Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference.
Overview
23
23
years of professional experience
Work History
Insurance Authorization Specialist
Cancer Center of Kansas
01.2025 - Current
Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
Streamlined workflow processes for faster turnaround times, using data-driven approaches and continuous improvement techniques.
Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
Ensured continuity of care for patients by tracking expiring authorizations and initiating renewals as needed.
Input all patient data regarding claims and prior authorizations into system accurately.
Front Desk Coordinator
TXO/TCRS
10.2016 - Current
Answered phones to respond to customer inquiries and transferred calls to appropriate staff members.
Took inventory and ordered low-stock items to maintain effective supply organization.
Engaged directly with clients to fulfill requests, resolve conflicts and direct non-customer service related inquiries to appropriate department and personnel.
Conducted transactions, confirming patient information and processing according to standard protocol.
Verified details with policyholders and requested additional information.
Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
Followed specific security rules and guidelines to protect patient medical records and payment card information.
Handled payment processing and provided customers with receipts and proper bills and change.
Warehouse Associate
Electrical Distributors
04.2016 - 10.2016
Packed and labeled merchandise to prepare for loading and shipment to customers.
Moved boxes, containers and pallets with special-purpose equipment to meet demanding production targets.
Assisted coworkers with special projects to learn new tasks while gaining additional responsibilities.
Examined packages and goods for damage and notified vendors of replacement needs.
Reviewed inventory sheet against shipments received and alerted manager of discrepancies.
Medical Billing Representative
Conifer Health
06.2015 - 01.2016
Completed appeals and filed and submitted claims.
Verified proper coding, sequencing of diagnoses and procedures.
Determined liability, compensability and benefits due on each claim.
Verified details with policyholders and requested additional information.
Assessed policy coverage and pulled contracts for review.
Consulted with field support team, claim manager and other entities to receive support specific to assigned claim.
Medical Billing and Collections Specialist
Main Street Medical Care
10.2013 - 05.2015
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Entered patient charges and payments into electronic health records.
Corrected, completed and processed claims for payer codes.
Processed refund requests and reconciled deposit and patient collections.
Posted charges, payments and adjustments.
Filed and submitted insurance claims.
Took billing calls, questions and concerns from patients and third party carriers.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Billing Manager/Checkout Operator
Segal Family Medicine
02.2010 - 09.2013
Balanced daily transactions with accurate closing processes.
Verified payments and electronic funds accuracy to protect involved parties.
Reviewed claims for accuracy before submitting for billing.
Sent clinical request and missing information letters to obtain incomplete information.
Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Updated patient and insurance data and input changes into company's computer system.
Posted payments and sent reviews and denials.
Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
Reviewed refund requests and forwarded information to analyst.
Front Desk Coordinator
Plano Family Practice and Sports Medicine
01.2002 - 12.2009
Answered phones to respond to customer inquiries and transferred calls to appropriate staff members.
Handled payment processing and provided customers with receipts and proper bills and change.
Opened the office and completed closing paperwork and procedures daily.
Conducted transactions, confirming patient information and processing according to standard protocol.
Reviewed and copied paperwork for permanent records.
Checked visitor credentials upon entry and referred to correct locations.
Assessed policy coverage and pulled contracts for review.
Reviewed demographic, clinical and insurance information before sending to referred specialists.