Summary
Overview
Work History
Education
Skills
Certification
Hobbies and Interests
References
Phone
Timeline
Cynthia Smith

Cynthia Smith

Frontenac,KS

Summary

Adept Prior Authorization Specialist with a proven track record at CHCSEK, showcasing expertise in medical terminology and exceptional customer support. Skilled in navigating complex insurance procedures and ensuring compliance with HIPAA standards, I bring a comprehensive understanding of medical office operations and a commitment to maintaining patient confidentiality. My background enhances workflow efficiency and patient satisfaction.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Prior Authorization Specialist

CHCSEK
Pittsburg, KS
04.2023 - 09.2024
  • Collaborated with insurance companies to clarify coverage details and resolve issues related to prior authorization.
  • Monitored changes in insurance policies and guidelines to ensure compliance with prior authorization processes.

Patient Service Representative

Mercy Clinics
07.2017 - 05.2018
  • Patient/insurance billing questions, ICD 10 Coding

Patient Service Representative

Mercy Clinics
07.2000 - 07.2011
  • Patient/insurance billing questions, ICD 10 Coding

Education

Medical Billing

AAPC, Online
01-2025

Medical Billing and Coding Program -

Career step
04.2020

Medical Office Program -

Columbus Vo-Tech
05.2000

Skills

  • Medical terminology
  • Accurate Data Entry
  • Experience with HIPAA Standards
  • Customer Support Expertise
  • ICD-10 Implementation Knowledge
  • Current Procedural Terminology knowledge
  • HCPCS Knowledge
  • Experience with Epic Systems
  • Prior authorization process
  • Patient scheduling
  • Physician order verification
  • Effective communication skills
  • Records maintenance
  • Precertification requirements
  • Patient confidentiality compliance
  • Workflow management
  • Insurance procedures
  • Medical office procedures
  • Insurance verification
  • Medical appeals handling
  • Retro-authorizations
  • Electronic health records proficiency

Certification

CPC-A

Hobbies and Interests

  • Family
  • Traveling
  • Reading
  • Camping
  • Fishing

References

  • Dr. Phillip Bortmes, 620-423-4032
  • Charlotte Johnson, 417-291-5036
  • Diane Heflin, 620-795-4659

Phone

cell, 620-423-1955

Timeline

Prior Authorization Specialist - CHCSEK
04.2023 - 09.2024
Patient Service Representative - Mercy Clinics
07.2017 - 05.2018
Patient Service Representative - Mercy Clinics
07.2000 - 07.2011
AAPC - , Medical Billing
Career step - Medical Billing and Coding Program,
Columbus Vo-Tech - Medical Office Program,

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Cynthia Smith