terminology addressed with suitable questions that pertained to each test
- Multitask along with maintaining strong attention to detail so that tests were scheduled properly
Intake Specialist
Avera Home Medical Equipment
Sioux Falls, SD
08.1997 - 10.2014
- Collected and reviewed medical records to determine medical necessity was established based on the third party payer, complied with all regulatory bodies of agencies
- Mailed the appropriate Certificate of Medical Necessity (CMN) to physicians
- Provided tenacious follow-up to ensure that CMN’s are received before proceeding with billing of Home Medical Equipment
- Efficiently handled Medicare Audits, ensured that ICD-9 codes and HCPC codes are accurate on CMN’s, and conducted monthly follow up on CMN’s not received
Education
Associate of Science in Health Administration Services -
Colorado Technical University
Sioux Falls, SD12.2014
Skills
- Intake Assessment
- Compassionate communication
- Critical Thinking Skills
- Appointment Scheduling
- Eligibility review
- Insurance Verification
- Microsoft Office
- Maintaining Client Records
- Data Confidentiality
- Attention to Detail
- Document Management
- Data Entry
- HIPAA Compliance
- Medical Terminology
- Regulatory guidelines
- Medical Billing
- ICD-10 Coding
- Microsoft Excel
- EMR Systems
- Multitasking
- Patient Scheduling
- Employee Training
- Customer Service
- Medical Records Review
- Eligibility Requirements
Timeline
Intake Specialist
Avera Home Medical Equipment
03.2015 - 06.2024
Centralized Scheduling Specialist
Avera McKennan Hospital
10.2014 - 03.2015
Intake Specialist
Avera Home Medical Equipment
08.1997 - 10.2014
Associate of Science in Health Administration Services -
Colorado Technical University