Summary
Overview
Work History
Education
Skills
Timeline
Generic

Emily Picou

Summary

Detail-oriented and highly organized healthcare administration professional with extensive experience in insurance coordination, and patient support. Proven ability to streamline processes, ensure accurate documentation, and maintain strong communication with patients, providers, and insurance companies. Seeking a role where I can leverage my skills to contribute to a collaborative and efficient healthcare environment.

Overview

6
6
years of professional experience

Work History

Utilization Coordinator (Contract/Temporary)

CareFirst BCBS
07.2022 - Current
  • Process authorization and fax requests with accuracy and efficiency.
  • Verify member eligibility and benefits, with a strong understanding of policy limitations.
  • Submit and review requests for initial determinations or send for medical review.
  • Applied knowledge of behavioral health benefits and policies to support mental health service request including ABA, MH RTC, SA RTC, IOP, PHP request and concurrent reviews.

Office Manager & Insurance Coordinator

Freedom Orthotics and Prosthetics
09.2021 - 05.2022
  • Answered and directed calls, took messages, and documented patient communications.
  • Managed referrals, verified insurance eligibility and benefits, obtained prior authorizations via phone, fax, and online portals.
  • Scheduled patient appointments, ensuring clinic workflow and coordination with staff.
  • Verified physician documentation for insurance approval accuracy.
  • Coordinated patient care with case managers, therapists, and medical staff.
  • Utilized LCD and specialized software to verify insurance coverage for DME, orthotics, and prosthetics.
  • Followed up on claims and billing discrepancies to resolve outstanding issues.

Medical Billing Processor / Intake Specialist

Magnolia Medical Orthotics and Prosthetics
12.2019 - 06.2021
  • Processed documentation received via fax, email, and physician orders.
  • Ensured proper documentation compliance for insurance submissions.
  • Processed prior authorizations for DME and orthotics as needed.
  • Managed spreadsheets to oversee authorization updates and production timelines.
  • Informed patients about benefits and coordinated payment plans when needed.
  • Generated content and posted updates on social media to engage patients and community.
  • Scheduled patient appointments following office procedures.

Education

Medical Assistant -

Unitech Training Academy
Lafayette
06.2018

Skills

  • Insurance Verification & Prior Authorizations
  • Knowledge of HCPC, ICD codes
  • Patient Scheduling & Coordination
  • Documentation Management & Fax Processing
  • Healthcare Software Proficiency
  • Customer Service & Communication
  • Social Media Engagement (Healthcare Setting)
  • Excel & Spreadsheet Reporting
  • DME & Orthotics & Prosthetics
  • Behavior Health (ABA, MH RTC, SA RTC, PHP & IOP)

Timeline

Utilization Coordinator (Contract/Temporary)

CareFirst BCBS
07.2022 - Current

Office Manager & Insurance Coordinator

Freedom Orthotics and Prosthetics
09.2021 - 05.2022

Medical Billing Processor / Intake Specialist

Magnolia Medical Orthotics and Prosthetics
12.2019 - 06.2021

Medical Assistant -

Unitech Training Academy

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