Allscripts
Christy McFalls
Bowman,USA
Summary
Skilled in medical billing and coding, with a proven track record at Athens Eye Doctors & Surgeons for enhancing financial counseling processes. Demonstrated expertise in insurance verification and patient counseling, improving precertification efficiency. Recognized for exceptional teamwork and reliability, significantly streamlining patient service procedures.
Overview
13
13
years of professional experience
Work History
SURGICAL FINANCIAL COUNSELOR
Athens Eye Doctors & Surgeons
Athens, US
06.2019 - Current
- Manage required precertification tasks with proficiency, including verification of benefits, submission of requests to a wide variety of insurances, appeals, and medical necessity reviews.
- Streamlining policies and procedures, including the implementation of new policies to more efficiently service patients, and ensure payment for surgical services.
- Provide additional physician support with patient assistance, including surgical cost estimates, and billing inquiries.
- Implement payment plans specifically tailored to patients' financial needs.
- Manage patient expectations while resolving any concerns or issues promptly.
- Liaise between the billing and surgery departments to ensure all requirements are met for surgery patients.
PRECERTIFICATION SPECIALIST
Northeast Georgia Diagnostic Clinic
Gainesville, GA
01.2015 - 01.2020
- Managed required precertification tasks with proficiency, including verification of benefits and collections, submission of requests to multiple insurance companies, appeals, and medical necessity reviews.
- Assisted with streamlining office policies and procedures, and implemented new policies to more efficiently service patients, and ensure payment for ancillary services and genetic testing.
- Provided additional physician support with patient care, completion of the patient report of findings, reevaluations, and other necessary documentation.
- Provided additional support as needed, including insurance referral submission, and report maintenance for multiple departments.
- Served as a member of the Rewards and Recognition Subcommittee for 1.5 years.
MEDICAL BILLING SPECIALIST/PRECERTIFICATION SPECIALIST/MANAGER
CARE MEDICAL
Athens, US
01.2012 - 01.2015
- Managed required billing tasks with proficiency, including verification of benefits, submission of medical claims to multiple insurance companies, appeals, and medical necessity reviews
- Provided patient assistance with billing questions and concerns
- Managed all precertification tasks, including benefits verification, submission of requests to multiple insurance companies, appeals and audits
- Served as intake department manager in charge of intake personnel, assisting with customer service, medical records collection and auditing, and processing equipment orders for patients in a high-speed environment
Education
Diploma - Medical
Ultimate Medical Academy
Tampa, FL08.2012
Associate's Degree - Business
Truett-McConnell College
Watkinsville, GA01.2000
Skills
- Microsoft Office
- Compulink
- Allscripts
- Centricity/IDX
- Epic
- Medical terminology
- Medical billing
- Medical coding
- Transcription
- Insurance verification
- EMR systems
- Problem solving
- Efficiency
- Financial counseling
- Payment negotiation
- Patient counseling
- Flexibility
- Teamwork
- Reliability
Personal Information
Work Permit: Authorized to work in the US for any employer
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
Instrumental in creating standard operating procedures for financial counseling position, resulting in greater patient satisfaction and more precise collections for surgical procedures.
Served on Rewards and Recognition Committee, nominating and recognizing employees for excellence.
Recognized for teamwork, reliability, and efficiency.
Work Preference
Work Type
Full TimeSoftware
Compulink
Centricity/IDX
Epic
Microsoft Office
Languages
English
Native language
Timeline
SURGICAL FINANCIAL COUNSELOR
Athens Eye Doctors & Surgeons
06.2019 - Current
PRECERTIFICATION SPECIALIST
Northeast Georgia Diagnostic Clinic
01.2015 - 01.2020
MEDICAL BILLING SPECIALIST/PRECERTIFICATION SPECIALIST/MANAGER
CARE MEDICAL
01.2012 - 01.2015
Diploma - Medical
Ultimate Medical Academy
Associate's Degree - Business
Truett-McConnell College
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