Elizabeth Vuknic
Kingston ,OK
Summary
Efficient billing professional with 10+ years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
6
6
years of professional experience
Work History
Prior Authorization Specialist
Choctaw Health Center
03.2023 - Current
- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Tracked referral submission during facilitation of prior authorization issuance.
Payment Posting Specialist
Xpress Wellness Urgent Care
03.2021 - 03.2023
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Monitored customer accounts to identify and rectify billing issues.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Processed and verified invoices to secure accuracy of billing information.
- Provided excellent customer service, developing and maintaining client relationships.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Medical Receptionist (Temp)
SSM Healthcare
10.2019 - 12.2020
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed multi-line phone system and pleasantly greeted patients.
- Checked patient insurance, demographic, and health history to keep information current.
- Completed patient referrals to other medical specialists.
- Obtained payments from patients and scanned identification and insurance cards.
- Prepared and processed patient referrals and transfer requests.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Registered and verified patient records before triage with most up-to-date information.
- Assisted with medical coding and billing tasks.
Medical Receptionist
The Pediatric Group
09.2018 - 10.2019
- Registered and verified patient records before triage with most up-to-date information.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted with medical coding and billing tasks.
- Processed medical insurance claims and payments.
- Prepared and processed patient referrals and transfer requests.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
Data Integrity Specialist
Revenue Management Solutions
10.2017 - 09.2018
- Determined root cause of data quality errors and recommended long-term solutions.
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Maintained files, records and chronologies of entry activities.
- Identified data entry errors and reported to necessary departments.
- Corrected data entry errors to prevent duplication or data degradation.
- Scanned documents and saved in database to keep records of essential organizational information.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Evaluated source documents to locate needed information.
Education
High School Diploma -
Edmond Memorial High School
Edmond, OKSkills
- Authorizations
- Patient Referral
- Medical Terminology
- Medical Coding
- Registration Processes
- Billing Procedures
- Patient Scheduling
- Insurance Procedures
- Benefits Verifications
- Electronic Health Records Systems
- Medical Transcription
Timeline
Prior Authorization Specialist
Choctaw Health Center
03.2023 - Current
Payment Posting Specialist
Xpress Wellness Urgent Care
03.2021 - 03.2023
Medical Receptionist (Temp)
SSM Healthcare
10.2019 - 12.2020
Medical Receptionist
The Pediatric Group
09.2018 - 10.2019
Data Integrity Specialist
Revenue Management Solutions
10.2017 - 09.2018
High School Diploma -
Edmond Memorial High School
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