Ebony Rodgers
Merrillville,IN
Summary
Experienced exercise therapy professional with proven ability to create and implement effective treatment plans. Strong focus on team collaboration and adaptability to changing needs, ensuring reliable support for colleagues and clients. Skilled in therapeutic exercise prescription, patient assessment, and progress monitoring. Known for achieving measurable results and fostering positive patient outcomes.
Overview
11
11
years of professional experience
4
4
Certification
13
13
years of post-secondary education
Work History
Prior Authorization Specialist
Centers for Pain Control and Vein Care
03.2024 - Current
- Discuss medications, insurance and prior authorization documents with patients.
- Get prior authorization approval from insurance firms and nurse managers.
- Appeal insurance companies after prior authorization refusals.
- Assess accounts for completeness and accuracy.
- Follow up on missing or incorrect information so patients receive the right reimbursement.
- Document account activity using correct medical and billing codes.
Benefit Verification Specialist
Greenlight Technologies
12.2023 - 03.2024
- Reviews all patient insurance information needed to complete the benefit verification process.
- Triages cases with missing information to appropriate program associate.
- Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.
- Identifies any restrictions and details on how to expedite patient access.
- Could include documenting and initiating prior authorization process, claims appeals, etc.
- Completes quality review of work as part of finalizing product.
- Reports any reimbursement trends/delays to management.
- Performs related duties and special projects as assigned.
Eligibility Specialist
FSSA Indiana
06.2023 - 03.2024
- Determine client eligibility for social services such as health care, employment, veterans and other public assistance programs.
- Review applications for eligibility to ensure they meet all program requirements.
- Process applications and ensure accurate data entry into computer systems.
- Conduct outreach activities such as publicizing new programs to the community.
- Interview clients/prospective clients to determine their eligibility for a wide range of social services.
- Gather and verify information and divert the client to other programs/services if need be.
- Provide general office/administrative support as needed.
Work From Home Customer Service Representative
Alorica Calling Center
03.2021 - 06.2023
- Talks to customers over the phone, email, online chat or social media to resolve their questions or concerns
- Maintains and updates customer information as necessary
- Calmly attempts to resolve and de-escalate any issues
- Escalates calls to supervisor when necessary and appropriate
- Responds to requests for assistance and/or possible processing of credit card authorizations
- Tracks call-related information for auditing and reporting purposes
- Provides feedback reports on call issues related to downtime and/or training issues
Medical Receptionist
Medix
07.2020 - 01.2021
- Receptionist provides customer service to our patient and administrative support to our Medical team in our Chicago office. This is a fast paced Medical Office with a high volume of calls and patients.
- Patients, scheduling, following up on calls, emails and faxes.
- Handling about 30-50 calls.
- The day-to-day will vary, but these are the position requirements/duties:
- Schedule and Coordinate patients’ appointments to optimize the client’s satisfaction and assure the medical practice efficiency.
- Create and update with extreme accuracy and privacy all patients’ records to include personal and financial information.
- Verify insurances – all commercial – Signing patients up for their membership as well. A lot of payments are out of pocket!
- Assist in Billing and other various records’ maintenance.
- Assist the Office Manager and be responsive to the Medical Practitioner.
- Check the labs – if patient needs their blood drawn, for example, they’d like this person to be proactive and ask the CMA or Phlebotomist
- Pull patient charts upon greeting them at the front and then room them
Remote Care Coordinator
Medix (JenCare)
03.2020 - 04.2020
- Coordinates and processes patient referrals to completion, schedules patient and notifies them of appointment info, uses Web IVR to generate authorizations, completes orders with proper documentation on where patient is scheduled, send referrals to specialist office and confirm receipt, enters all patients info into HITS tool, ensure patients missed appts are rescheduled, completes and addresses phone messages within 24 hours of call, e-faxing
Data Entry Specialist (Contract)
Protiviti
08.2019 - 12.2019
- Reviewed English and French contracts for accuracy
- Corrected any inaccurate information found in contracts
- Checked for missing data and documents
- Extracted data from contracts into database
Referral Coordinator/Front Desk
MULTACK EYE CARE
08.2016 - 03.2018
- Greeted and checked in patients for appointments
- Scheduled patient appointments and performed callbacks
- Answered inbound calls and made necessary outbound calls
- Performed insurance verification, prior authorizations, and coordinated/generated patient referrals.
- Referred and contacted other physician offices for physicians
- Filed and scanned patient charts into EHR system
Receptionist/Office Manager/Physical Therapist
Gordon Family Chiropractic
02.2014 - 08.2016
- Greeted patients, answered phones, prepare office for next day patients, verify insurance, schedule appointments, confirmed appointments and callbacks, assisted and performed patient physical therapy, medical billing and coding, familiar with Sentinel software, maintained office supplies and cleanliness of office
Education
Certification - Personal
Westwood College
Calumet City, IL07.2025
Associate - Legal Studies
Joliet Junior College
Joliet, IL09.2006
No Degree - Certified Personal Trainer
International Sports Science Association
Carpinteria, CA 10.2020 - 08.2027
No Degree - Certified Glute Specialist
International Sports Science Association
Carpinteria, CA 07.2023 - 08.2027
No Degree - Exercise Therapy Certification
International Sports Science Association
Carpinteria, CA 07.2025 - 10.2027
No Degree - Elite Trainer
International Sports Science Association
Carpinteria, CA07-2025
Skills
- ICD-9
- Access (5 years)
- POS
- Customer Service
- Medical Office Experience
- Customer support
- Cash Handling
- ICD Coding
- Insurance Verification
- Research
- Employee Orientation
- Medical Terminology
- Medical Billing
- Microsoft Office
- CPT Coding
- Packaging
- Triage
- Typing
- Data management
- Communication skills
- Word (10 years)
- Quality Assurance
- Powerpoint (10 years)
- Shift Management
- Clerical Experience
- Documentation review
- Supervising Experience
- Upselling
- IVR
- SharePoint
- Experience Administering Injections
- Windows
- English
- Patient Care
- Medical Scheduling
- Medical Coding
- Yoga
- Administrative Experience
- Transcription
- Phone Etiquette
- Excel (5 years)
- Time management
- Medical Receptionist
- ICD-10
- Medical Records
- Data Entry
- Anatomy Knowledge
- Google Suite
- EMR Systems
- HIPAA
- Technical support
- Google Docs
- Remote access software
- Computer hardware
- Customer service
- Clerical experience
- Software troubleshooting
- Operating systems
- Microsoft Access
- Help desk
- Proofreading
- Document management
- Analysis skills
- Medical records
- CRM software
- Salesforce
- Order entry
- Medical terminology
- Computer networking
- Databases
- VoIP
- Debits & credits
- Data collection
- QuickBooks
- Payroll
- EMR systems
- Oracle
- Medical coding
- Workday
- Customer relationship management
- Project management
- Telecommunication
- Conflict management
- Human resources
- Telemarketing
- Fraud prevention and detection
- Data analysis skills
- Recruiting
- Training & development
- ICD coding
- Workforce management
- Leadership
- Quality assurance
- VPN
- Banking
- Internet of things
- Supervising experience
- Cash handling
- Medical office management
- Hospitality
- Anatomy knowledge
- Project scheduling
- Shift management
- Cash register
- Childcare
- Medical imaging
- Cooking
- Hotel experience
- Sales
- Marketing
- Personal assistant experience
- Organizational skills
- Medical office experience
- Administrative experience
- Medical administrative support
- Data entry
- Multi-line phone systems
- Office management
- Front desk
- Benefits administration
- Medical receptionist
- Medical scheduling
- Insurance verification
- Medical billing
- Management
- Intake
- CPT coding
- Healthcare management
- Desktop administration
- Performance management
- Data analytics
- Personal training
- Phone etiquette
- Microsoft Excel
- 10 key typing
- Microsoft Outlook
- ERP systems
- Microsoft Word
- Office experience
- Computer skills
- Teaching
- Microsoft Powerpoint
- Law office
- Records management
- Medicare
- Filing
- Writing skills
- EHR systems
- Authentication
- Call center
- EDI
- Patient monitoring
- Care plans
- Live chat
- Heavy lifting
- Outbound calling
- Professionalism
- Goal setting
- Self motivation
- Computer proficiency
- Documentation skills
- Relationship building
- Reliability
- Multitasking Abilities
- Problem-solving abilities
- Attention to detail
- Eligibility determination
- Referral coordination
- Precertification requirements
- Outpatient surgery coding
- ICD-10 coding
- Insurance procedures
- Benefit coverage
- Authorizations
- Medical appeals handling
- Prior authorization process
Certification
- Certified Personal Trainer October 2020 to August 2027
- Certified Glute Specialist
- Certified Exercise Therapist
- CPR Certification
- Driver's License
- First Aid Certification
Timeline
No Degree - Exercise Therapy Certification
International Sports Science Association
07.2025 - 10.2027
Prior Authorization Specialist
Centers for Pain Control and Vein Care
03.2024 - Current
Benefit Verification Specialist
Greenlight Technologies
12.2023 - 03.2024
No Degree - Certified Glute Specialist
International Sports Science Association
07.2023 - 08.2027
Eligibility Specialist
FSSA Indiana
06.2023 - 03.2024
Work From Home Customer Service Representative
Alorica Calling Center
03.2021 - 06.2023
No Degree - Certified Personal Trainer
International Sports Science Association
10.2020 - 08.2027
Medical Receptionist
Medix
07.2020 - 01.2021
Remote Care Coordinator
Medix (JenCare)
03.2020 - 04.2020
Data Entry Specialist (Contract)
Protiviti
08.2019 - 12.2019
Referral Coordinator/Front Desk
MULTACK EYE CARE
08.2016 - 03.2018
Receptionist/Office Manager/Physical Therapist
Gordon Family Chiropractic
02.2014 - 08.2016
Associate - Legal Studies
Joliet Junior College
Certification - Personal
Westwood College
No Degree - Elite Trainer
International Sports Science Association
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