Darrie Pierce
Cleveland,TN
Overview
14
14
years of professional experience
Work History
Pre-Registration Lead
CHS Shared Services Center
06.2023 - Current
- Leading the Shared Services Call Center Pre Registration Team to daily success.
Insurance Specialist
Mindoula
08.2022 - Current
- Verification of medical insurance and obtaining prior authorizations.
- Helping patients understand their estimated cost for services.
Surgery Scheduler/Billing Specialist
Cleveland Head and Neck
10.2020 - 08.2022
- Scheduled and performed insurance verifications, prior authorizations for office, hospital, and surgery center surgeries.
- Billed claims through eClinicalWorks and Medicare claims with Palmetto GBA.
- Ran various chart audits for monthly meetings.
Prior Authorization Specialist
Tennova Healthcare of Cleveland
08.2015 - 10.2020
- Verified patients’ insurance and communicated benefits to patients.
- Coded and obtained prior authorization approvals for hospital outpatient procedures which included all radiology, nuclear medicine test, and infusions through Cerner, Evicore, Availity, Navinet, etc.
- A.R. for patients co-insurance, deductibles, and co-pays.
- Developed my own screening/tracking system with Excel to ensure patients did not have a procedure without a prior approval in place.
- Increased hospital revenue by providing excellent pre-certification service, collecting co-pays and previous balances.
Billing Specialist
Pediatrics Plus
01.2012 - 12.2018
- Billed Behavior Health, PT, ST, OT, medical claims through Office Ally and Epic.
- Performed Insurance verification, prior authorization and communicated those benefits to patients.
- Handled AR, processed insurance remittance, denials, appeals, collections, etc.
Office Manager
Pinnacle Orthotics and Prosthetics
06.2011 - 08.2015
- Handled all day-to-day office procedures.
- Such as managing clerical and clinical staff, payroll, insurance verification, prior authorization, claims, billing, workman’s comp pay negotiations, insurance payer rate contract negotiations, AR, AP, collections, purchasing, communicated company’s benefit package to staff, ran yearly chart audits, etc.
Timeline
Pre-Registration Lead
CHS Shared Services Center
06.2023 - Current
Insurance Specialist
Mindoula
08.2022 - Current
Surgery Scheduler/Billing Specialist
Cleveland Head and Neck
10.2020 - 08.2022
Prior Authorization Specialist
Tennova Healthcare of Cleveland
08.2015 - 10.2020
Billing Specialist
Pediatrics Plus
01.2012 - 12.2018
Office Manager
Pinnacle Orthotics and Prosthetics
06.2011 - 08.2015
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