Summary
Overview
Work History
Education
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Certification
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Collin Mattis

Hartford,CT

Summary

Seeking a position with a growth-oriented environment where I would be able to utilize knowledge and training within the field am applying for. Organized professional knowledgeable in regulatory standards and compliance requirements. Confident Prior Authorization Specialist with a background spent working in medical offices, communicating effectively orally and through writing and developing prior authorization workflows. Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.

Overview

20
20
years of professional experience
1
1
Certification

Work History

MES Agent

Healthmap Solutions
10.2024 - Current

Proactively contact potential members through various communications channels to explain program benefits and encourage enrollment. Build rapport and trust with members through active listening, empathy, and tailored communication

Consistently achieve engagement targets as determined by departmental metrics by educating members, addressing their concerns, and demonstrating the value of program participation

Present a positive, professional, and engaging approach to all prospective members and internal stakeholders, regardless of whether they enroll in the program and drive Healthmap culture through all communications channels

Follow federal, state and local regulations such as but not limited to HIPAA, security and privacy guidelines when handling protected health information and documenting information in member records to ensure compliance

Collaborate with internal teams to share feedback and continuously improve outreach strategies, documenting and diffusing concerns to leadership where applicable

Performs other duties as assigned

Patient Access Specialist / Certified Prior Authorization Coordinator

AssistRx
11.2020 - 08.2023
  • Answers inbound calls and makes outbound calls to introduce services
  • Gathers patient data, addresses the needs of the patient and reviews insurance benefits
  • Records the call details in patient data system
  • Contacts insurers for verification of benefits
  • Handles difficult patient situations when they arise
  • Conducts follow-up with pharmacies
  • Performs other related duties as assigned by management.
  • Answered phone calls and messages for physician medical facility, scheduling appointments, and handling patient inquiries

Billing Coordinator I

Magellan Health TMO
06.2020 - 07.2020
  • Ensures Billing System is updated timely, appropriately, and accurately to support accurate Client Remittance and proper revenue recognition for assigned Clients including all new business
  • Ensures timely delivery of billing cycled invoices to Clients
  • Prepares fee for service spreadsheet for billing and includes individual billing to all customers
  • Researches and responds in a professional and timely manner to inquiries from both clients and other Internal Staff
  • Research information regarding complex inquiries, develops solutions, and communicates professionally the outcome by telephone and in writing
  • Communicates with Account Executives to ensure that Client data is gathered in a timely manner
  • Responds to client/account management requests to update/change client information and ensures that all changes are made within operational guidelines and accurately support all other system related functions
  • Follows through on additional requests/projects as requested by Management.

Billing Intake Rep

ACS PHARMACY
12.2017 - 01.2020
  • Lv 1
  • Run all reports daily
  • Maintain phone coverage
  • Answer all calls that comes into the dept
  • Make sure that we reach each patient who left a VM
  • Handle all returned mail
  • Send end of day reports to Sup/Team Lead
  • Answer all email that is pertaining to intake
  • Handle all accounts under $110 max
  • Knowledgeable of all necessary software to perform job functions
  • Maintains computer messaging to assist pharmacy staff with identifying problem account before medications are shipped
  • Knows HIPAA policies and always maintains patient confidentiality
  • Working knowledge of insurance benefit structure, Medicare deductibles and coinsurance's and Medicaid policies
  • Contacts the patient when necessary to gather information
  • Contacts the payer to research the best course for resolution
  • Knowledgeable of all necessary software to perform job functions.
  • Completed intake assessment forms and filed clients' charts
  • Assessed clients' needs and determined eligibility for intake services
  • Collected, verified, recorded and processed client demographics, insurance payments, and referral information
  • Completed administrative patient intakes with case histories, insurance information and mandated forms

Patient Care Specialist III

ACS PHARMACY
12.2015 - 12.2017
  • Verifies patients' insurance to locate the best benefit for the patient for both retain and mail order
  • Able to manipulate ECOB for secondary payers
  • Triage referral to correct pharmacy when ACS is out of network
  • Complete and initiate prior authorizations if necessary
  • Ability to recognize invalid/incorrect rejections and be able to follow through with insurance company in obtaining the correct response
  • Must have good understanding of Commercial, Medicaid and Medicare Part B & D insurance benefit verification
  • Ability to negotiate an LOA or an AOB with the insurance plan in coordination with the Oncology Manager
  • Completed activities of daily living for patients unable to self-care, and assisted those with limited mobility in completing tasks
  • Responded to patient requests for supplies and personal comfort items such as extra blankets

Patient Care Coordinator/Insurance Verification

Acaria Health
12.2013 - 11.2015
  • Reach out to all new patients and introduce them to services and products via telephone
  • Respond to incoming calls and answer any related questions
  • Maintain patient census and reach out to patients prior to them needing their medications
  • Perform various related tasks needed by management
  • Insurance verification of Med D, Commercial and Medicaid
  • Perform prior authorizations as required by payor source
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures
  • Maintained confidentiality of patient data and condition to safeguard health information
  • Worked closely with patients to deliver excellent and direct individualized patient care
  • Upheld confidentiality requirements and regulatory compliance guidelines
  • Verified patient insurance eligibility and entered patient information into system
  • Processed payments using cash and credit cards, maintaining accurate records of transactions
  • Applied administrative knowledge and courtesy to explain procedures and services to patients

Patient Care Specialist I

ACS PHARMACY
08.2011 - 12.2013
  • Conferences with patient to explain benefits and financial responsibilities and arranges for funding programs if necessary
  • Schedules patient's deliveries and addresses all patient needs in one phone call with positive and caring attitude
  • Ensures proper follow-ups are initiated so patient's therapy is not disrupted
  • Ensures individualized care goals are met
  • Ensures the highest quality of care is provided and follows federal, state, and local regulatory requirements and established departmental policies and procedures
  • Ensures patients receive quality care by reviewing documentation, making visits with staff, reviewing care plans, conducting/participating in multidisciplinary team conferences, and reviewing patient satisfaction reports
  • Plans and organizes work assignments, sets priorities, and completes work with minimum supervision.

Starbucks, Barista
10.2010 - 07.2011
  • Greeted customers and provided exceptional customer service
  • Provides quality beverages, whole bean and food products while following health, safety and sanitation guidelines
  • Follows Starbucks operational policies and procedures, including those for cash handling, and maintains cleanliness of the store.
  • Managed time efficiently in order to complete all tasks within deadlines
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Organized and detail-oriented with a strong work ethic
  • Developed and maintained courteous and effective working relationships

Shipping and Receiving Clerk

Har-Conn Chrome
10.2023 - 04.2024

Improved shipping efficiency by streamlining packing procedures and optimizing workstation layouts.

Reduced shipping errors through meticulous inspection of outgoing packages and double-checking labels.

Enhanced warehouse organization by implementing a barcode tracking system for incoming shipments.

Increased order accuracy with diligent verification of product SKUs, quantities, and destinations before shipment.

Expedited delivery times by collaborating closely with carriers to schedule timely pickups and drop-offs for shipments.

Maintained accurate inventory levels through regular cycle counts and updating the warehouse management system accordingly.

Streamlined receiving processes, ensuring proper documentation and prompt distribution of incoming goods to appropriate departments.

The S&R Clerk is responsible for providing general customer service to customers upon pick-up of their job(s).

The S&R clerk also maintains general oversight of deliveries made to HCC for other departments such as Maintenance, Lab, Office and general production supply deliveries.

Starbucks, Barista
04.2009 - 10.2009
  • Greeted customers and provided exceptional customer service
  • Provides quality beverages, whole bean and food products while following health, safety and sanitation guidelines
  • Follows Starbucks operational policies and procedures, including those for cash handling, and maintains cleanliness of the store.
  • Managed time efficiently in order to complete all tasks within deadlines
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Organized and detail-oriented with strong work ethic

Equipment Supervisor

Tent City
09.2004 - 10.2008
  • Responsible for making sure equipment is functioning properly
  • Provided clients with site estimates
  • Advised clients in regard to stage lighting and sound equipment placement.
  • Managed efficient teams of up to 15 employees

Education

Associate of Science - Medical Assisting

Everest University
Orlando, FL
07.2011

Skills

  • Legal Requirements
  • Customer Satisfaction
  • Payment Collection
  • Medical Information Collection
  • Authorizations
  • Insurance Authorizations
  • Benefits Verifications
  • Payment Scheduling and Collection
  • Benefit Coverage
  • Data Verification
  • Medical Terminology
  • Accounts Payable and Accounts Receivable
  • Electronic Health Records Systems
  • Prior Authorization Processing
  • Billing Procedures
  • Data Entry
  • Eligibility Checks
  • Software Applications
  • Authorization Procedures
  • Health Insurance Plan Knowledge
  • Registration Processes
  • Patient Database Maintenance
  • Reviewing Medical Histories
  • Data Entry Software
  • Computer Proficiency

Certification

CPR/First Aid HIPAA / Certified Prior Authorization Coordinator HIV/OSHA

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Almost everything worthwhile carries with it some sort of risk, whether it’s starting a new business, whether it’s leaving home, whether it’s getting married, or whether it’s flying into space.
Chris Hadfield

Timeline

MES Agent

Healthmap Solutions
10.2024 - Current

Shipping and Receiving Clerk

Har-Conn Chrome
10.2023 - 04.2024

Patient Access Specialist / Certified Prior Authorization Coordinator

AssistRx
11.2020 - 08.2023

Billing Coordinator I

Magellan Health TMO
06.2020 - 07.2020

Billing Intake Rep

ACS PHARMACY
12.2017 - 01.2020

Patient Care Specialist III

ACS PHARMACY
12.2015 - 12.2017

Patient Care Coordinator/Insurance Verification

Acaria Health
12.2013 - 11.2015

Patient Care Specialist I

ACS PHARMACY
08.2011 - 12.2013

Starbucks, Barista
10.2010 - 07.2011

Starbucks, Barista
04.2009 - 10.2009

Equipment Supervisor

Tent City
09.2004 - 10.2008

Associate of Science - Medical Assisting

Everest University
CPR/First Aid HIPAA / Certified Prior Authorization Coordinator HIV/OSHA
Collin Mattis