Crystal Wicks
15730 Baybriar Dr. Missouri City,TX
Summary
Conscientious and detail-oriented professional offering over ten years administrative support experience in the medical industry. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
Work History
UM SUPPORT SPECIALIST
Apex Healthcare/Memorial Hermann Healthplan
04.2020 - 05.2023
- Creating and updating authorizations for patient admissions and discharge of Health Plan members utilizing Concord
- Clinical Database and Guidance Care Database system
- Managing and filing faxed clinical information under the member's profile utilizing Guidance Care database
- Managing Inpatient and Discharge reports of Health plan members
- Making calls to providers for updated clinical information
- Faxing and mailing member denial letters to facilities, providers and members
- Support Case Managers in Medical Management Department
UM SUPPORT COORDINATOR
Memorial Hermann Health Plan
03.2016 - 04.2020
- Creating and updating authorizations for patient admissions and discharge of Health Plan members utilizing Care4 clinical database and Facet Database system
- Managing and filing faxed clinical information under the member's profile utilizing Fax Plus Medical Tool Database and
- Facet Database system
- Managing Inpatient and Discharge reports of Health plan members
- Creating, faxing and mailing Authorization Denial letters to facilities, providers and members
- Making Post ER Discharge calls to members to assist in follow up appointments
- Support Case Managers in Medical Management Department
- Worked with other departmental staff to answer questions and resolve problems.
PROVIDER SERVICES REPRESENTATIVE
Kelsey Seybold
11.2013 - 10.2015
- Responsible for calls from providers and members regarding claim status, eligibility, referrals and billing of members for outside claims processed through Kelsey Seybold Claims Department
- Document and assist in resolution of patient disputes and coordinate claim resolution for members receiving bills from providers
- Entering medical claims into Epic database system for processing
- Mailing letters of denials and EOB's to members and providers
Education
Business Administration
University of Phoenix
Houston, TXCertificate - Medical Billing And Coding
AAPC Medical Billing & Coding
Houston, TX07.2023
HIGH SCHOOL DIPLOMA - Office Administration
Ross Sterling High School
05.1982
Skills
- Office Administration
- Organizational Skills
- Customer Communication and Empathy
- Collaborative Team Player
- Issue and Resolution Tracking
- Friendly and Patient
- Recordkeeping Skills
Timeline
UM SUPPORT SPECIALIST
Apex Healthcare/Memorial Hermann Healthplan
04.2020 - 05.2023
UM SUPPORT COORDINATOR
Memorial Hermann Health Plan
03.2016 - 04.2020
PROVIDER SERVICES REPRESENTATIVE
Kelsey Seybold
11.2013 - 10.2015
Business Administration
University of Phoenix
Certificate - Medical Billing And Coding
AAPC Medical Billing & Coding
HIGH SCHOOL DIPLOMA - Office Administration
Ross Sterling High School
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