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
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
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
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
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